Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Dysfunctional Aging Families Can Wreak Havoc at End of Life

December 6, 2022

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

Upcoming Free Webinar

Deliver a Good End of Life 9 Steps to Death &Dying

Jan 24, 2023 02:00 PM Pacific Time (US and Canada)

SIGN-UP Description

Deliver a Good End of Life- 9 Steps to Add Death and Dying to Your Care Management Agency
Serve Your Client until Death Do You Part
Join me on January 24 2023 and learn why End of Life Services re a perfect new service for care managers
 Learn to guide the patient/family through the five stages of death. Understand how to help clients be active participants in their care. Give the family caregivers tools to manage care. Find out how to provide family-centered care to caregivers and family. Learn to choose the right support services for the client through all stages of death.
Introduce Hospice and Palliative care to the client earlier and work with their team.
Find out how Use COVID -19 family coaching for GCM. Discover the role of Death Doula at end of life.

Time

Jan 24, 2023 02:00 PM Pacific Time (US and Canada)

SIGN-UP 

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 caregivers 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

The Benefits of a Care Manager’s Role in Hospice

February 28, 2022

The Benefits of a Care Manager’s Role in Hospice?

The benefits of a care manager’s role in hospice are myriad.The geriatric care manager serves older adults before they find they are dying, so know them well. GCMs work with chronic care clients, sometimes for years, before eventually succumbing to their illness. They also work with clients who come to them facing the end of life issues.

 Care managers work with the process of acceptance and adjustment to terminal illness has five phases:

                                                    before the diagnosis,

 the acute phase ­

the chronic phase

 the recovery phase

 the terminal phase 

Thus the benefits of a care manager’s role in hospice is the care manager is a GPS for both the client and family through all stages at end of life, bringing in critical services like palliative care and hospice caregiver respite and quality of life the whole continuum of care for supporting the end of life- at the right phase at the right time –

Benefits You (as a GCM) will Bring to Hospice

 

  • Feature – geriatric care manager will bring the client to Hospice much earlier in the 5 stages of death and dying than the one month before death when most patients enter Benefit- the client &  & especially the family have the support and guidance 24x7throughallstages of dying
  • Care managers do a Quality of Death assessment to find out the patient’s wishes for a good death Benefit- the dying patient has the death he or she wants
  • You will make sure all the critical paperwork is needed is gathered and organized, including:
  • Insurance
  • Legal
  • Financial
  • Healthcare
  • End of life

Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professionals to bring in the quality of life to every phase so that the client can have not only a good death but a good life to the very end.

Benefits You Bring To the Family Friends and Hospice

  • Care Manager will monitor the client/care receiver’s and family caregiver’s health and psychosocial status and the paid caregiver’s care plan, to improve the quality of care and life for the client and caregiver  benefit So That Hospice can direct all it’s attention to the client and assured family caregivers needs are being met
  • Care Manager will accompany the client to all medical appointments and make sure that the 10 minutes cover all questions, that the physician’s orders are recorded and followed, and that all meds are picked up and set up properly Benefit –Hospice does not provide this  and ensures the client gets to all appointment relieves the family of another task and everyone is getting all the correct information from the physician
  • Care Manager will make sure that the family has an online personal health record or a notebook if they wish Benefit -The family has a way to keep track of information from many professionals involved and passes on the correct information to everyone in the family and they can feel more in control in an emotionally chaotic time
  • Care Manager will do a caregiver assessment and suggest interventions from the local continuum of care, including support groups, counseling, respite care, and private duty home care Benefit–You are insuring a whole family approach and  the family caregivers are getting the support and respite they need in this frightening time for their loved one
  • You will coordinate family meetings to facilitate issues like shock, grief, and shutting down Benefit You are a container, allowing the family caregiver to deposit their tremulous at times desperate feelings in a safe place so they can get help from you and be calmer for the dying loved one
  • You will coordinate health literacy information and training of disease skills for the family So What- You will create a forum for the family caregivers to express their grief, fear, and even hopes and demystifying all the unknown medical terminology to make the family feel more literate and self-assured in approaching the medical staff to get the information they need
  • You will monitor anticipatory grief in family and friends and bring in resources

