Care Managers in End-of-Lift- What is their Role?

January 19, 2023

Care managers at end-of-life don’t just meet dying patients and their bereft children in the emergency room.

Care Managers at end-of-life can bring in Death Doulas to help the family caregivers follow through with what hospice has taught them as caregivers of their loved ones. Or they themselves can be certified as Death Doulas to help the families through the caregiver journey for a job they never were trained for whole they grieve at the same time

Care Managers play a big role in end-of-life issues. They are their navigators through all five stages of dying, many times long before palliative care or hospice is called. Often GCM’s can help the family and client to bring in hospice or palliative care.

The final passage through life can be emotionally charged. If the family is following a long labyrinth to the end, the blind alleys may be blocked by cultural, religious, and moral beliefs. Care managers can find an opening through this maze. Money, family dynamics, and fear of dying can all explode a fraught crisis of care in dying. When important end-of-life decisions need to be made, the stress of the responsibility and the seriousness of the situation can break a wave of distress fear, and anxiety over the “whole family system” of the dying elder. The geriatric care manager specializes in this whole family syst

Care Managers in end-of-life often help facilitate throbbing discussions and facilitate family members coming together t

Sign Up for our new Webinar Deliver a Good End of Life 9 Steps to Death &Dying

Hospice trains the family of the dying person to be the caregivers only once, but their primary focus is the dying person. Death doulas are an adjunct to the medically trained professionals in hospices. They reinforce hospice training. ( For example fear family has of giving morphine in a needle in spite of training )Death Doulas give emotional support to the patient and family of the dying person and sources respite, support groups, and help with caregiver burnout for the family, among other caregiver issues at death, They are an alternative to the medicalization of death in the US, described by Atul Gawande. Care Managers at end of life can work well with Death Doulas. We will feature an interview with Patty urban a Death Doulas and a geriatric care manager and member of ALCA

Join Us

Learn About Death Doulas

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

We will feature an interview with Patty Urban a Death Doulas and a geriatric care manager and member of ALCA

FIND OUT MORE

Death Doula

Learn

What is a death doula?

what exactly does a death doula do?

Do Death Doula work with Hospice, Care Managers, or just families

Is there a Charge

How can I contact a Death Doula

How can a care manager be trained as a Death Doula

Patti Urban, a Certified Dementia Practitioner, Senior Advisor, and End of Life Doula, is the owner of Aging Care Planning Solutions, a geriatric care management and end-of-life planning practice.

Description

Deliver a Good End of Life- Atul Gawande

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 families. 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 and a Death Doula for non-medical support
Discover the role of Death Doula at end of life.

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 care4. Provide family center care to caregivers and family5. Choose the right support services through all stages of death6. Introduce Hospice and Palliative care and work with their team
7. Understand the Role of the Death Doula

Time

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

SIGN-UP

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

Sign Up for My Webinar on Death Doulas and End of Life

January 11, 2023

Add Death Doula &Death and Dying to Your Care Management Agency

Deliver a Good End of Life-

Add Death and Dying to Your Care Management Agency

Serve Your Client until Death Do You Part

This webinar is free

Join me on January 24 and 2 PM and learn why End of Life Services Are a perfect new service for care managers

Find Out More

Sign up for my free webinar on Death Doulas

Death Doula – What is that?-In this 1 ½ -hour webinar you will learn “What is Death Doula and how Care managers can work with them.

Sign up for my webinar on Death Doulas and End of Life. In A Washington Post, this week a Post article said that Death Doulas have become a nationwide death-positive, national movement mirroring the traditional ritual in Mexico that many Americans also celebrate, the Day of the Dead. That ritual holiday celebrates death as a positive part of life by remembering those who have died, honoring them with flowers ( marigolds), and “commemorating death as another element of life.

We live in a culture that is afraid of death- where death, like birth, was hidden in institutions, like nursing homes and hospitals for decades so that families never had to experience it. This hiding away from the entrance and exit of life is one reason why we fear death. Death-like birth used to occur at home, where families could see and feel the dying person, hold them, and smell them, so those fears were not there. Now like a birth, that can happen at home death can too at home with the help of a geriatric care manager and a Death Doula who like a midwife of birth – is a midwife of death. This a reason you should sign up for my webinar on Deliver of Good End of Life.

Sign up for my free webinar in Death Doulas and End of Life and learn from an interview with Patti Urban ALCA care manager and Death Doula

What is a death doula?

what exactly does a death doula do?

