Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Do You Do Cultural Assessment With an End Of Life Client?

February 13, 2021

 

 

 Each Culture Has Different Customs and Beliefs in End of LifeiStock_000063346301_Medium-1.jpg

There may be cultural differences in end-of-life decision making as a result of underlying cultural values with disclosure of a terminal illness and very critically -use of life-sustaining medical treatment. With the widespread availability of advanced medical technology in the United States, people are encouraged to do everything possible to seek a cure for a life-threatening medical condition or sustain life. However, there are many other cultures for whom quality of life is more important than the length of life.

Other Cultures Do Not Follow US Medical Model ChiCheng_hmpgHdr.jpg

There are some societies, such as Japan, where a terminal illness may not be disclosed to a patient and it is culturally inappropriate to discuss impending or imminent death. For instance, among some Chinese, it is considered bad luck to discuss death because such talk may cause death to occur. Sometimes the ethnic elder is not expected to make healthcare decisions and the responsibility may be based on a traditional family hierarchy. For instance, in many Filipino families, there may be a designated decision-maker who is not the patient (e.g., the oldest son or a daughter or son who is a health professional) and who articulates the wishes of the elder or family.

Some Cultures Follow Religious  Customs and Beliefs in Death & Dying

Other end-of-life decisions are based on religious tenets. In many Catholic immigrant communities, there may be strong resistance to an advance directive because the document would signify a “loss of hope” or be interpreted as suicide, which is against church doctrine. These beliefs may also influence the use of hospice services.

 

Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency

Serve Your Client until Death Do You Part

 

Join me Thursday March 11 and learn why End of Life Services Are a perfect new service for care managers

 

In this 1 ½ -hour webinar you will learn how to

 1.Transition the patient/family through the five stages of death

2.Help clients be active participants in their care

3.Give the family/caregiver tools to manage care

4. Provide family center care to caregiver and family

5. Choose the right support services through all stages of death

6.Introduce Hospice and Palliative care and work with their team

7. Use ALCA End of Life Benefits During COVID

8.Use  COVID -19  Family Coaching for GCM

Sign Up

If you really want to add End of Life to your care management business sign up for this webinar now

 

 

 

 

 

 

 

 

 

Filed Under: Advanced Directives, advanced directives& COVID-19, Aging, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits of ALCA to Hospice, Cultural Assessment, Cultural Assessment Death, Cultural Beliefs in Death, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, End of Life Cultural Assessment, End of life documents, Families, FREE WEBINAR, GCM role Death and Dying, Geriatric Care Management Business, Geriatric Care Manager, Geriatric Care Manager Cultural Assessment, geriatric social worker, Good Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative Care, Palliative care manager, SNF death COVID-19, US Medicalization of Death Tagged With: 5 stages of death, Acceptance Phase of Death, adding end of life services, Aging Life Care Association, care manager cultural assessment, chronic phase of death, COVID-19 Deaths, cultural assessment, Cultural Beliefs in Death, Cultural Customs in Death, cultural diversity, death and dying in COVID-19, geriatric care manager, Hospice at end of life, Palliative Care at end of life, US medicaization of Death

Avoid Aretha Franklin’s Fate- Help Elders at Risk of Covid & Prepare End Of Life Docs Fast

January 30, 2021

Preparations for Death a Hard Step for Some

Everyone must prepare for the end of life. When Aretha Frankin died a tribute to her was an armada of 100 pink Cadillacs at her funeral. But in spite of the glittery homage to her storied life and career, she died without a will.

According to Aretha’s ‘lawyer, Ms. Frankin was aware she needed to take care of this but ” never got around to it”. This left her estate liable for potentially millions of dollars of taxes and attorney fees and a drawn-out timeline for her 4 sons to inherit the proceeds from her estate.

Franklin was, as many have said, ” a force of nature” and a woman who would be hard to sway. But care managers specialize in working with VIP clients and the rich and famous. These clients are often uber difficult to work with- entitled, narcissistic equally hard to sway. Aretha Franklin’s attorney might have convinced her that she needed to work with him to protect her family and her estate before she died.

