Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Dysfunctional Aging Families Can Wreak Havoc at End of Life

February 18, 2021

What do Feuding families do at the end of life?

 

When a family member is facing death and dying dysfunctional families have flawed conversations. Often they do not communicate at all or engage in destructive banter. They see one another as enemies. They demonize one another.

Feuding families are what I call dysfunctional families. They blame each other instead of locking arms in a crisis.

They sabotage resolution.

They actively compound already difficult decisions with intractable, interpersonal conflict. They create problems independent of the underlying issues.

Facing Fractured Communication

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

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

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 and adult children and/or spouse disagree

Pain management adult children and/or and spouse disagree.

Answer to Fractured Family at End of Life – Mediation.

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

 

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 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, care planning, caregiver burnout, conservator, death, dysfunctional aging family, dysfunctional family, dysfuntional family, elder care crisis, end of life, end of life family meeting, estranged siblings, families fretting at end of life, fretting at end of life, 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

Best Tool for Dysfunctional Family on Holidays- Hope

December 22, 2020

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Hope is the Best Tool on the Holidays

During Christmas and Hannaka family caregivers, especially in the dysfunctional family can be drinking or numbing themselves from the pain of caregiving. They will ruin the holiday celebration one way or another. Maybe they are drugging themselves with the telly or abusing prescription drugs. Depression and anxiety ( rife among caregivers) are predictors of increased alcohol use. Social isolation, which is experienced by some caregivers, is also predictive of increased alcohol use.

 

How do you as a geriatric care manager change the script for these aging dysfunctional families – family caregivers and older members who are supposed to care for but can’t. How does a professional GCM make the characters transform? 

 

It’s actually simple –but loaded with skill- give them hope. You need to and use yourself to give them hope that things will change. It’s the best tool in a geriatric care manager toolbox- especially on and after the dreaded holidays.

 Use of Self

The use of Self is perhaps the most powerful tool for geriatric care managers. The use of Self provides families with guarded optimism. GCM’s have to offer a vision of the future that is based not only on a desire for hopeful outcomes. This has come from our own clinical knowledge and belief that change to their nasty crippled, family

system is indeed possible.

By being direct, empathetic, and

nonjudgmental, we become a holding bay for

stressed caregivers, creating a place of safety, c

onfidentiality, consistency, and support.

Finally, GCM’s offer our clients a model of

perseverance. By giving up on the possibility of

positive change and by exploring all options,

the GCM enables families to feel that, regardless of the outcome, they have done all that they can to support the older adult.

Be like Judy Garland  on the holiday offering hope


Have yourself a merry little Christmas.
Let your heart be light


From now on
our troubles will be out of sight

Give the” Merry Christmas – next year

 

Sign Up for My Free January Webinar  

5 Vital Clinical Tools to Help Aging Dysfunctional Families-Post Horrid Holidays- 

             Thursday, January 21, 2021

  Give frantic adult children hope when they desperately call after the holiday  

 Join me and learn how to come to the rescue of concierge dysfunctional families who found coal in their stocking.      

Learn how to!

  • Understand the Dysfunctional Aging Family System you must enter to get care for elders
  • Understand 11 Warning Signs You Are Working with Dysfunctional Family
  • Master Vital Clinical Tools, you need to solve client problems
  • Take Six Steps Professional Must Take to Work with These Difficult Families
  • Get care for aging family members when the dysfunctional family members resist

 SIGN UP NOW

 

SUBSCRIBE TO MY YOUTUBE CHANNEL GERIATRIC CARE 1

Filed Under: Aging Alcohol Abuse, caregiver, Caregiver Burn Out, caregiver burnout, caregiver mental health, CAREGIVER RESOUCES, Dysfunctional aging family, Dysfunctional Family & Holidays, elder care manager, geriatric care manager, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Holiday season, Loneliness, Long distance caregiver, Therapist Specializing in Aging Tagged With: aging life and geraitric care manager, aging life care manager, aging parent crisis, alcohol on the holidays, Alcolhol abuse in the elderly, care manager, case manager, dysfunctional family, geriatric care manager, geriatric social worker, Have Yourself a Merry Little Christmas, Holidays Crisis in aging family, holidays with aging parents, My Dysfunctional Family, nurse advocate, nurse care manager, Use of Self

Take This Test -Can You Take A Dysfunctional Family Case Over the Holidays ?

December 18, 2020

Do You Have the Clinical Skills to Give Hope to  The  Dysfunctional  Family Calling Desperately On the Holidays –

What does it Take?

    1. Do you know the right caseload mix so you have the intense time to handle these very heavy care families?
    1. Do you have 5 years of geriatric care management practice, a master’s degree to understand and work with them??
    2. Do you have care managers who can work with these complex aging dysfunctional families?
    3. Do you have the business model to realign your caseload for many of these time-intensive cases?
    4. Do you know aging family dynamics or do you have a staff member who does?

    5. Can you increase your staff to do this?
    6. Do You Know How to do a two call intake and complimentary consultation?
    7. Do You know how to make the sale to dysfunctional aging clients?
    8. Are you ready to be fired and have account receivable problems that come with these cases?
    9.  Do you know how to answer the challenge the dysfunctional, needy demanding adult children face and the client’s needs at the same time?
    10. Do you know how to hold an impromptu family Dysfunctional meeting with adult children, over the hectic holiday to plan care for aging parents?
    11. Can you work with narcissistic entitled older clients who are very demanding?
    12. Can you  emotionally handle the demeaning, blaming attitude of narcissistic old and new monied clients
  1. SIGN UP FOR MY WEBINAR To Find Out Clinical Tools to

  2. Work With These 

  3. Families 

  4.  