    Benefit- You will create a forum for the family caregivers to express their grief, fear ,even hope and find the help they need to so on with the journey to death

    The benefits of a care manager’s role in hospice
  • You will review all new medication with family caregivers and care staff- Benefit-you will unravel the confusing litany of pharmaceutical word salad  and make sure the family and friends both understand  what med does what, how to set up meds, and remind the meds when hospice is not present

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties  to Grow Your Care Management Bottom Line

When: March 15th 2022  

The benefits of a care manager’s role in hospice


2 PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems do you solve for hospice, wealth managers, elder law attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP


Find out more by watching my youtube playlist on Death and Dying on my channel Geriatric Care 1

Follow Cathy @ cathycress.com

Filed Under: 5 Stages of Dying, 5 stages of End of Life, Acute Stage of Dying, Adult Child Pain, Advanced Directives, Aging, Aging deaths, aging family crisis, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Blog, care manager, case manager, Death & Dying, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, Goof Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging parent crisis, Benefits, benefits of ALCA, Benefits of Care Managers To Hospice, Benefits Of Geriatric Care Managers, Black, black american geriatric care managers, black american social workers, Black caregivers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, care manager, case manager, end of life, end of life care manager, Features and Benefits, Features and Benefits of geriatric care management, five phases of death, free webinar, Free webinar marketing, geriatric care manager, Hospice, nurse advocate, nurse care manager, palliative care manager. Hospice

The Benefits of a Care Manager’s Role in Hospice

February 28, 2022

The Benefits of a Care Manager’s Role in Hospice?

The benefits of a care manager’s role in hospice are myriad.The geriatric care manager serves older adults before they find they are dying, so know them well. GCMs work with chronic care clients, sometimes for years, before eventually succumbing to their illness. They also work with clients who come to them facing the end of life issues.

 Care managers work with the process of acceptance and adjustment to terminal illness has five phases:

                                                    before the diagnosis,

 the acute phase ­

the chronic phase

 the recovery phase

 the terminal phase 

Thus the benefits of a care manager’s role in hospice is the care manager is a GPS for both the client and family through all stages at end of life, bringing in critical services like palliative care and hospice caregiver respite and quality of life the whole continuum of care for supporting the end of life- at the right phase at the right time –

Benefits You (as a GCM) will Bring to Hospice

 

  • Feature – geriatric care manager will bring the client to Hospice much earlier in the 5 stages of death and dying than the one month before death when most patients enter Benefit- the client &  & especially the family have the support and guidance 24x7throughallstages of dying
  • Care managers do a Quality of Death assessment to find out the patient’s wishes for a good death Benefit- the dying patient has the death he or she wants
  • You will make sure all the critical paperwork is needed is gathered and organized, including:
  • Insurance
  • Legal
  • Financial
  • Healthcare
  • End of life

Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professionals to bring in the quality of life to every phase so that the client can have not only a good death but a good life to the very end.

Benefits You Bring To the Family Friends and Hospice

  • Care Manager will monitor the client/care receiver’s and family caregiver’s health and psychosocial status and the paid caregiver’s care plan, to improve the quality of care and life for the client and caregiver  benefit So That Hospice can direct all it’s attention to the client and assured family caregivers needs are being met
  • Care Manager will accompany the client to all medical appointments and make sure that the 10 minutes cover all questions, that the physician’s orders are recorded and followed, and that all meds are picked up and set up properly Benefit –Hospice does not provide this  and ensures the client gets to all appointment relieves the family of another task and everyone is getting all the correct information from the physician
  • Care Manager will make sure that the family has an online personal health record or a notebook if they wish Benefit -The family has a way to keep track of information from many professionals involved and passes on the correct information to everyone in the family and they can feel more in control in an emotionally chaotic time
  • Care Manager will do a caregiver assessment and suggest interventions from the local continuum of care, including support groups, counseling, respite care, and private duty home care Benefit–You are insuring a whole family approach and  the family caregivers are getting the support and respite they need in this frightening time for their loved one
  • You will coordinate family meetings to facilitate issues like shock, grief, and shutting down Benefit You are a container, allowing the family caregiver to deposit their tremulous at times desperate feelings in a safe place so they can get help from you and be calmer for the dying loved one
  • You will coordinate health literacy information and training of disease skills for the family So What- You will create a forum for the family caregivers to express their grief, fear, and even hopes and demystifying all the unknown medical terminology to make the family feel more literate and self-assured in approaching the medical staff to get the information they need
  • You will monitor anticipatory grief in family and friends and bring in resources