In the Year of the Plague Care Managers Preparing Clients For Death  More Urgent

You as a care manager must take a more urgent  approach by yourself or with the client’s attorney because the stakes are so much higher as now elders are likely to die with this virus rampaging throughout the world, striking the people with comorbidity, like people over 65, the hardest

Most geriatric care managers work with the wealthy top 10% if they want to survive as a business as Medicare does not cover long term care. Only the top 10%, like Aretha Frankin, can afford it. But what comes from being a good care manager is knowledge of death. End of Life care is one of their jobs.  Making sure their client has all their legal documents ahead of time is critical at this minute. With COVID-19 that clock runs on speed.

, these documents- one a living will- are an important job of the geriatric manager, as death

may be shrouded and waiting around the corner for many of your clients 

Advanced  Care Planning Discussions In Covid Critical

Once the COVID-19 is known with an elderly client, the care manager who has added “end of life services” to their agency, is often the one who will initiate and guide advance care planning discussions. The problem with COVID-19 is that the onset of the disease can be rapid.  As difficult as these discussions may be, the burden on the family is significantly lessened if decisions about advance care planning are made before the client’s condition worsens.

Hopefully, this has already been done but many people put it off for fear of death. A recent study found that less than 50% of severely or terminally ill patients had an advance directive in their medical record.

Advance directives are legal documents that allow clients to make decisions about their health care and finances in advance of when they are not mentally or physically able to do so. These documents must be signed, dated, and witnessed naming another person to make decisions for you.

Your job as a care manager is the make sure your older client has these documents before they have COVID-19:

  • A durable power for an attorney for healthcare 
  • A living will
  • A do not resuscitate order DNR (efforts to restart the heart after it has stopped

 If No Advanced Care Documents & COVID Strikes Elders Wishes Unfulfilled

If the client does not have these legal documents and wishes to create them, the Geriatric Care Manager will suggest that the documents be put in place with the oversight and consultation of an elder law attorney.

But During Covid-19 could rush an elderly client towards death like a mammoth mudslide sweeping them into a hospital where no one can enter, even the family.

Care Managers play a big role at end of life issues. They are their navigators through all five stages of dying, which is the time before COVID-19 could be long before palliative care or hospice are called. 

 

But in this plague reign, there is little time to plan so the five stages of death are on steroids. So, talk to your clients now before they get into a screaming ambulance to the hospital where no one can follow the including you, and may never return.

GCM Care Planning Stope Elders From Dying Without a Will Like Aretha Franklin

 Proactive discussions and legal planning now can help to reduce the risk of dying like Frankin leaving the legacy of her music, a soundtrack to her life but a family both shattered and at war with each other. The COVID-19 clients you see now could be in this position and their families will be left with no rituals no funeral no advanced directives and only hopefully a zoom family meeting to say their last words. Good legal guidance can also help clients make better decisions,  avoids all this other legal horror on top of the torturous death of coronavirus. Making a will or a trust now will save the family from adding to the burden of a lonely painful death.

SIGN UP FOR MY LATEST FREE WEBINAR

Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency

 

Serve Your Client Until Death Do You Part     

S

 

Join me Thursday, March 11 and learn why End of Life Services Are a perfect new service for care managers

 

 

In this 1 ½ -hour webinar you will learn how to

 

 

1.Transition the patient/family through the five stages of death.   

 

2.Help clients be active participants in their care

3.Give the family/caregiver tools to manage care

4 Provide family center care to caregiver and family

5 Choose the right support services through all stages of death

6.Introduce Hospice and Palliative care and work with their team

7 Use ALCA End of Life Benefits During COVID

8.Use  COVID -19  Family Coaching for GCM

Sign Up

If you really want to add End of Life to your care management business sign up for this webinar now

Recommendations

 Cathy is a great consultant who has helped me remain focused and balanced while developing my business and juggling other responsibilities.   I highly recommend using the operations manual as a guide for businesses, especially startups.   Also, tools such as Cathy’s competition survey, marketing survey, and Cathy’s book entitled Handbook of Geriatric Care Management are great resources to use now and future.  Cathy is the business coach/business consultant I needed.  I will always be grateful for the time and money she saved me during this process.  Thanks, so much Cathy for all that you do!  I appreciate you!

