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

Do You Want a new Affordable Geriatric Care Management Manual ?

June 23, 2022

New Low-Cost Subscription To Purchase My Affordable  GCM Operations Manual

Introducing my new affordable subscription model , giving entrepreneurs and professionals who want to start a care management agency an affordable Care management manual a low-cost way to begin or grow their business.

You can now purchase my Affordable Care Management ManualGeriatric Care in its 5th edition at a low-cost monthly subscription price. You can pay a small amount monthly and access the entire manual online to learn how to deliver 15 key geriatric care management products services step by step

The Features of my subscription price for my affordable Care Management Manual
15 Care Management  Services or Products
A separate Forms Manual with 54 integrated forms  
Electronic PDF so you can edit.

 

Check out my cost-effective subscription program  which allows you to pay $65.00 a month for 11 months and access the entire manual  online

 

 

 

 6 reasons why your start-up business or restart GCM/ALCA  business needs my affordable operations manual.



 1.  My Affordable Care Management operations manual through a monthly subscription will create and maintain the highest quality of gold standard service /products in your business.

 

2. My Low-Cost Care Management Operations  Manual through a monthly subscription, becomes the primary tool for training your employees.

3.  My Care Management operations manual through a monthly subscription, creates more time for the owner, by giving you written procedures for your business.

 

4.  My Care Management Manual using my monthly subscription makes your business scalable thus allowing you to expand, open new sites and cover new areas.

5. With my Affordable Care Management Manual through a monthly subscription,you can make your care management agency more scalable to easily expand and grow your to a second office as the manual gives you a turnkey operation.

6. With my Care Management Manual through a monthly subscription, you Can Sell your GCM Business atTwice the Amount.

Find out more 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, Care Management Products, care management start-up, elder care manager, Families, GCM Operations Manual, GCM Start -Up, GCM subscription model, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Operations Manual, START UP Tagged With: 5th edition GCM OPERATIONS MANUAL, affordable Care Management Manual, aging family, aging life and geraitric care manager, aging life care manager, aging life care start up, aging life or geriatric care manager, aging parent care, aging parent crisis, black american geriatric care managers, black american social workers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, Black start-up geriatric care management, Black travel nurses, business start up, care manager, case manager, GCM Operations Manual, GCM Subscription Plan, geriatric care manager, low-cost operations manual, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, start -up elder business, start-up aging business, Subscription Model

Video -Learn Business Skills to Start a Geriatric Care Management Business!

May 6, 2022

What  Business Skills Do You Have in Starting A Geriatric Care Management Agency?

Starting a Geriatric Care Management  Agency does not take simply clinical skills but also business skills. Only 3% of geriatric care managers now have business skills because most are in the health field, nurses, and social workers. So it takes business skills you would get in an MBA to start of GCM business. What are those skills and how do you get them without an MBA?

  • GCM ALCA billing skills to develop a billing system that allows you to bill 85% of your time, control your cash flow, and invoice promptly to make a profit
  • GCM financial forecasting skills to develop a 3-year financial forecast using an excel spreadsheet to track your basic profit and expenses and to track the number of clients and billable hours needed to break even make a profit, pay back loans, hire new staff, and take a salary yourself
  • GCM organizational design skills to create your business flow chart and job descriptions, and outline how power flows down your staff to deliver gold standard care to clients
  • GCM marketing survey skills to pinpoint your area’s upper 10% clients and 3rd-party referrals to market, to make your business profitable
  • GCM competitive analysis skills to set the fee per hour your market will bear for your services and to gather information from each, to position your services vs your competition’s so clients will choose you
  • GCM timeline skills to identify and list (in a manageable, doable order), majortasks to complete before you open your business
  • GCM business planning skills  to write a 13-part business plan to create a blueprint of measurable goals for your business’s financial success
  • GCM marketing skills to create a marketing plan to develop lead sources, conduct lead generation, launch social media, and conduct content marketing to gain new customers
  • GCM sales skills
  •  position your agency to sell your menu of services benefits to 3rd parties and clients through cold calling, 1-1 sales meetings, and inquiries, by knowing how to close the sale and sign the contract

If you do not have all or some of these skills, check out my  Online GCM Business Class which includes 10 modules  teaching you all these business skills to start your GCM Business including two modules on critical  financial management so you do not go under and lose your dream start-up

Includes MY Geriatric Care Management  Operations Manual and Forms Manual at no cost