Do Death Doula work with Hospice, Care Managers, or just families

Is there a Charge

How can I contact a Death Doula

How can a care manager be trained as a Death Doula?

Patti, a Certified Dementia Practitioner, Senior Advisor, and End of Life Doula, is the owner of Aging Care Planning Solutions, a geriatric care management and end-of-life planning practice. She is the former Executive Director of Shoreline of Clinton, a memory care assisted living community, and the former owner of Comfort Keepers, a home care company serving seniors, both located in Connecticut. She is the founder of the Shoreline Area Senior Network, a local networking and educational group for professionals serving the senior community along the Connecticut Shoreline. Currently, she is a member of the Advisory Council of the Agency on Aging of South Central Connecticut and is a former Board Member of the Shoreline Eldercare Alliance, Association of Women Business Leaders, Orchard House Adults Day Center, Shoreline Chamber of Commerce, and National Speakers Association Connecticut Chapter.

She resides in Connecticut and is the mother of three daughters and one son, all adopted from China. She can be reached at 845-641-8123, pattiurban@agingcarePS.com, and www.agingcarePS.com.

We will Also Cover Serve Your Client until Death Do You Part

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 family caregivers 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

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

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, 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

11 Parts of Care Manager’s Role With Family Death and Dying of COVID-19?

February 4, 2021

GCM Role is Working With Family In COVID-19

Care managers cannot be in the hospital with a patient dying of COVID-19. They can support their bereft adult children, who cannot see their parents during the hospitalization, in those last moments of goodbye’s or after the death in this deadly pandemic.

In normal times care managers play a big role in end of life issues. They are their navigators through all five stages of dying, many times long before palliative care or hospice are called. Often GCM’s can help the family and client to bring in hospice or palliative care. But is COVID -19 they can offer guidance to the family through the sometimes weeks of hospitalization, intubation, their loved one is on a ventilator and ultimately often- death separated from loved ones.

Navigation Through a COVID-19 Death

The normal final passage through life can emotionally charged. If the family is following a long labyrinth to the end, in coronavirus, the blind alleys may be blocked by a rushed hospitalization, banned from seeing their loved one in the hospital, and not understanding the disease that is killing their loved one.

Care managers can find an opening through this maze. Family dynamics and fear of dying can all explode a fraught crisis of care in dying of coronavirus. When vital end-of-life decisions need to be made, the stress of the responsibility and the seriousness of the situation can break into a mammoth wave of distress fear, and anxiety over the “ whole family system”. The geriatric care manager specializes in solving these end of life decisions for whole family system even at the end of life.

Facilitate Family talks over hospitalized COVID-19 Elder

Care Managers can facilitate terrified discussions outside the hospital, and clear the way for family members to come together to work as a functional unit around an unknown killer disease that preys on their loved one. Understanding the differing viewpoints is critical. Knowing what a parent wants and does not want during the last days and hours of life help define and simplify the role of the family. It helps the family bear the burden of having the responsibility of making decisions that their parent wants. Turning this around can also help families have some solace that they carried out their parent’s wishes after their parent’s death.

Care managers can help family members handle the stress of an elder’s hospitalization and death by:

Encouraging routines, exercise, and social connectedness with friends and family
Advocate for them with the hospital staff to get updates in this chaotic time in hospitals
Help them maintain contact with the” hospital quarterback “ to get updated medical status and give input
Find technology for the family to communicate with the hospitalized family member via text, telephone, email, or video chat
Support and mediate if necessary proactive discussions and advanced directive preparation in a rush if not done
Build a circle of care can help to reduce some of the potential conflicts,
Support them in having essential conversations, prior to needing intubation, on last wishes if health status deteriorates
Provide opportunities to say goodbye via technology
guide them in setting up rituals that can celebrate the end of life and give solace to a family during a time when there are yet no rituals for a COVID-19 death.
Work with the hospital to set up Zoom with the family to say goodbye to a loved one.
Geriatric care managers do much more with clients and families but especially now with Covid-19 elder’s and their families facing a separated, fractious end of life
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

Sign Up

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 care3.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

See more about Cathy and her book Care Manager’s Working With The Aging Family
DyingGriefandBurial in the AgingFamily

What Is a Care Manager’s Role in the Hospital during COVID in End of Life

February 2, 2021

Care managers cannot meet dying COVID-19 patients and their bereft children in the emergency room or Hospital. They are not allowed in due to COVID restrictions. However, care Managers play a big role in end of life issues, while family remains in the community and the client is isolated from them in the hospital.