    Benefit- You will create a forum for the family caregivers to express their grief, fear ,even hope and find the help they need to so on with the journey to death

    The benefits of a care manager’s role in hospice
  • You will review all new medication with family caregivers and care staff- Benefit-you will unravel the confusing litany of pharmaceutical word salad  and make sure the family and friends both understand  what med does what, how to set up meds, and remind the meds when hospice is not present

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties  to Grow Your Care Management Bottom Line

When: March 15th 2022  

The benefits of a care manager’s role in hospice


2 PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems do you solve for hospice, wealth managers, elder law attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP


Find out more by watching my youtube playlist on Death and Dying on my channel Geriatric Care 1

Follow Cathy @ cathycress.com

Filed Under: 5 Stages of Dying, 5 stages of End of Life, Acute Stage of Dying, Adult Child Pain, Advanced Directives, Aging, Aging deaths, aging family crisis, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Blog, care manager, case manager, Death & Dying, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, Goof Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging parent crisis, Benefits, benefits of ALCA, Benefits of Care Managers To Hospice, Benefits Of Geriatric Care Managers, Black, black american geriatric care managers, black american social workers, Black caregivers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, care manager, case manager, end of life, end of life care manager, Features and Benefits, Features and Benefits of geriatric care management, five phases of death, free webinar, Free webinar marketing, geriatric care manager, Hospice, nurse advocate, nurse care manager, palliative care manager. Hospice

The Benefits of a Care Manager’s Role in Hospice

February 28, 2022

The Benefits of a Care Manager’s Role in Hospice?

The benefits of a care manager’s role in hospice are myriad.The geriatric care manager serves older adults before they find they are dying, so know them well. GCMs work with chronic care clients, sometimes for years, before eventually succumbing to their illness. They also work with clients who come to them facing the end of life issues.

 Care managers work with the process of acceptance and adjustment to terminal illness has five phases:

                                                    before the diagnosis,

 the acute phase ­

the chronic phase

 the recovery phase

 the terminal phase 

Thus the benefits of a care manager’s role in hospice is the care manager is a GPS for both the client and family through all stages at end of life, bringing in critical services like palliative care and hospice caregiver respite and quality of life the whole continuum of care for supporting the end of life- at the right phase at the right time –

Benefits You (as a GCM) will Bring to Hospice

 

  • Feature – geriatric care manager will bring the client to Hospice much earlier in the 5 stages of death and dying than the one month before death when most patients enter Benefit- the client &  & especially the family have the support and guidance 24x7throughallstages of dying
  • Care managers do a Quality of Death assessment to find out the patient’s wishes for a good death Benefit- the dying patient has the death he or she wants
  • You will make sure all the critical paperwork is needed is gathered and organized, including:
  • Insurance
  • Legal
  • Financial
  • Healthcare
  • End of life

Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professionals to bring in the quality of life to every phase so that the client can have not only a good death but a good life to the very end.

Benefits You Bring To the Family Friends and Hospice

  • Care Manager will monitor the client/care receiver’s and family caregiver’s health and psychosocial status and the paid caregiver’s care plan, to improve the quality of care and life for the client and caregiver  benefit So That Hospice can direct all it’s attention to the client and assured family caregivers needs are being met
  • Care Manager will accompany the client to all medical appointments and make sure that the 10 minutes cover all questions, that the physician’s orders are recorded and followed, and that all meds are picked up and set up properly Benefit –Hospice does not provide this  and ensures the client gets to all appointment relieves the family of another task and everyone is getting all the correct information from the physician
  • Care Manager will make sure that the family has an online personal health record or a notebook if they wish Benefit -The family has a way to keep track of information from many professionals involved and passes on the correct information to everyone in the family and they can feel more in control in an emotionally chaotic time
  • Care Manager will do a caregiver assessment and suggest interventions from the local continuum of care, including support groups, counseling, respite care, and private duty home care Benefit–You are insuring a whole family approach and  the family caregivers are getting the support and respite they need in this frightening time for their loved one
  • You will coordinate family meetings to facilitate issues like shock, grief, and shutting down Benefit You are a container, allowing the family caregiver to deposit their tremulous at times desperate feelings in a safe place so they can get help from you and be calmer for the dying loved one
  • You will coordinate health literacy information and training of disease skills for the family So What- You will create a forum for the family caregivers to express their grief, fear, and even hopes and demystifying all the unknown medical terminology to make the family feel more literate and self-assured in approaching the medical staff to get the information they need
  • You will monitor anticipatory grief in family and friends and bring in resources