  • LEARN MORE ABOUT LEARNING GCM BUSINESS SKILLS WITHOUT GETTING AN MBA 

  • Check out our affordable price or choose our new  monthly payment plan for a start-up 

 

Find Out More 

 

CHECK OUT OUR GCM BUSINESS CLASS 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, aging life business, Aging Life Care, aging life care manager, ALCA business, ALCA Business Skills, ALCA start-up business, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black RN, Black Travel RN, Blog, care management start-up, care manager, cash flow, competition survey, Concierge aging clients, Concierge Care Manager, concierge clients, Concierge Geriatric Care Manager, entrepreneur RN, Families, GCM Billing skills, GCM Business Flow Chart, GCM Business Skills, GCM Marketing skills, GCM Start -Up, GCM Timeline skills, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, high end clients, Marketing Home Care, marketing to the top 10$, Marketing Tools 2021, nurse advocate, nurse care manager, start up geriatric care management business, start-up, value proposition Tagged With: aging business, aging family, aging life and geraitric care manager, aging life care manager, aging life geriatric care billing data base, barrier to billing, Billing 85%, billing for geriatric care management, Black Entrepreneurs, Black geriatric care managers, Black start-up geriatric care management, business start up, care manager, case manager, critical success factor For GCM or Aging Life business, Ethical Dilemma with Billing, GCM billing, GCM customers, GCM making a profit, GCM start-up, GCM Subscription Plan, geriatric care manager, geriatric social worker, minority start -up help, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, nurse care manager eldercare manager start-up, Profitable aging life business, profitable ALCA business, reaching top 10% elder, target market for GCM customers, webinar billing care management hours

7 Reasons You Need My Care Management Operations Manual Class

March 28, 2022

You Need my care management Operations Manual absolutely essential to grow your business. Watch this video to learn why a manual can boost your geriatric business, grow your marketing outreach, and support staff development

Here are 7 reasons why you need my care management manual class.

You need my care management operations, manual class because the class includes 2 free operations manuals.  Most geriatric care owners’ brains usually function as the operations manual- but nothing is written down. Without the owner, the business has little or no value unless you have made a very very large profit. What makes your business more valuable and sellable is well-designed, well-documented systems that almost anyone can operate successfully. Think of  Macdonald’s who invented the operations manual and grew worldwide. The more your business looks like this, the less dependent it will be on the owner, and the more asset value your business will have s you grow and eventually sell..


1. You Can Receive 3 CEUs per Module if you Join or are an ALCA  Member

You need my care management operations manual class, because  the NACCM, ALCA Certification Program  has awarded 3 CEU’s for 19 modules in the GCM Operation Manual Class, for the clinical training the GCM Operations Manual Class Offers including Move Management, Caregiver Assessment, End of Life, Concierge Companion Services to add to your GCM menu of services

2. You need my care management operations manual to deliver  “gold standard” services in your business.

You should purchase my care management operations manual to keep your customers with consistent gold standard excellence in service. Most entrepreneur business owners start their businesses because they believe that they can maintain gold standard excellence at what they do. Their intent from the beginning is excellent products and gold standard customer service. However, as a business grows and new employees are added to the mix, the quality often diminishes. But if the owner gives a customer one gold standard experience and the employees give that same customer low standard service -it lowers the customer’s opinion of the business. A written operations manual will help give you and your team the discipline & step by step process to do what it takes to consistently maintain Gold Standard excellence as the business grows, especially needed when your business is caring for someone’s mother or father.

maintain Gold Standard excellence as the business grows

 

3. An operations manual is the best tool for training new employees.

You should purchase my care management operations manual class because you can use the manual to easily train employees on each service you offer, saving the owner time and increasing the excellence of your training. Most entrepreneur business owners do not have a strong process for training new employees, like a written operations manual. They tell them what they need to do and then expect that new employee to intuitively do what they were told with gold standard excellence. Often the new employee is a disappointment to the owner.

A well-written operations manual will set the standard for performance. It will also give detailed written procedures (how-to’s) on the critical functions of the tasks the new employee is responsible for. Mentoring is always a great idea, but an operations manual is essential as both a standard and a reference tool.

