Cathy Cress

Expert in Aging Life and Geriatric Care Management

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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

Do Holidays Open the Sibling Wound Mom Loved You Best –Treated With Lots of Alcohol?

November 9, 2018

Holidays can sometimes trigger old brother or sister hurts that never healed. Joy to the World can turn into something from Black Sabbath. Perhaps an adult child avoids midlife siblings and family Thanksgiving because there’s “bad blood” from childhood. Maybe they steer clear of Mom’s holiday dinner so you can skip seeing sisters and brothers who gouged childhood wounds. The scar has built up over decades and if they attend they dive for the alcohol which is plentiful in these ritual celebrations. What can result is nasty sibling fights over the past not Mom and Dad needing care. 

Maybe there just was not enough love your rickety family nest, making siblings scramble for the few caring crumbs.  Kid brothers could have slugged other siblings behind Mom’s back. Maybe a  sister got the new prom dress when younger girls did Goodwill or the hand me down.

Divorce often shattered families leaving you with two houses, two beds, two sets of parents, and stepsiblings who fought for parent’s diminished love. No matter what the grievance story – holidays are when they might want to think about forgiveness because all hands are needed on deck when parents are failing with age.

The season of not so much joy brings calls to care managers from desperate adult children noticing melting down parent’s who are fixture in the family. They call a GCM for advice and the main task is often to make a family sibling team that was not a team 30 years ago.

Need help in creating that team?Thanksgiving--2003png.png

Join me in my new free Webinar

5 Ways to Tame the Turbulence of Holiday Meltdown in Aging Families   

During the busiest season for care management referrals-

 

You Will Learn:

  • How to give hope to frantic children who call, after seeing their aging parent struggling with the rituals
  • How to sell services during intake, to desperate adult child callers
  • How to use GCM tools to contain Holiday chaos among siblings
  • How to use financial forecasting to prepare for growth during the holidays
  • How to work with both dysfunctional and long-distance families who call during the holidays
    • Sign Up 

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Filed Under: Aging Family, aging family crisis, aging life business, Aging Life Care, aging life care manager, Bill Clinton, Blog, care manager, elder care manager, geriatric care manager, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, nurse advocate, nurse care manager, SIBLING, sibling rivalry, sibling sharing care, Thanksgiving Parent crisis, Webinar Tagged With: adult sibling conflict, adult sibling meeting, aging family, aging life care manager, aging parent crisis, care manager, case manager, dysfunctional aging family, estranged adult siblings, geriatric social worker, nurse advocate, nurse care manager, siblings feuding

Feuding Over Dad’s Golf Clubs? Call an Aging Life Geriatric Care Manager.

April 18, 2016

Can adult siblings be fair when they  share an aging parent’s non- titled property?The University of Minnesota researchers who developed “Grandma’s Yellow Pie Plate” have identified five factors that adult children should consider as they plan to transfer non-titled  property when a parent relocates, such as moving into an adult child’s home or to a higher level of care like assisted living.:

1.The adult children and aging parent, if alive, need to understand the sensitivity of the issue of transferring nontitled property. This means that, for example, a Menorah is not just an item but something that reminds all five children of the happy moments during Hanukah celebrations. If the mother dies, then the father remarries, and after his death the Menorah goes to the stepmother’s kids, the adult siblings may be terribly bitter—not about the physical Menorah, but about someone who was never at their Hanukah celebrations getting their memories.

2.The family should determine what they want to accomplish in the transfer. Does the older family member want to find family members who will lovingly care for their

beloved (though not valuable) Santa collection? Do the adult children want to carry out family traditions, such as only the firstborn daughter in the family gets Grandma’s engagement ring?

3.The family should decide what is fair in the context of the individual family and how that family wants to pass nontitled items along. Is it fair that the firstborn daughter gets the engagement ring, or should the firstborn daughter pick names from a hat to see who gets it, or should sons get a chance to get it also? Sometimes it is impossible for families to be fair. For example, three adult children may want the baby cereal bowl with Little Red Riding Hood on the bottom. Because there is no fair way to decide among themselves, except to break the bowl into three pieces, they may just have to work together to see who gets it or give it to the next born baby or grandchild.

4.The family and adult children should understand that belongings have different meanings for different individuals. When a mother moves, the oldest adult child may have a loving memory of a valuable silver tea set, not for its monetary value but for the tea parties the mother had with her when she was a toddler. The mother may have been too busy to have those tea parties with the other children, and they may value the set only because of its monetary value.

5.Consider distribution options and consequences. You can help the family agree to manage conflicts before they arise and avoid common obstacles before the items are divided.

Want to learn to start a geriatric care management agency ? Sign Up for a free webinar 

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Filed Under: Aging Tagged With: aging life or geriatric care, sibling conflict, sibling cut off, siblings feuding, siblings fighting

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

Professionals Mediating Fighting and Feuding at the End of Life-

April 15, 2013

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May is National Geriatric Care Manager’s Month I will be speaking at the 29th annual Conference of the National Association of Professional Care Manager’s in Philadelphia on Friday April 19th. I will cover the thorny topic, The GCM as the Accidental Mediator: Fretting and Fighting or Feuding: Intergenerational Conflict in the Adult Family at End of Life. If you are interested in attending and learning more you can still register and attend the conference. . If you are considering this growing profession, I wrote the textbook Handbook of Geriatric Care Management,that is now out in it’s 3rd edition. If you think of opening a GCM agency, I just published the first manual on how to operate a geriatric care management agency My Geriatric Care Management Operations Manual. 

Filed Under: Aging Tagged With: aging family, aging parent care, aging parent crisis, case manager, Dana Curtis, disputes at end of life, dysfuntional family, elderly at end of life, end of life, facilitator, family caregivers, Fighting and Feuding at end of life, geraitric assessment, geraitric care manager, Handbook of Geriatric Care Management third edition, home modification, Hospice, informal caregiver, Marriage and Family Therapist, mediation, mediator, mediiator, MFT, My Geraitric Care Management Operations Manual, National Association of Geriatric Care Managers, National Association of Geriatric Care Managers Conference, red flags for a family meeting, sibling family meeting, sibling rivalry, sibling team, sibling teamwork, siblings feuding

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