Procedures for the family when loved one in the hospital.

The care manager was help by

1.creating a communication plan from the outset and figuring out who’s the “medical quarterback” in charge of monitoring a loved one. Typically, this is a specialist, such as a hospitalist, critical care medicine doctor, or intensivis2.

2.Facilitating family meeting for family while loved one in the hospital

3.Suggesting technology family can use to communicate with loved one and with other family members or friends

4.. Help family understand the part family can play I admissions- preparing a go binder ahead of time etc.,

By designating one person to speak for the whole family- the process to improve family getting information from overloaded hospital staff

6 Preparing family & loved one’s medical team for communication death in the hospital – what care manager can do to assist

7.. Supporting the family member when they are dying while not being present

8.. Bereavement of family post-death- use of hospice

Care Managers are their navigators through all five stages of dying

They many times can introduce palliative care or hospice and often GCM’s can help the family and client to bring in hospice or palliative care long before the average time, which is the last month or 15 days before death.

The final passage through life can be emotionally charged.

If the family is following a long labyrinth to the end, the blind alleys may be blocked by cultural, religious, and moral beliefs and now COCID -19 regulations. Care managers can find an opening through this maze. Money, family dynamics, and fear of dying can all explode a fraught crisis of care in dying. When the important end-of-life decisions need to be made, the stress of the responsibility and the seriousness of the situation can break a wave of distress fear and anxiety over the “whole family system” the dying elder. The geriatric care manager specializes in this whole family system.

Care Managers can often help facilitate throbbing discussions

They can facilitate family members coming together to work as a functional

unit. Understanding the differing viewpoints is critical. Knowing what a parent wants and does not want during the last days and hours of life help define and simplify the role of the family. It relieves the family of the burden of having the responsibility of making decisions that may not be what their parents want. Turning this around can also avoid family conflicts when adult children may have differing values.

Helping family Legally plan for Death

Proactive discussions and legal planning building a circle of care can help to reduce some of the potential conflicts. Good legal guidance can also help to pay for care when an adult child wants to finance in-home care. They can point the family to legal guidance to prepare end of life documents, that are so important, especially now with COVID when death can come so quickly but geriatric care managers do much more with clients and families who are facing the end of life

Free Webinar-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 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,Seniors at Home , San Francisco and Diane LeVan MA both highly expert care managers, created a seminal chapter on Palliative Care and End of Life Care Manager in my book Care Manager’s Working With the Aging Family

Contact

Connect with Cathy

Get Cathy’s “10 Critical Success Steps to a Profitable Aging Life or GCM Business”

Sign Up for our new Webinar Deliver a Good End of Life 9 Steps to Death &Dying

Join Us

Learn About Death Doulas

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)

We will feature an interview with Patty Urban a Death Doulas and a geriatric care manager and member of ALCA

Learn

What is a death doula?

what exactly does a death doula do?

Do Death Doula work with Hospice, Care Managers, or just families

Is there a Charge

How can I contact a Death Doula

How can a care manager be trained as a Death Doula

Patti Urban, a Certified Dementia Practitioner, Senior Advisor, and End of Life Doula, is the owner of Aging Care Planning Solutions, a geriatric care management and end-of-life planning practice.

Description

Deliver a Good End of Life- Atul Gawande

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

Serve Your Client Until Death Do You Part

Time

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

We will Also Cover Serve Your Client until Death Do You Part

Dylan’s Thomas warns us in his poem

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

Death to Rage About- Alone in the Hospital

Care Manager tasks:

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

In this 1 ½ -hour webinar you will learn how to

GCM Role is Working With Family In COVID-19

Navigation Through a COVID-19 Death

Facilitate Family talks over hospitalized COVID-19 Elder

Care managers can help family members handle the stress of an elder’s hospitalization and death by:

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 webinar you will learn how to

See more about Cathy and her book Care Manager’s Working With The Aging Family

Procedures for the family when loved one in the hospital.

Care Managers are their navigators through all five stages of dying

Care Managers can often help facilitate throbbing discussions

They can facilitate family members coming together to work as a functional

Helping family Legally plan for Death

Free Webinar-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 FREE webinar you will learn how to

Contact

Connect with Cathy

Get Cathy’s “10 Critical Success Steps to a Profitable Aging Life or GCM Business”

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