Patrice Harrison LMSW, IPR

 

 

 

 

Presented by:
CATHY CRESS, MSW

 

 

Filed Under: Aging, Aging Family, aging family crisis, aging life care manager, Aretha Franklin, case manager, Concierge Senior, coronavirus, Coronavirus emergency plan, coronavirus shut down, Covid-19, Death and Dying Care Management, death and dying care manager, DNR, elder care manager, Elderlaw Attorney, End of Life Care manager, End of life documents, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, living will, nurse advocate, nurse care manager, Quality of Life in Dying, Wealth Management Departments Tagged With: Advanced Directives, aging life and geraitric care manager, aging parent crisis, coronavirus, coronavirus and seniors, COVID_19, COVID-19 Deaths, COVOD_10& Advanced directives, death and dying, death and dying in COVID-19, geriatric care manager, Hospice Care, hospice for elderly parent, nurse advocate, nurse care manager

Trump’s COVID Mixed Messages Push-Up-Deaths So No CLear Path for AGING Families

September 6, 2020

The World Health Chief warned that in a Pandemic mixed messages coming from national leaders give their people no clear path to follow to keep themselves safe from COVID. This is esspecially true of aging family members who are trying to protect the most vulnerable to coronavirus-  older people.

 

In US Federal Government and US Scientist Point to two Different to paths to” Safety”

In the US Federal officials, like the TRUMP administration offers a murky path to stay safe -while top scientists like the CDC and Dr. Fauci offer science-based recommendations. It is like a signpost is a tsunami zone with two different directions to higher ground. State governors who have been left in charge of protecting American citizens, rather than the federal governments and all have different messages. Some states are closed down, while others do not allow masks in spite of the massive spread of the virus. People do not know what to do, as the Feds, the states, the counties, and cities all have different guidelines and laws about how to stay protected from the worst pandemic since 1918.

President Woodrow Wilson Pointed the Wrong Direction is 1918 Pandemic

It is not new. President Wilson lied to the American public about the 1918 pandemic as he had declared war with Germany and wanted the US war machine to go full throttle. So soldiers in camps in the US died by the thousands and sailed to Europe spreading the 1918 plague, while Wilson never uttered a word, except to say it was like the common cold. He contracted COVID in France, trying to negotiate the Treaty of Versailles, subsequently had a stroke kept secret,(stroke being a side effect of COVID we now know ) and his wife effectively ran the county.

Science is being Maligned and Sidelined in COVID-19

What happens these when confusing messages are given by so many leaders who are not scientists but politicians with their own agenda? Scientists like Dr. Fauci are both maligned and sidelined. .The CDC once the most prestigious health agency in the world is forced to give false scientific information by the TRUMP administration.

 One terrifying result is COVID cases are soaring in the US As of  September 3, we had 6.1 M cases and 189 K deaths.  Younger people and even older residents are celebrating summer and now Labor Day with no masks no social distancing as if there was no COVID. We now celebrate Labor day with people gathering with no masks, college opening with the spread of the virus, and children used as guinea pigs in some states mandated to return the schools that have no federal money to make their classrooms safe 

Aging families, who want to keep their loved ones safe need aging professionals to offer clear paths to safety. Can you be that navigator to safety?

5 Steps to Successfully Market Your GCM COVID 19 Telehealth Coaching  Service

 

If you have designed COVID -19 services yourself or attended my last webinar to learn how to coach COVID-19 services or coaching ( If you missed it click on this link to watch  )

TAKE THE NEXT STEP MARKET

Learn to market COVID COACHING  and sign up new clients for your Aging COVID-19 coaching services for, both long-distance and local- adult children, based on science step and sound public health policies. Help family care providers faced with a pandemic, support aging love ones through a COVID Hospitalization, and recovering at home.

FILL THE GAP LEFT BY FEDS.   

Be able to sell care management COVID services that fill the gap created by the federal government, state, county, cities and CDC‘s mixed messaging has created, leaving family caregivers confused frustrated, with no clear path to safety from the raging pandemic,

 

Gain new customers and help aging families stay safe from COVID using care management’s most potent tool – navigation- through the potholed path to safety from the deadly coronavirus they have right now.

