Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Dysfunctional Families Facing Death Wreak Havoc at End of Life

August 3, 2023

What do Dysfunctional Families do at the End of Life?

 

Dysfunctional families facing death and dying have flawed fractured family conversations. Often they do not communicate at all or engage in destructive accusations lobbed at others. They see one another as enemies. They demonize one another!

Dysfunctional families facing death are feuding families, escalating the pain of death to a chaotic war room. They blame each other instead of locking arms in a crisis.

Dysfunctional families facing death sabotage resolution.

Facing Fractured Family Communication

What are some of the struggles that these aging dysfunctional families facing death with fractured family communication can face?

Aging parents who lack the capacity to make decisions have no advance directives, DPOA 

health-care proxy, and adult siblings, who must make end-of-life decisions, can’t agree

Withdrawal of life support with no designated health care agent then dysfunctional families facing death the adult children and/or spouse disagree

Pain management  Dysfunctiona families facing death adult children and/or spouses disagree.

Answer to Fractured Family at End of Life – Mediation.

Dysfunctional families facing death

 

Mediation is a tool that fractured families can be a good resource for dysfunctional families at the end of life. It can help with these difficult families facing the death of a parent without fracturing the entire family. It can allow an older person to die without pain inflicted by their own aging dysfunctional families.

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Learn how to solve dysfunctional family problems like End of Life family chaos after you master these tools  for aging dysfunctional families
Get care for aging family members when the dysfunctional family members resist
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 Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

 

 

 

Filed Under: Advanced Directives, Advanced Directives and Covid-19, Aging, aging life care manager, Benefits of ALCA to Hospice, Death and Dying, Death and Dying Care Management, Dysfunctional aging family, Dysfunctional Family Mediation, End of Life, End of Life Care manager, End of life documents, estranged elder parents and adult kids, estranged siblings, Families, FREE WEBINAR, GCM COACHING SKILLS, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Good Death, Hospice Care, mediation, Mediation End of Life, nurse advocate, nurse care manager Tagged With: adult sibling, aging family, aging parent care, aging parent crisis, black american geriatric care managers, black american social workers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, Black start-up geriatric care management, care planning, caregiver burnout, conservator, death, dysfunctional aging family, dysfunctional family, dysfunctional siblings, dysfuntional family, elder care crisis, end of life, end of life family meeting, estranged siblings, families fretting at end of life, free webinar, geraitric assessment, geriatric care management, geriatric care manager, geriatric care managers, mediation, mediator, My Geriatric Care Management Operations Manual, no advanced directive, no DPOA, no health care proxy, withdraw of life support

Care Manager’s Role In Death and Dying

March 31, 2014

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Care Manager’s don’t just meet dying patients and their bereft children in the emergency room.

 

Geriatric Care Managers play a big role in end of life issues. They are their navigators through all five stages of dying, many times long before palliative care or hospice are called. Often GCM’s can help the family and client to bring in hospice or palliative care.

 

The final passage through life can emotionally charged.  If the family is following a long labyrinth to the end, the blind alleys may be blocked by cultural, religious, and moral beliefs. GCM ‘s can find an opening through this maze.  Money, family dynamics and fear of dying can all explode a fraught crisis of care in dying. When important end of life decisions need to be made, the stress of the responsibility, and the seriousness of the situation can break a wave of distress fear and anxiety over the “ whole family system” the dying elder. The geriatric care manager specializes in this whole family system.

 

 

 

Geriatric Care managers are often help facilitate throbbing discussions, and facilitate family members coming together to work as a functional unit.  Understanding the differing viewpoints is critical.  Knowing what a parent wants and does not want during the last days and hours of life help define and simplify the role of family.  It relieves the family of the burden of having the responsibility of making decisions which may not be what their parents want. Turning this around can also avoid family conflicts when adult children may have differing values.

 

 

 

 Proactive discussions and legal planning building a circle of care can help to reduce some of the potential conflicts. Good legal guidance can also help to pay for care when an adult child wants to finance in home care.  But geriatric care managers do much more with clients and families who are facing end of life.

 

 

 

 

 

 

Filed Under: Aging Tagged With: death, geriatic care manager, Hospice, Palliative Care

Areas to Cover in Whole Family Assessment- Sandwich Generation Issues

June 11, 2013

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Sandwich Generation Issues- Many family caregivers have multiple generations requiring their attention and care. In 1981, Dorothy Miller coined the term sandwich generation to refer to inequality in the exchange of resources and support between generations.

Specifically, Miller was referring to a segment of the middle-aged generation that provides support to both young and older family members yet does not receive reciprocal support in exchange. Miller emphasized the unique stressors of multigenerational caregiving and the lack of community resources available to assist the middle generation. Because multigenerational caregivers are most often women dealing with the complex role configurations of wife, mother, daughter, caregiver, and employee, some researchers use the phrase women in the middle interchangeably with the sandwich generation.

In 2013 this is more and more an issue with men – adult sons as well. I am now helping a family where the 93 old Dad is home dying at his son’s home with Hospice and an excellent geriatric care management agency Livhome supplying 24 hour care. The adult son has four grown sons and three grandchildren. In all we have 4 generations sandwiched together helped thankfully by an excellent Hospice and terrific geriatric care management agency. These agencies together and in unison help unlayer the sandwich and allow the whole family  to come together to bring joy to all their lives while they surround this great grandfather through his death . That’s the grace of the whole family approach to me .

Filed Under: Aging Tagged With: aging family, aging parent, aging parent care, assessing the caregiver, caregiver, caregiver burden, caregiver overwhelm, caregiver stress, checklist for aging parent problems, death, geraitric assessment, geraitric care manager, geriatric care management, Hospice, joy in older people, Livhome, Men in sandwhich generation, My Geriatric Care Management Operations Manual, parent care, parent care crisis, Psychosocial assessment, sandwhich generation issues, Whole Family Approach, whole family approach in aging, whole family assessment

Mediation at End of Life -Cathy Cress Speaking

April 7, 2013

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On April 19, 2013 I will be making a presentation-,at the 29th Annual National Association of Professional Geriatric Care Managers Conference in Philadelphia. I will be speaking along with attorney and mediator Dana Curtis .

 

The  topic is , GCM as the Accidental Mediator: Fretting and Fighting or Feuding: Intergenerational Conflict in the Adult Family at End of Life, Philadelphia, Penna.

Filed Under: Aging Tagged With: aging family, aging parent care, aging parent crisis, Dana Curtis, death, dysfunctional aging family, elder law attorney, Elder Legal Assessment, end of life, end of life family meeting, family caregivers, geraitric care manager, geriatric care managers, Hospice, hospice for elderly parent, irate sibling, mediation, mediator, midlife sibling team, My Geraitric Care Management Operations Manual, NAELA, National Assocaition of Geraitric Care Managers, National Association of Geriatric Care Managers Conference, power of attorney for health care, victim, villian

Undue Influence- New York Times

March 28, 2013

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New York Times article -Undue influence – perhaps -committed on  a renowned painter Merton D. Simpson and major  collector of African art . Mr. Simpson is dead and housed in funeral home until someone pays for funeral. Aging professionals-  you just never have seen it all.

Filed Under: Aging Tagged With: aging parent care, blaming familiy members, case manager, death, dementia, dysfunctional aging family, elder abuse fiscal assessment, Elder Legal Assessment, elderlaw attorney, estranged elder siblings, financial abuse, geriatric care management, geriatric care manager, geriatric care managers, guardianship, My Geraitric Care Management Operations Manual, National Association of Geriatric Care Managers, protecting elder assets

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