Cathy Cress

Expert in Aging Life and Geriatric Care Management

Elementary Ms. Holmes – Merging Multiple Assessments into Care Plan

 

If you are a care manager and have an elderly client is need of your geriatric care management or eldercare services -initially you do psychosocial and functional assessment Next, you feel depression is present so you do a Geriatric Depression scale. You always screen for dementia so you do a mental status exam . You make a home safety assessment part of every client assessment so you complete a home safety assessment. Then you have an exhausted caregiver who is a live-in girlfriend, up in age herself so you so a caregiver assessment . Do you do a care plan with each of these assessments? Yes and no. Yes, do you give the family ,trust officer,elderlaw attorney- all third parties  seven care plans? No, All 7 care plans are integrated into one care plan. How do you do this? We will be covering this in my new webinar January 25.

Learn more about creating a care plan, doing multiple assessments and writing a geriatric assessment in my free webinar ‘ Writing a Winning Geriatric Assessment ” January 25 . Sign-up . In the meanwhile watch my You Tube Channel- Geriatric Care 1 and the segment on merging multiple into one care plans- subscribe for latest playlist on writing a geriatric assessment coming soon.

 

Be Financially Literate to Grow a Geriatric Care Management Business or Face Failure

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Financial projection may be mind numbing to care managers who started this business with a great idea and a tool box of care management skills. Beware– without tools to make money- your great idea of a private geriatric care management business may end up bankrupt.

Geriatric care managers need to understand revenue- how they make money to be financially to make a profit. Revenue does come from billing – but poor billing is very unprofitable billing. Money losing billing is anything less than 85% of your client’s time. When you bill less than 85% you actually start losing money. Revenue is the high tide of money and is calculated by the number of client’s you serve, new client’s per month, number of clients canceling service. % of time billed (the goal is 85%) and what you change for travel time.

Geriatric care managers can become more financially literate about making money by doing a financial projection over a three-year period. You can calculate the number of clients you need to make a profit, when you will break even, when you can hire new staff.

You can find out awesome facts before you open a care management business by doing this mind numbing financial projection. Facts you can forecast are how much investment you will need for your business, what the cash flow consumed in the business will be, the number of client’s you need to make a profit and most of all when you will break even and rise above low tide– moving to the all-important high tide, through your excellent financial management and care management skills.

So use this financial decision tool of financial projection. Find it chapter 13 of the Handbook of Geriatric Care management 4th edition and watch you tube 5 Financial Projection below. Become a geriatric care manager with financial skills to make a Profit.

Archvillian Holidays Roles in Dysfunctional Family

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If in this the holiday season you suspect are you are in a dysfunctional family – you might answer your question by watching the roles everyone plays in the drama.

 

Holidays are a crisis to a dysfunctional aging family because they were never taught to give and receive. Often they were given little love. They do not know how to work as a team to organize holidays and they have never experienced a normal joyful ritual celebration with happy, connected people. Here are some archvillian  roles that might tell you are in holiday hell with a dysfunctional family.

 

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·      The Preserver is more comfortable with the status quo and resists getting help for the disabled older adult or changing the bizarre family way of celebrating the holidays. If an aging Dad is never invited to the Christmas dinner because he can’t drive and has no care provider to drive him- (AKA -they don’t like him) he’s excluded from the festivity. The preserver is content if the older adult remains without access to necessary help or critical family holiday socialization. They hate change- that elephant in the living room

 

·      The Victim perceives the older adult’s problems as a direct threat to his or her own needs or self-interest. The victim will see his or her own emotional needs as more important than the older adult’s or anyone in the family. He will get drunk, blame siblings who got more gifts or attention and put the spotlight on his needs, even if the aging Dad shows up in a walker and is obviously “needs”  care and love from the gathered family. The Victim hates “need” competition.

 

·      The Manager tends to be calm, organized, and analytical during a crisis (aka holiday gatherings) but is unable to provide emotional support to the older adult or to other family members. Often, the manager lives long distance, which can cause tension with family members, is not directly involved in daily care of the older person or organizing the holiday .Yet they  will fly in and tell everyone how they should change their behavior and care for the aging parent- then fly out.

 

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