 

You will learn

  • How to create an e-newsletter with the right copy, to get out the word about your COVID 19 services

 

  • How  to use social media to alert aging family caregivers to the clear path your GCM agency provides to safety from the accelerating virus in the US

  • Be able to set up a Zoom webinar to teach local aging agencies and caregivers about your COVID coaching services and other local resources to assist caregivers in the community

 

  • Get local media coverage of your COVID -19 Coaching Services with radio and TV coverage plus pick local newspapers where adds may pay off to sell your COVID Products

 

  • How to generate word of mouth customers for your COVID -19 service using your continuum of care in your community

Sign Up 

 

 

 

 

       REGISTER NOW

Filed Under: Blog, COVID-19 & Care Management, Covid-19 GCM Products, Covid-19 mixed messaging, COVID-19 Webinar, Death and Dying Care Management, GCM COACHING SKILLS, GCM COVID 19 Crisis, GCM products in COVID-19, geriatric care manager, geriatric social worker, Long Distance Care & COVID-19, Marketing aging life care, marketing geriatric care management, mask wearing covid-19, Palliative care manager, Telehealth COVID-19products, Telehealth with ALCA, Telehealth with GCM, telemedicine, Webinar, Webinar ALCA GCM Tagged With: aging family crisis, aging life and geriatric care management, Aging Life Care Association, Aging Life Or GCM Products, COVID-19 Deaths, COVID-19 PRODUCTS, COVID-19 SERVICES, Covid-19 Telehealth, COVID-19 Telehealth product, COVID-19 Webinar, marketing during COVID-19

Trump’s Mixed Messages About COVID Increasing Deaths and leaving No straight Path for AGING Families

August 3, 2020

Mixed Messaging Lethal in a Pandemic

 The Chief of the world Health Organization had warned that mixed messages coming from national leaders give their people no clear path to follow to keep themselves safe from COVID. This is especially true of aging family members who are trying to protect the most vulnerable to coronavirus-  older people.

 

In US Federal Government and US Scientist Point to two Different to Safety

In the US Federal officials, like the TRUMP administration offers one path to stay safe -while top scientists like the CDC and Dr. Fauci offer another. It is like a signpost is a tsunami zone with two different directions to higher ground. State governors who have been left in charge of protecting American citizens, rather than the federal governments and all have different messages. Some states are closed down, while others do not allow masks in spite of the massive spread of the virus. People do not know what to do, as the Feds, the states, the counties, and cities all have different guidelines and laws about how to stay protected from the worst pandemic since 1918.

President Woodrow Wilson Pointed the Wrong Direction is 1918 Pandemic

It is not new. President Wilson lied to the American public about the 1918 pandemic as he had declared war with Germany and wanted the US war machine to go full throttle. So soldiers in camps in the US died by the thousands and sailed to Europe spreading the 1918 plague, while Wilson never uttered a word about except to say it was like the common cold.

Science is being Maligned and Sidelined in COVID-19

What happens these when confusing messages are given by so many leaders who are not scientists but politicians with their own agenda? Scientists like Dr. Fauci are both maligned and sidelined. .The CDC once the most prestigious health agency in the world is forced to give false scientific information by the TRUMP administration.

 One terrifying result is COVID cases are soaring in the US As of  September 3, we had 6.1 M cases and 189 K deaths.  Younger people and even older residents are celebrating summer with no masks no social distancing as if there was no COVID. We now face Labor day with people gathering with no masks, college opening with the spread of the virus, and children used as guinea pigs in some states mandated to return the schools that have no federal money to make their classrooms safe 

Aging families, who want to keep their loved ones safe need aging professionals to offer clear paths to safety. Can you be that navigator to safety?

 

 

 

 

       REGISTER NOW 

 

Filed Under: Blog, COVID-19 & Care Management, Covid-19 GCM Products, Covid-19 mixed messaging, COVID-19 Webinar, Death and Dying Care Management, GCM COACHING SKILLS, GCM COVID 19 Crisis, GCM products in COVID-19, Geriatric Care Management Business, geriatric care manager, geriatric social worker, Long Distance Care & COVID-19, Marketing aging life care, marketing geriatric care management, mask wearing covid-19, Palliative care manager, Telehealth COVID-19products, Telehealth with ALCA, Telehealth with GCM, telemedicine, Webinar, Webinar ALCA GCM Tagged With: aging family crisis, aging life and geriatric care management, Aging Life Care Association, Aging Life Or GCM Products, COVID-19 Deaths, COVID-19 PRODUCTS, COVID-19 SERVICES, Covid-19 Telehealth, COVID-19 Telehealth product, COVID-19 Webinar, marketing during COVID-19

