Starting an Aging Life Business- Should you Choose a Partnership ?

September 1, 2022

Should You Choose a Partnership to Start a Care Management Business?

Should you choose a partnership if you are starting an Aging Life or Geriatric Care Management business? Before you think of marketing your start-up, you need a legal entity. Business start-ups are not only tough but take a long, very specific to-do list. There are legal ways to start a business. Should you choose a partnership in the first place depends on market sizing and a competition survey. If it is a go you have to have a legal entity to operate in. One entity. Partnerships are like a marriage without sex. Should you go forward? What legal bucket fits your needs? What legal form fits your needs and is the least dangerous?

Partnerships- Good Bad or Ugly?

Should you choose a partnership? Forming a partnership can be good, bad, or ugly, like Janus the Greek God of doors, depending on the parties and circumstances involved. So open the right door

Right Door to Partnership

Should you choose a partnership ?Partnerships are the simplest and least expensive of co-owned business arrangements. Additionally, businesses with multiple owners are more likely to survive longer than sole proprietorships, says Economist Brian Headd of the U.S. Small Business Administration

Partners share the cost of a start-up.
They share responsibilities and work.
They share business risks and expenses.
The complementary skills and additional contacts of each partner can lead to the achievement of greater financial results together.
Partners can offer mutual support and motivation.

Wrong door to Partnership

Partners in a general partnership are jointly and individually liable for the business activities of the other. If your partner skips town, you’ll be liable for all the debts, not just half of them.
They share any profits.
You do not have total control over the business. Decisions are shared, and differences of opinion can lead to disagreements, one partner buying out the other one, or even a dissolution of the union.
The wrong partner can negatively affect your reputation.
A friendship may not survive a partnership. Keep in mind John D. Rockefeller’s famous words: “A friendship founded on business is a good deal better than a business founded on friendship.”
When things go wrong as in any new business if you blame each other you have no deep feelings for the person, like a marriage engenders and expresses in sex to help you make up

Should you choose a partnership?Before entering into a partnership, it would be best to first determine whether or not you are suitable for this type of arrangement and if so, to thoroughly investigate possible business partners.

This is an SBA example of a partnership agreement

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How to Sell Adult Children Care Management Products To Sooth Caregiver Pain

October 6, 2021

Concierge Adult Children Call you When They are in Caregiver Pain

When Adult Children call you they are looking for a product to sooth their caregiver pain. They see you as as a nurse practitioner or doctor who can prescribe the right painkiller to stop their caregiver anxiety, burnout, strain. They do not see Geriatric Care Managr as a pain killer because it is not a profession known like nurse practioner or doctors. They think you will have a specific care management product to sooth their caregiver pain.

Family caregivers have a pain -point from a particular parental crisis

-like their Mom cannot climb steps and needs to move , their Dad has dementia and is wandering. Their aunt is going in the hospital and need care afterwards- but the child lives long distance, their mother in law has fallen and need 24 hour care provider and they do not know how to find one, their loved want cannot drive anymore and need non medical care to help her remain at home. You need a menu of products that will offer multiple choices for each of the -each of the varied pain points the adult child who calls suffers.Like when you shop in the detergent isle of your grocery store. You do not need all detergents but the one you choose & need , like enviormental friendly beacuse you are living in a drought and water your garden with grey water from your washer.

Concierge Client’s Who Can Afford You Need VIP Pain Products

Concierge customers are sadly the only customer who can afford you because Medicare does not cover long term care and, in an age of income disparity, 75% of all wealth is held in the hands of the upper 10%. They will choose you -the geriatric care manager over your competition

if you have a menu of pain-point products and Four Seasons services to deliver those products- rivals do not have.

Products make sense to a high-end customer who is brand /product oriented in purchasing anything that reflects who they are. Think Gucci purses, Rolex or Montblanc watches Dior dresses.

All care management customers in upper 10% relate to products not peace of mind

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Can You Give a Good Death without” Rage, Rage Against the Dying of the Light”?

March 9, 2021

Dylan’s Thomas warns us in his poem

Do not go gentle into that good night,
Old age should burn and rave at close of day;
Rage, rage against the dying of the light.

Give a good death – not a cold terrifying dying of the light.

But today a care manager or geriatric social worker can help an older client go gentle into that good night, they do not have to burn and rage at the close of their day because you will be giving them as Atul Gawande suggests – a good death – not a cold terrifying dying of the light.

The terminal phase of any life-threatening illness is the time between diagnosis and the final decline when no cure or extension of life is in the offing. The individual confronts progressive decline and deterioration. Death is imminent. The care manager has a role.

The focus of doctors and patients now changes from attempting to cure the illness or prolong life to trying to provide relief from pain and to comfort the sufferer. Religious concerns such as what happens after someone passes away or how to handle the suffering at the end of life or how to give comfort to family members are the focus during this time as well as trying to tie up any loose ends.

Death to Rage About- Alone in the Hospital

But in the time of the plague, when 95.5 % of souls still die in the hospital and not at

home the care manager has a critical role with the family. High tech introduced by the care manager and at times the hospital with the care manager coordinating the family outsides and unable to touch their dying loved one – can make this death full of rage more gentle as the person passes into the night.

