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

Dread Memorial Day with Midlife Sibings?

May 23, 2013

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Are you dreading the Memorial Day family barbeque?  . Will your estranged brother be manning the barbeque while you drink too much beer?

Are you a midlife sibling at war with sister or brother? Worse than that, do you feel like you and all your siblings are in not only a dysfunctional family but also an aging dysfunctional family?

What’s an aging dysfunctional family? Well they are very much like a war zone. Clans remain at war with each other, like the 1980’s Serbian conflict or the Iraq war pitting the Sunni’s against the Shia.These tribal battles have gone on for centuries and have the same bloody roots of the dysfunctional family -repeated from one generation to the next.

The hallmarks of the dysfunctional aging family, are after decades as a motley clan there is still not enough love in the family. The now midlife children have to fight for what little nurturance their older parents can bring to the ancient rickety nest they built.

Nurturing is often missing in the dysfunctional aging family because the aging parents themselves probably got little nurturing themselves as kids and on and on back down the family line. Parental neglect and abuse are frequent in the history of the aging dysfunctional family.

The now older parents can suffer from serious mental health problems such as schizophrenia or are bi-polar. Health and addiction problems like alcoholism are frequent.  Family interaction and communication, -parental treatment of siblings, brother and sister treatment of each other stepparent interaction and interface of everyone in the family has wrought deep tissue damage that never healed.

These aging dysfunctional families generally negotiated all of life’s developmental phases with great difficulty. The role in the family, especially the parental one, was murky with a poor, abusive or mentally unfit leader of the family. The rules in the family were unfair ambiguous or full of double binds. There is deep-seated ambivalence. Finally the last life transition in the aging family, the care of the declining parent, implodes the family, which had little balance to begin with. They are asked to care for parents who did not care for them, thus reeking havoc on an already disorganized aging family.

So good luck at the Memorial Day family gathering and perhaps consider hiring a geriatric care manager if you sibling war is affecting not only rituals like family gatherings but also the care of your aging parents. The GCM can help you end the constant hangovers and /or acid reflux.

 

Filed Under: Aging Tagged With: aging parent, aging parent care, assessing the caregiver, blaming familiy members, blood brother, celebrations with siblings, dysfunctional aging family, dysfuntional family, estranged siblings, family meeting, geriatric care manager, geriatric care managers, half siblings, holidays with aging parents, irate siblings, Marriage and Family Therapist, MFT, midlife siblings, Mom Loves You Best Forgiving and Forging Sibling Relationships, My Geriatric Care Management Operations Manual, NAELA, National Association of Geriatric Care Managers, sibling emotional violence, sibling family meeting, sibling rivalry, sibling team, siblings feuding, visiting aging parets during holidays

Sibling Sexual Abuse- Pandora’s Project Video

October 3, 2012

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Not all is positive about siblings.One of the red flags for a sibling ” I hate You story” is something happened between you and your sibling that you did not want to happen.  Sibling rape and molestation happens in families. I have been writing about and citing a project that pierces this taboo, Pandora’s Project.

 

If you are survivor of sibling abuse or a professional working with sibling abuse in any age group, I would suggest visiting their web site , friending them on their]and watching their latest video, below, which will help you understand the underbelly of siblings that has been with us, yet taboo to see, since families/ siblings-  began.

 

Filed Under: Siblings Tagged With: abuse and incest during childhood, estranged elder siblings, estranged siblings, forgiveness with siblings, irate sibling, midlife siblings, molestation of siblings, Pandoras Project, red flags for a sibling I hate you story, sexual abuse among siblings, violence against siblings

Sibling Sexual Abuse- It Is Not Your Fault

September 30, 2012

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I have been blogging about sibling sexual abuse and received many responses that are both heartbreaking and hopeful. All of my information has been gleaned from Pandora’s Project , which I would highly recommend for all sibling abuse survivors and professionals in any field involving children or adult children, like geriatric care managers or LCSW and MFT with a background in aging.

Today I would like to refer you to an excellent article in the Pandora’s Project archive, helping victims of sibling abuse see that it is not their fault and escape the blame and self-loathing that can come from sibling sexual abuse.

 

Filed Under: Siblings Tagged With: abuse and incest during childhood, blaming familiy members, blood sibling, estranged siblings, LCSW, Marriage and Family Therapist, MFT, Pandoras Project, victim, villian, violence against siblings

To Deal With Sibling Squabbles_Parents _ Nuture Yourself

August 19, 2012

MomLovesYouBest.3.15_20120810-233751_1.jpg

 

 

If you have siblings with issues between them, look to yourself. Are you running on empty? Most young mothers I know don’t really nurture themselves. Between work, parenting and household chores, they never put themselves on their own to do list.

 

If you are a Mom or Dad of teenagers or young children and your kids are struggling with sibling rivalry, avoid a future sibling “I Hate You” story- 40 years from now by caring for yourself. Taking care of you as the caregiver is key to caring for others.

 

The catch phrase is to “balance work and family”. I am talking about balancing three things-work family and you –filling up your own self- before the other two plunge out of balance

Try joining-enrolling in activities that help you care of yourself will help your kids move through the shoals of sibling issues because you feel healthier. You might choose yoga, massage, journaling, meditation, a book club, or a gym membership. Mindfulness could be a practice you could investigate.

 

Keep a diary; just a few sentences a day to tell yourself what you did that day to care for yourself. Just taking a walk, getting your nails done or sitting alone for 15 minutes can count as self-care.

 

Don’t tell yourself you don’t have time. Caregivers of the elderly end up the hospital before the person they care for. That’s one caregiver taking care of one person. Mom’s care for multiple kids and at times sparing siblings.

 

Delegate household tasks to the whole family- give siblings chores like setting the table taking out the trash, starting basic meals. Forming a sibling team actually helps build healthy siblings relationships plus helps you – balance your needs and theirs.
Young children who have brother and sister problems, demand time and attention from the parental caregiver. Your first job is to care for them, but you cannot do that if you’re not emotionally strong and centered yourself.

 

Getting to that point means caring for the caregiver and using caregiver tools to make yourself the best mom, dad, step mom, or step dad you can be. You can help yourself overcome present and future sibling rivalry issues by making a list of activities to nurture yourself so you have all the energy and centeredness it takes to deal with sibling issues.

Being parent/ caregiver, who nurtures yourself, brings your nurturing skills with your young siblings, back into your life.

Filed Under: Siblings Tagged With: blood sibling, brother, Cain and Abel, caring for a yourself as a parent, Cathy Jo Cress, comparing kids, comparing siblings, estranged siblings, help with kids, involve Dads more, mindfullness, Mom Loves You Best Forgiving and Forging Sibling Relationships, New Horizon Press, sibling, sibling rivalry, siblings fighting, sister, You Tube, You Tube Mom Loves You Best Channel

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