130 million Dead COVID- Trump will not require the #1 deterrent -Masks

July 9, 2020

Number 1 Prevention of COVID -19  Wearing A Mask

The Coronavirus yesterday reached the 3 million mark in mark in cases  The number one preventative step we could have taken is to wear masks 

 

Citing Lone Ranger-TRUMP Refuses National Order For Masks

Yet, President Trump refuses to issue a federal order to wear masks and leaves it up to the states. In Texas, where the coronavirus rampages, the  Republican governor has also refused to issue a state order to wear masks. Like ordering the US to wear masks, has something to do with his looks, Trump said a mask makes him look like the Lone Ranger. The Lone Star state topped over 1000 cases 5 days in a row

 

33 Million Would Not Be Dead if Masks Ordered in  October

A new study says wearing masks would have saved 33 million lives since last October. Yet there are still no federal mask requirements.

Lack of President’s National Response Leading to New Depression- Says World Bank

This lack of federal response, like no federal order to wear masks, is not only killing huge swaths of the world population but has torpedoed our economy. President Trump wants to reboot the economy yet by not using federal controls, according to the World Bank the President is moving us to a recession and the cusp of depression worldwide.

Less than half the States Require Masks

Only 20 states require masks as Trump, instead of requiring masks, has left it up to the states. He relented recently, narcissistically,  saying he thought he looked good- like the lone ranger in a mask but ordered no federal requirement. 

Dr. Anthony Fauci predicts a few days ago that the huge COVID spread could leave 100 million a day dying. Masks are our # 1 deterrent again this  slaughter by the omission of using federal powers

33 States Now in Crisis Surge of Virus Sunbelt Devastated

A total of 33 states now have a coronavirus surge with 7 states in the southwest at a crisis level.

Without required preventative steps from the Trump government and the wildfire surge immolating ¾ of our states, COVID 19 is not going away, in fact, may last well into 2021

Mixed -Messaging by President, States, Counties Gives Families no Path to Virus Safety

The problem is made more confusing by the administration’s mixed messaging with different states, cities, counties telling residents what to do to be safe. Families have no idea which way to turn to keep themselves and the most vulnerable senior family members safe.

 

JOIN ME FOR MY NEW FREE WEBINAR

Create Science-based, data-backed, mixed -messaging- free products to keep seniors safe   

 

Create 5 Telehealth Products for COVID 19

 

Products from sheltering in place through the hospital, recovery at home, discharge from an SNF, or hospital for local and long-distance elders.

Increase your bottom

line as COVID spreads throughout the US and more shutdowns loom

 

Learn Step by Step How to Consult with Aging Families and Seniors to:

 

 

  • Choose the best Hipaa Compliant Telehealth Products to Remotely Consult with Client

 

  • Help a Local Family Help a Loved One Safely Shelter in Place

 

  • Help a Long-Distance Family Help a Local Loved One Shelter in Place

 

  • Help an Aging Family Help a Loved on Hospitalized for Covid-19

 

  • Help an Aging Family Help a Senior when Discharged from Nursing Home

 

 

  • Help an Aging Family Help Elder Recover when Discharged from a Hospital

 

WHEN. THURSDAY AUGUST 6     

TIME- 2 PM Pacific Standard Time

 

REGISTER NOW 

 

Filed Under: Aging deaths, Aging Family, aging family crisis, ALCA Products for COVID_19, Blog, coronavirus, Coronavirus Coaching, Coronavirus safety elders, coronavirus shut down, CORONAVIRUS Stay at Home Plan, COVID-19 & Care Management, Covid-19 GCM Products, Covid-19 mixed messaging, COVID-19 Webinar, elder care manager, FREE WEBINAR, GCM COVID 19 Crisis, GCM products in COVID-19, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Home Care Emergency Coronavirus Plan, INFECTION CONTROL & COVID-19, inquiry COVID-19, Intake COVID-19, mask wearing covid-19, Telehealth COVID-19products, telemedicine, Therapist Specializing in Aging, Trump's failure to order masks, Trump's lack a federal response Tagged With: aging family, aging life care manager, aging parent crisis, care manager, COVID_19, COVID-19 Deaths, COVID-19 deaths SNF's, COVID-19 exposure, COVID-19 prevention, COVID-19 Telehealth product, GCM Telehealth Product, geriatric care manager, geriatric care managers, geriatric social worker, masks, nurse advocate, nurse care manager, Telehealth counseling, wear mask 4COVID

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