Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Three Signs That you are Skating the Holiday on Ice?

December 1, 2016

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Find out more in Emily Salz and and Lynn Hackstaff’s chapter Family Conflicts, Dependence and Mutuality : Care Management and the Dysfunctional Family. Handbook of Geriatric Care Management 4th edition.Jones and Bartlett 

Happy Holidays.

Spending time with dysfunctional families often causes lots of seasonal lubrication – “A Holiday on Ice”  as David Sedaris. What is he third sign that you are skating on the slippery slope as a geriatric care manager -Cut off

Distancing & cut off- are pulling away and having nothing to do with family or an individual in your family.

You find adult children who have not spoken to parents or siblings for years.

The celebrity feud and cut off between actress Angela Jolie and her Dad actor John Voigt is a well-publicized example

What prompted Jolie’s reconciliation – helping grandchildren- Jolie-  reconciled with her Dad because her children’s need for a grandparent and the knowledge that your children just have a very different version of a relationship with your parents than you do.

When you assess the aging family as a professional you look at several signs for dysfunction. Contentiousness and anger are two other signs- the ripping pattern of divorce, remarriage, or other disruptions in relationships that shred the balance within the family system- both hacked by anger and contentiousness.

Gathering all these angry, contentious ,cut off, divorced, ex-spouses, step- children,left behind  blood children , deadbeat Dad’s and pour on alcohol and hold the mistletoe -you have the wrathful explosion that is that is dysfunctional family skating the holiday on ice.

When they call you be prepared, be ready, be a little fearful. Here are some tips.

 

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Filed Under: Aging, Blog, Families, Geriatric Care Management Business, Geriatric Care Manager, Siblings Tagged With: aging life care manager, care manager, case manager, geriatric care manager, nurse advocate, nurse care manager

Last Day of Cyper Monday 30% Off Offers of My Geriatric Care Management Manual

November 28, 2016

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This is the last day  to purchase My Geriatric Care Management Operations Manual at 30% off  Black Friday savings prices  go to cathycress.com  hit contact and enter your name and Black Friday Offer number you want.

Operations manuals are invaluable for several reasons, among them are:

  • You can start a new aging life or geriatric care management business with pre-made care manager products and training that is consistent, accurate and offers a “Four Seasons”, gold standard of care to private clients.
  • Allow you to effortlessly on-board and train new employees
  • Makes it easy to open and running a second agency
  • Offers risk management with tried and true procedures to deliver flawless care to ” Someone’s Mother” and avoid avoid legal disputes and malpractice litigation
  • Selling Your business with an Operations Manual really increases the value of your business

 

Offer 1 $1840 normally $2100

  • Operations Manual Version 4 with 27 hours 1-1 training consultation
  • Offer- $1850.00 normal $2100.00
  • Operations Manual with 13 services
  • Forms Manual with 57 forms
  • Start –Up Business training with 12 1-1 hours coaching
  • Operations Manual Training 15 1-1 training hours
  • Templates to make it easy to create your own
  • Closed Geriatric Care Management Facebook Group
  • Contract for manual will be signed first through Adobe.

Offer 2 – On Payment Plan

$225  a month normally $300.00

  • Hard to Afford Manual on a Start Up Budget?
  • Easy Payment Plan-My GCM Geriatric Care Management Manual version 4
  • 27 hours of training via Skype
  • $2100.00, only pay $225.00 per month
  • Closed Facebook Group
  • Contract for manual will be signed first through Adobe.
  • Contract for manual will be signed first through Adobe.

Offer 3 – GCM Manual Plus 27 Training

$845.00- normally $1350

  • Operations Manual Version 4 with 27 hours 1-1 training consultation
  • Offer – $1250
  • Operations Manual with 13 services
  • Start –Up Business training with 12 1-1 hours coaching
  • Operations Manual Training 15 1-1 training hours
  • Closed Geriatric Care Management Facebook Group
  • Templates to make it easy to create your own
  • Contract for manual will be signed first through Adobe

No Forms Manual

Offer 4 – GCM Operations Manual & Forms Manual Alone

With No Training

$800 normally $1100

  • Operations Manual Version 4 with 13 Services
  • Offer- $800
  • Forms Manual with 57 forms
  • Closed Geriatric Care Management Facebook Group
  • Contract for manual will be signed first through Adobe

Filed Under: Aging, Blog, Families, Geriatric Care Management Business, Geriatric Care Manager Tagged With: aging life care manager, care manager, case manager, geriatric care manager, My Geraitric Care Management Operations Manual, nurse advocate, nurse care manager, operations manual, selling your business

Moving A Parent in – Anxiety and Depression About The Move

January 7, 2014

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 Considering Moving an Aging Parent into Your Home?

After the holiday when adult children gather and find a parent so disabled that they should not live alone anymore, then consider moving a parent in. I did this with great success in the ’80s as you can see by the photo above. But I teach geriatric care management and knew exactly what I needed to do to make it work. So if you found coal in your parent’s stocking – do not move the coal to your house, consider what changes you need to make or if you should even do this by hiring a geriatric care manager first to help you decide then help make a successful move and living situation. A recent PEW study shows the number of multi-generational households has jumped from 6.2 million to 7.1 million in the last two years — a faster growth rate that the previous eight years combined.