    Benefit- You will create a forum for the family caregivers to express their grief, fear ,even hope and find the help they need to so on with the journey to death

    The benefits of a care manager’s role in hospice
  • You will review all new medication with family caregivers and care staff- Benefit-you will unravel the confusing litany of pharmaceutical word salad  and make sure the family and friends both understand  what med does what, how to set up meds, and remind the meds when hospice is not present

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties  to Grow Your Care Management Bottom Line

When: March 15th 2022  

The benefits of a care manager’s role in hospice


2 PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems do you solve for hospice, wealth managers, elder law attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP


Find out more by watching my youtube playlist on Death and Dying on my channel Geriatric Care 1

Follow Cathy @ cathycress.com

Filed Under: Aging, Aging Life Care, aging life care manager, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Blog, care manager, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging parent crisis, Benefits, benefits of ALCA, Benefits of Care Managers To Hospice, Benefits Of Geriatric Care Managers, Black, black american geriatric care managers, black american social workers, Black caregivers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, care manager, case manager, end of life, end of life care manager, Features and Benefits, Features and Benefits of geriatric care management, five phases of death, free webinar, Free webinar marketing, geriatric care manager, Hospice, nurse advocate, nurse care manager, palliative care manager. Hospice

End of Life-When Do You Need Mediation?

February 23, 2021

Why do some families need mediation at the end of life? Mediation is a voluntary process in which the parties, with the help of an impartial third party mediator, work together to resolve their differences or solve a problem they were unable to address satisfactorily without help. These family differences especially happen to dysfunctional families but can beset any family at the end of life. They are faced with overwhelming emotions and decisions that demand that the family work together as a team. What happens to dysfunctional and even nearly normal families during this trying time? They don’t gather as a team. They fight. They fret and they feud. What are the results of this fighting, fretting, and feuding in families at the end of life?                                        family-charis1-226x300.jpg

Unresolved family conflicts emerge

            Dysfunctional families become more dysfunctional

Family members’ grief, pain, and anxiety are often masked as anger and presents as conflict (past and present)                                                 

Older person dies without resolving important family issues

Older person dies in conflict, not in peace

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 

  • Transition the patient/family through the five stages of death     
  • Help clients be active participants in their care
  • Give the family/caregiver tools to manage care
  • Provide family center care to caregiver and family
  • Choose the right support services through all stages of death
  • Introduce Hospice and Palliative care and work with their team
  • Use ALCA End of Life Benefits During COVID
  • 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: Aging, aging life care manager, Death & Dying, Death and Dying Care Management, death and dying care manager, DNR, End of Life, End of Life Care manager, GCM role Death and Dying, geriatric social worker, Good Death, Hospice, Hospice Care, mediation, Mediation End of Life, Mediator, nurse care manager Tagged With: Advanced Directives, aging parent, aging parent care, aging parent crisis, ALCA care Manager, ALCA in End Of Life, disputes at end of life, dysfunctional aging family, dysfuntional family, elder mediation, end of life, end of life family meeting, facilitator, families fretting at end of life, family meeting, Fighting and Feuding at end of life, GCM mediator, geraitric care manager, Geriatric Assessment, geriatric care manager, geriatric care managers, Handbook of Geriatric Care Management third edition, mediation, mediation end of life, mediiator, My Geraitric Care Management Operations Manual, nurse advocate, nurse care manager, power of attorney for health care, siblings feuding, siblings fighting, step sibling family meeting

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