      Sign Up for My January Webinar  

     Working with Aging Dysfunctional Families- January and February-Long Day’s Journey into Night- 

                 Thursday, January 21, 2021

      Give frantic adult children hope when they desperately call after the holiday   Join me and learn how to come to the rescue of concierge dysfunctional  families who found coal in their stocking.      Learn how to:family-charis1-226x300.jpg Understand the Dysfunctional Aging Family System you must enter to get care for elders   Understand 11 Warning Signs You Are Working with Dysfunctional Family    Master the 5 Clinical Tools – you need – to solve these problems with your clients   Learn Six Steps Professional Must Take to Work with These Difficult Families    

     

     

     

    Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

    t
  1.  

Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, Blog, care manager, case manager, Clinical Tools Dysfunctional families, Concierge Senior, Dysfunctional Aging Familu, Dysfunctional aging family, Dysfunctional Family & Holidays, elder care manager, estranged siblings, Families, Filial Crisis, FREE WEBINAR, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Long Distance Care, Narcissistic Personality, nurse advocate, nurse care manager, Quality of Life for elders, sibling rivalry, Sibling Strife Christmas, Sibling Strife Holidays, Siblings, Spoiled Holiday Rituals, Therapist Specializing in Aging, Webinar Tagged With: aging dysfunctional family, aging family, aging life care manager, aging parent, aging parent care, care management, care manager, case manager, dysfunctional family, geriatric care manager, nurse care manager

How is a Geriatric Care Manager a Care Connector With Mid Life Siblings ?

July 15, 2019

We are creeping towards to August which means often seeing our midlife siblings at more summer vacation events. At times  we are estranged from midlife sibling or we are polite at a family gathering but there is no real connection.siblings

Aging life or geriatric care managers are care connectors. They cannot do everything themselves for the family , like be the best geriatrician, accountant or home health aide nor do they have the skills to do that. What they have is the skill to connect to the right resource, like a geriatrician , elder-law attorney , support group or home health aide, especially for a family caregiver.

Emotional resources can link a circle of care for the direct family caregiver. These emotional supports could and should include adult siblings  .Siblings are the longest and deepest relationship in any person’s life. Reconnecting midlife or aging brother’s and sisters, through the circle of care, is a critical GCM task but to achieve this, the care manager may have to depend his clinical skills in helping siblings with forgiveness or reconnecting siblings who live long distance.

Midlife siblings have often spent the last 30 years tending to their own families .So the point of reconnection with middle aged brothers and sisters often happens when they are still working or  just retiring  — unexpectedly  thrown into a crisis in parent care.

This is where the GCM needs to have clinical skills to can help with healing this sibling disconnection-often short circuited by an old sibling wound  that helping the sister and brother work together as a circle of care . You replace the shorted fuse in the fuse box.

If the family is dysfunctional,  the care manager becomes a care connector and links the right resources  that might include an  mediator who specializes in aging families  or a Marriage and Family Therapist  who specializes in Aging  (hard to find)

If you are a geriatric care manager or therapist,you can find chapters on mediation, working with the nearly normal family and dysfunctional aging family, siblings, family meetings and care connection Handbook of Geriatric Care Management 4th ed. for help in all these areas.

It may be 4 months away till Thanksgiving but a an aging parent crisis could happen tomorrow. Reach Out now for help.

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Filed Under: ADULT SIBling, Aging, aging family crisis, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Blog, care management start-up, care manager, Care Plan, caregiver assessment, Caregiver Burn Out, Dysfunctional Aging Familu, elder care manager, Families, Geriatric Care Management Business, geriatric care manager, geriatric social worker, Long Distance Care, SIBLING, sibling rivalry, sibling sharing care, Siblings Tagged With: adult sibling conflict, adult sibling estrangement, adult sibling meeting, aging life geriatric care manager, care manager, dysfunctional family, elder care manager, elder mediator, geriatric care manager, Marriage and Family Therapist, nurse care manager

How is a Geriatric Care Manager a Care Connector With Mid Life Siblings ?

February 1, 2017

Aging life or geriatric care managers are care connectors. They cannot do everything themselves for the family nor do they have the skills to do that. What they have is the skill to connect to the right resource, especially for a family caregiver.

Emotional resources can link a circle of care for the direct family caregiver. These emotional supports could and should include adult siblings  .Siblings are the longest and deepest relationship in any person’s life. Reconnecting midlife or aging brother’s and sisters, through the circle of care, is a critical GCM task but to achieve this, the care manager may have to depend his clinical skills in helping siblings with forgiveness or reconnecting siblings who live long distance.

Midlife siblings have often spent the last 30 years tending to their own families .So the point of reconnection with middle aged brothers and sisters often happens when they are still working or  just retiring  — unexpectedly  thrown into a crisis in parent care.

This is where the GCM needs to have clinical skills to can help with healing this sibling disconnection-often short circuited by an old sibling wound  that helping the sister and brother work together as a circle of care . You replace the shorted fuse in the fuse box.

If the family is dysfunctional,  the care manager becomes a care connector and links the right resources  that might include an  mediator who specializes in aging families  or a Marriage and Family Therapist  who specializes in Aging  (hard to find)

In my text book Handbook of Geriatric Care Managers 4th edition  you can find chapters on mediation, working with the nearly normal family and dysfunctional aging family, siblings, family meetings and care connection.

1284078981.jpg

Filed Under: Aging, Blog, Care Plan, Dysfunctional Aging Familu, Families, Geriatric Care Management Business, Long Distance Care, Siblings Tagged With: aging life geriatric care manager, care manager, dysfunctional family, elder care manager, geriatric care manager, nurse care manager

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