 What a Geriatric Care Manager Can Do to Help Your Decide

Before moving a parent into an intergenerational family situation, both a parent and adult child should consider having an Aging Life Care Manager assess the older person with a psychosocial assessment. The GCM can use the psychosocial assessment to assess depression, anxiety both of which may result from such a move after the elder given up their own space, their home.

 Losses of Moving For An Elder

BeccaJulia-94.jpgAn elder’s home reflects their history their own individuality, their privacy, and all their memories. The GCM can create interventions that the adult child can carry out to help with these mental health issues. There are also the issues of loss as the aging parent may after giving up their home, privacy, and history encased in their furniture pictures and the sense of home they have given up.

 The Anxiety and Depression of Moving for Elder

The aging parent can bring furniture and photos into that reflect their old home, but the deep feeling of loss, expressed in perhaps unanticipated anxiety and depression needs attention. I would certainly be consulting their primary physician but perhaps, new activities with the family, outside social engagement, quality of like interventions like continuing to go to baseball games, a knitting group, play bridge, attend yoga or travel, as examples.

 

Blending families does not always go smoothly and his best approached with caution and professional help before all make a decision to cohabit.

HVC-85th_20130525-233904_1.jpgA geriatric care manager or aging life care manager can also help your parents get engaged in outside activities by doing a quality of life assessment to find out the activities they enjoy and get them engaged in what they like to do in the community. This was the secret of my success. My mother in law and Dad moved in from different sides of the US for widely divergent reasons. ( pictures in family Photo above).His home was flooded by the storm of the century in 1989 after I had just Becca-Julia-Pop.JPGremodeled it and Becca my mother in law was living with the ” Love of her Life” and he had a stroke.

She was by nature a social butterfly. So I got her engaged in a women’s group at the local senior center, chair exercise, the blind center as she had macular degeneration and Sunday’s at the local Presbyterian church.

My Dad was more a recluse having PTSD from World War 2 and eventually I got him involved in the Catholic church, Cindy’s Celebrations local faith-based senior services where he and Becca went to lunch once a week. They celebrated their birthday, took them to great restaurants each week and played the big band music they loved in the Van. I arranged all transportation through our senior transportation LifeLine, both churches provided their own transportation as did Cindy’s Celebration

 

Filed Under: Adult children, Aging, aging family crisis, Aging Life Care Assocaition, aging life care manager, Emotional Quality of Life, Geriatric Care Management Business, Geriatric Care Manager, Move Management, moving parent in your home, Moving To CCRC Tagged With: aging family, aging life care manager, aging parent moving in, Anxiety Assessment for an older person, anxiety in an elder, care manager, case manager, elder depression, geriatric care manager, moving elder, nurse advocate, nurse care manager, senior moving

Do You Have an Ethical Dilemna Serving Wealthy Concierge Clients?

March 19, 2010

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Targeting concierge clients puts geriatric care managers /health care professionals, in a double bind. As a social worker, nurse or health professional practicing aging life or geriatric care management, the catch 22 you fall into is offering limited access to care management. Serving only the upper 10% was not part of our training. It was not part of our social belief system that all members of the community should have access to social and health care resources.

Restricting access to aging life or care management impacts 90% of older people’s ability to reach their full potential, negatively affecting their quality of life and further beats down unpaid family caregivers

But aging life or geriatric care manager chose to run a for-profit business that depends on the top 10%.

Thus a paradoxical situation where geriatric care managers find themselves with an ethical dilemma.

Limiting access to geriatric care management to the upper 10% leads most Aging Life or geriatric care managers to an ethical dilemma.  Should we limit resources?

The physician of the 20th century treated all patients rich or poor and did not have a business model. Today’ managed care physicians see everyone on Medicare, although many do not take Medicare because of the low payments. Access to the physician diminishes even more with the advent of the concierge physician, who uses a business model to only treat those elders who can pay privately, which ends up being the upper 10%

Most aging life or geriatric care managers came to the field with inner core beliefs that health care should be available to all elders, yet they chose to start a business. So here ‘s the rub.

But that business cannot prosper if the aging life or geriatric care manager does not have long term concierge clients who can pay for it. The federal government does not fund the profession, so elders have limited access. Should you be part of this?

 Here is the ethical dilemma. It turns out that you must serve clients long term to make your aging life or geriatric care management thrive.

Learn more about how to solve this double bind.

Join me for my newest free Webinar

 How to Make a Profit Serving the Older Concierge Clients,

August 23, 2017h 11:00 -12:00 PST

Discover how to transform your GCM entrepreneurial dream into a profitable reality with 5 key marketing steps

Learn more and get the details   

 Overcome Your Ethical Dilemma about Serving the Concierge Clients

Reach this target audience

Design products that exactly meet their needs

Obtain adult children’s buy-in           

Use words that will make them choose you

Get the contract signed with ease

 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, case manager, Families, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Webinar Tagged With: aging life care manager, care manager, case manager, concierge care, geriatric care manager, nurse advocate, nurse care manager

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