Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Loneliness& Isolation in Seniors =Health Risk of Smoking 15 Cigarettes a Day

March 3, 2018

 

The AARP Foundation’s Connect2Affect has called social isolation a “growing health epidemic” among older adults. It equates the health risks of prolonged isolation with smoking 15 cigarettes daily. Adding a Quality of Life Program to a geriatric care management practice can help serve independent seniors who do not need hands-on care but do need more community and a way to help themselves overcome loneliness and social isolation.

In a recent study loneliness in seniors between the ages of 65 and 86 led to a 64 percent increase in the risk of developing dementia, an extraordinary spike in odds highlighting the importance of fostering meaningful relationships at all stages of life.  Helping seniors, through a quality of life services, find new human connections and community, can give an older person a greater sense of happiness and joy. But as this study shows critically- better health.

Quality of Life of the older client can be important to the older person’s family. If the family is involved, which it often is, even if the senior is living alone,  the care manager can assist families by beginning the dialogue to open discussions on preferences and values of the older client and the family. What would give the older person joy in their life? Would it be art, going to baseball games, being in a knitting group, having a tea for friends at their GCM-pix-3.jpghome, volunteering with a group?

Quality of Life issues that the care manager should assess is the individual’s need for social interaction or privacy; the value of family; proximity to cultural stimulation; and adaptability to change. These are just some of the many quality of life considerations.

A Care Management Agency can even develop a Quality of Life programs. Sage Eldercare in Northern California has developed a unique activity kit called Joyful Moments that helps family members, care managers, and caregivers. Joyful Moments, unique activity cards that give “the tools to re-engage older adults in life—and turn every visit from mundane to memory making. Nina Herndon the director of  Sage Eldercare is also an expert in quality of life for seniors and authored a chapter on how care managers can develop that skills with seniors Handbook of Geriatric Care Management 

Choice is important with seniors When values and preferences differ between elders individuals, in the family, it is important to identify how the differences may impact all involved in the process. What if the older person wants an electric scooter so she can shop at Safeway, the store she has used since she was a young mother and wife? At the same time what if the adult son or daughter will only shop at organic, health food markets and wants her mother to shop there. On top of that, the daughter feels the electric scooter is unsafe and the aging mother feels she is safe. How do you solve this quality of life dilemma?

Care Managers can be so valuable in not only helping a senior create a path out of loneliness and isolation by assisting in removing barriers to quality of life that family members may, out of care and worry, put in the elder’s way.

Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, care manager, case manager, elder care manager, Families, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, Loneliness, nurse advocate, nurse care manager, Quality of Life, Quality of Life for elders Tagged With: aging family, aging parent, aging parent care, aging parent crisis, assessing for quality of life, Care Managers Working with the Aging Family, caregiver family meeting, case manager, Geriatric Assessment, geriatric care management, geriatric care managers, Handbook of Geraitric Care Management, isolation and quality of life, knitting groups for the elderly, LCSW, Marriage and Family Therapist, midlife sibling, parent care, quality of life assessment, quality of life in retirement, social isolation, Whole Family Approach, whole family assessment

Loneliness/Prolonged Isolation in seniors =Health Risk of Smoking 15 Cigarettes a Day

March 3, 2018

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The AARP Foundation’s Connect2Affect has called social isolation a “growing health epidemic” among older adults. It equates the health risks of prolonged isolation with smoking 15 cigarettes daily.Adding a Quality of Life Program to a geriatric care management practice can help serve independent seniors who do not need hands-on care but do need more community and a way to help themselves overcome loneliness and social isolation.

In a recent study loneliness in seniors between the ages of 65 and 86 led to a 64 percent increase in the risk of developing dementia, an extraordinary spike in odds highlighting the importance of fostering meaningful relationships at all stages of life.  Helping seniors, through a quality of life services, find new human connections and community , can give an older person a greater sense of happiness and joy. But as this study shows critically- better health.

Quality of Life of the older client can be important to the older person’s family.If the family is involved, which it often is, even if the senior is living alone,  the care manager can assist families by beginning the dialogue to open discussions on preferences and values of the older client and the family. What would give the older person joy in their life? Would it be art, going to baseball games, being in a knitting group, having a tea for friends at their GCM-pix-3.jpghome, volunteering with a group?

Quality of Life issues that the care manager should assess is the individual’s need for social interaction or privacy; the value of family; proximity to cultural stimulation; and adaptability to change. These are just some of the many quality of life considerations.

When values and preferences differ between individuals, in the family, it is important to identify how the differences may impact all involved in the process. What if the older person wants an electric scooter so she can shop at Safeway, the store she has used since she was a young mother and wife? At the same time what if the adult son or daughter will only shop at organic, health food markets and wants her mother to shop there. On top of that, the daughter feels the electric scooter is unsafe and the aging mother feels she is safe. How do you solve this quality of life dilemma?

Care Managers can be so valuable in not only helping a senior create a path out of loneliness and isolation but assisting in removing barriers to quality of life that family members may, out of care and worry, put in the elder’s way.

Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, care manager, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Quality of Life, Quality of Life for elders Tagged With: aging family, aging parent, aging parent care, aging parent crisis, assessing for quality of life, Care Managers Working with the Aging Family, caregiver family meeting, case manager, Geriatric Assessment, geriatric care management, geriatric care managers, Handbook of Geraitric Care Management, isolation and quality of life, knitting groups for the elderly, LCSW, Marriage and Family Therapist, midlife sibling, parent care, quality of life assessment, quality of life in retirement, social isolation, Whole Family Approach, whole family assessment

Whole Family Approach- Quality of Life

June 22, 2013

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Quality of Life of the older client and important to the involved family caregivers. The care manager can assist families by beginning the dialogue to open discussions on preferences and values of the older client and the family. What would give the older person joy in their life? Would it be art, going to baseball games, being in a knitting group, having a tea for friends at their home with the help of a caregiver?

Quality of Life issues that the care manager should assess are: the individual’s need for social interaction or privacy; value of family; proximity to cultural stimulation; and adaptability to change. These are just some of the many quality of life considerations.

When values and preferences differ between individuals,in the family, it is important to identify how the differences may impact all involved in the process. What if the older person wants an electric scooter so she can shop at Safeway, the store she has used since she was a young mother and wife? At the same time what if the adult son or daughter will only shop at organic, health food markets and wants her mother to shop there. On top of that the daughter feels the electric scooter is unsafe and the aging mother feels she is safe. How do you solve this quality of life dilemma?

 

 

Filed Under: Aging Tagged With: aging family, aging parent, aging parent care, assessing for quality of life, Care Managers Working with the Aging Family, caregiver family meeting, case manager, Geriatric Assessment, geriatric care management, geriatric care managers, Handbook of Geraitric Care Management, isolation and quality of life, knitting groups for the elderly, LCSW, Marriage and Family Therapist, midlife sibling, parent care, quality of life assessment, quality of life in retirement, Whole Family Approach, whole family assessment

Areas to Cover in Whole Family Approach -Relationship to Money

June 17, 2013

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Relationship to Money- Values concerning spending, saving, and inheritance often impact the family caregiver. This must be picked up in a psychosocial assessment using the whole family approach.

The circumstances for those who lived through the great depression have made many adults fearful of spending and taking any financial risks. Raised in a relatively secure environment, this can be very difficult for the adult children to understand. Talking to “The Greatest Generation” parents about money is difficult, especially if the money you are talking about is theirs. They belong to a generation that was taught to keep their information private, and not to share their concerns openly. Even if they need help, they may not be willing to talk to you, because it’s ‘none of your business,’ or because they are afraid to give up control over their financial affairs.

It is incumbent upon adult children to bring up this difficult topic of money before a crisis hits. This can assure that the emotional aspects of spending; the differing relationships to money, and the objective realities are resolved. All too common, when financial issues are ignored, situation of inappropriate spending, withholding of services or fiduciary misconduct arise.

There are other situations in which family members may question expenditures for the senior, out of concern that future inheritance may be depleted. This is another problem with relationship to money. If the aging professional or geriatric care manager finds adult children withholding needing services even if the money is there to pay for them that is a red flag.

 

All this can be gathered by using the whole family approach and talking to each adult child in the family plus the elderly client, spouse, physician and elder law attorney if in the case.

Filed Under: Aging Tagged With: aging family, aging parent, aging parent care, elder financial abuse, elder fiscal abuse, elder law attorney, elders not spending money on care, financial abuse, geraitric care manager, Geriatric Assessment, geritaric care manager, greatest Generation, greatest generation cohorts, greatest generations relationship with money, Marriage and Family Therapist, Psychsocial Assessment, quality of life in retirement, relationship to money in aging, Whole Family Approach, whole family assessment

Areas to Cover in Whole Family Approach -Religious and Cultural Issues

June 12, 2013

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Religious and Cultural Issues – Expectations based on religious and/or cultural practices, rituals, and differing belief systems between family members all need to be considered in the “ Whole Family Approach “

Are the expectations of the adult children and the parents consistent? Oftentimes, conflicts will emerge due to differing life experiences. As intermarriage becomes more common, the attitudes within the family towards religious and cultural differences have created new challenges, particularly among the different generations.

In our You Tube series on whole family  tools cultural issues are key because this Danish born aging mother brings a cultural tradition of the “ “dutiful daughter” with her. This is a long tradition in her homeland where a daughter is chosen to care for the mother until she dies.

This conflicts with the American “here and now” because her 2013 daughter is an attorney with two teenage daughters who cannot exclusively care for her aging mother.

The geriatric care manager http://www.caremanager.org/ is able to assess these cultural differences using the Whole Family approach and find a solution that meet mother and daughter’s needs and get the care the aging mother needs at the same time

 

Filed Under: Aging Tagged With: aging parent, aging parent care, assessing the caregiver, care plan interventions, care planning, caregiver assessment, caregiver overwhelm, caregiver stress, caregiving family members, case manager, cultural assessment, dutiful daughter syndrome, geraitric care manager, Geriatric Assessment, geriatric care management, geriatric care managers, Marriage and Family Therapist, MFT, My Geriatric Care Management Operations Manual, National Association of Geriatric Care Managers Conference, only daughter syndrome, religious issues in aging, role of the girl, Whole Family Approach, whole family approach in aging, whole family assessment

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