4. Operations manuals free up valuable time for the owner!

Another reason why you need an operations manual is most entrepreneur small business owners feel like they do not have enough time to do the higher level, more strategic functions of their business. They lament that they do not have time to plan and think strategically. Time gets consumed putting out fires and solving problems. This typically happens when the company does not have a good operations manual. Operations manuals, once written, are a tremendous time-saver to give the owner time to do the higher level, more strategic functions of their business.

5. An operations manual makes your business scalable.

 You Need an Operations Manual if you as the owner of a care management agency have to do everything for it to be done right. Your business is not scalable or able to grow up that steep cliff of growth. It cannot grow beyond the time that you as the owner have to “do everything.” You must create systems that are documented in an operations manual for your business to grow in a healthy, sustainable way.

6. You Can Easily expand your GCM Business to a second office…

 An operations manual adds market value to your company by enabling duplication of your agency. You can expand your business to another site because your operations manual makes it a turnkey purchase. A Manual gives you a template to expand your territory

 

7. You need my care management operations manual to sell your GCM Business for twice the amount. 

Why you need my operations manual class is the class includes 25 free complete care management products with step-by-step directions to deliver gold standard services.


Check Out my Geriatric Care Management Manual Class 

Find out what other geriatric care manager entrepreneurs have said about my Geriatric Care Management Manual

Filed Under: Aging, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, care management business, Care Managemeny Operations Manual, care manager, case manager, elder care manager, Families, GCM Operations Manual, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric care manager start up, geriatric social worker, nurse advocate, nurse care manager, Operations Manuals, Selling ALCA Business, Selling GCM Business, Selling Your Business, Therapist Specializing in Aging, Training care managers Tagged With: ALCA CEU's, black american geriatric care managers, black american social workers, Black Entrepreneurs, Black Heirlooms, Black Nurse Entrepreneurs, Black RN's, care manager, case manager, Continuing Education Units, expand caremanagement business, geriatric care manager, geriatric social worker, gold stand care care, make care management scalable, MCDonalds Operations Manual, My Geraitric Care Management Operations Manual, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, selling a care management business, Selling ALCA Business, Selling GCM Business, starting a geraitric care manager business, training care managers

Do You Want a new Affordable Geriatric Care Management Manual ?

March 21, 2022

New Low-Cost Subscription To Purchase My Affordable  GCM Operations Manual

Introducing my new affordable subscription model , giving entrepreneurs and professionals who want to start a care management agency an affordable Care management manual a low-cost way to begin or grow their business.

You can now purchase my Affordable Care Management ManualGeriatric Care in its 5th edition at a low-cost monthly subscription price. You can pay a small amount monthly and access the entire manual online to learn how to deliver 15 key geriatric care management products services step by step

The Features of my subscription price for my affordable Care Management Manual
15 Care Management  Services or Products
A separate Forms Manual with 54 integrated forms  
Electronic PDF so you can edit.

 

Check out my cost-effective subscription program  which allows you to pay $65.00 a month for 11 months and access the entire manual  online

 

 

 

 6 reasons why your start-up business or restart GCM/ALCA  business needs my affordable operations manual.



 1.  My Affordable Care Management operations manual through a monthly subscription will create and maintain the highest quality of gold standard service /products in your business.

 

2. My Low-Cost Care Management Operations  Manual through a monthly subscription, becomes the primary tool for training your employees.

3.  My Care Management operations manual through a monthly subscription, creates more time for the owner, by giving you written procedures for your business.

 

4.  My Care Management Manual using my monthly subscription makes your business scalable thus allowing you to expand, open new sites and cover new areas.

5. With my Affordable Care Management Manual through a monthly subscription,you can make your care management agency more scalable to easily expand and grow your to a second office as the manual gives you a turnkey operation.

6. With my Care Management Manual through a monthly subscription, you Can Sell your GCM Business atTwice the Amount.

Find out more 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, Care Management Products, care management start-up, elder care manager, Families, GCM Operations Manual, GCM Start -Up, GCM subscription model, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Operations Manual, START UP Tagged With: 5th edition GCM OPERATIONS MANUAL, affordable Care Management Manual, aging family, aging life and geraitric care manager, aging life care manager, aging life care start up, aging life or geriatric care manager, aging parent care, aging parent crisis, black american geriatric care managers, black american social workers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, Black start-up geriatric care management, Black travel nurses, business start up, care manager, case manager, GCM Operations Manual, GCM Subscription Plan, geriatric care manager, low-cost operations manual, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, start -up elder business, start-up aging business, Subscription Model

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