Care Manager tasks:

Make a referral to hospice if the family has not already reached out

Partner with hospice and work under them

Monitor anticipatory grief needs

Communicate that this is the end (and time to say goodbye)

Assess spiritual needs and contact the appropriate religious-spiritual counselors to provide comfort and healing.

Encourage family members to say The Four Things That Matter Most “Please forgive me”, “I forgive you”, “Thank you”, and “I love you”.

Assess the need for paid caregivers to help the family or help family members share round the clock care among family and friends

Support the family members in their need to grieve and have respite by continuing to assess for overload and burn out with a caregiver assessment tool

Prepare family for the active phase of dying which can be loud and disturbing to someone who is not aware of what will occur

Bring in technology if death is alone in the hospital

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

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

Serve Your Client Until Death Do You Part

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

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

Gwendolyn LAZO Harris MA, CT, Seniors at Home, San Francisco and Diane LeVan MA both highly expert care managers, created a seminal chapter “Palliative Care and End of Life Care Manager ” in my book Care Manager’s Working With the Aging Family

Video of GCM Role in 5 Stages of Death

March 5, 2021

A Care Manager Can Navigate to a Good Death

Create an end-of-life care management service that provides a service in the 5 stages of death. Every stage of dying can be part of a good death, including the difficult point called the chronic phase if a care manager is a navigator for the dying person and their family.

The chronic stage of death is the time of loss

The Chronic stage is the time between the diagnosis and the result of treatment. During the phase, the dying person tries to cope with the demands of daily life while also going through necessary medical treatment, “often having to struggle with the sometimes brutal side effects of their treatment”.Chronic illness may also involve repeated episodes of deterioration in which the patient confronts and adjusts to these losses. Examples of these losses include cognitive function, sexuality, toileting, the ability to ambulate, eat and dress, and the indignity of losing all your hair. The focus of life for both the family and the patient needs to be redefined, shifting from hope for a cure to coping with the illness

Geriatric care manager tasks:

Assist family to determine the type of long-term care which may be safest and healthiest for the loved one: institutional: hospital chronic care or nursing home care, in-home nursing care or family care and make arrangements
Co-ordinate help from community organizations through the continuum of care
Assist client and family connect with support groups in death and dying
Assist in learning management of disease skills such as from health care staff, videos, manuals, or brochures.
Monitor anticipatory grief needs
Learn about the disease in order to help the patient make good decisions about his/her care and to help family members monitor their expectations
Monitor caregiver burden: encourage family caregivers to take time for selves, take breaks, get rest get to medical appointments, for grief needs
Assess client’s non-medical needs: transportation, physician’s appointments, household tasks, personal care if hospice involved- medical if not involved
Assess family caregiver for overload, burnout, educational supports, home care supplement or family replacement care

Free Webinar to Deliver a Good End of Life-

Add Death and Dying to Your Care Management Agency

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 free 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

Gwendolyn LAZO Harris MA, CT, and Diane LeVan MA both highly expert care managers created a seminal chapter “Palliative Care and End of Life Care Manager ” in my book Care Manager’s Working With the Aging Family

10 Alarm Bells to Give ” Just Shopping” Long Distance Callers Before Holiday

December 24, 2020

You will be Showered With Calls Over the Holidays

Long-distance family members from nearly normal or dysfunctional families will call you frantically from now on.

Why?

It’s almost Christmas, Hanukkah and Thanksgiving just passed but they could not see their older parents because of the COVID Risk.

They are having to manage their over 65 Mom and Dad’s Shelter in place from afar plus oversee their own families risk plus their own COVID laden holiday. These long-distance family caregivers were already reaching

burnout from constant pre-COVID travel and caring on top of their own work-life demands.

They are reaching implosion so they are going to call you.

Test to Give the Burnt Out Caregiver Calls FOR Information Before the Holidays

If they call for information before the holiday and are not ready to move forward, you can proactively offer them questions from this list of alarm bells that they can answer now or they can monitor during now and New Year holiday that could trigger engaging your services after they compare notes on a post-holiday call with you.

Below is a list of red flags. If they see any red signals on Thanksgiving, Hanukkah,

remotely or in-person if they take the very dangerous risk of travel on Christmas-encourage them that is the time to do something about it by hiring you as a care manager. You can question them with this a checklist of worrisome signs that signal the need for a local geriatric care manager,

Alarm Bells List – Dealing with Long Distance Aging Relatives Before or During the Holidays

Unpaid bills if long-distance family members monitor bill pay from afar
Missed appointments with their physicians that long-distance care provider monitor with their doctors
Clutter reported by neighbors, friends local senior agencies a home that was once always neat
Weight loss reported by the aging parents Dr’s or local visitors
Memory loss, change in short-term memory when they zoom, call facetime, etc.
Poor grooming for a person who was once meticulously, observed by local visitors friends senior agencies food delivery who visit.
Reports of getting lost
Reports of wandering
Refusing to go to holiday religious services with friends or church transportation to holiday religious services
refusing any suggestion or conversely agreeing to everything with-out consideration
Mood swings, getting angry when normally easy going
Refusing to go to medical providers
Not taking care of activities of daily living: cooking, bathing, dressing, housekeeping, etc.
Entering contests, credit card maxed out on shopping channels
Set up a meeting when the holidays end. You have helped them proactively, begin to engage your services.

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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 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
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