HomeMy WebLinkAbout05-02-07 (2)
\/'-
"I
.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
ORPHANS' COURT DIVISION
Inre:
No. 21-06-0177
PATRICIA A. EICHELBERGER,
an incapacitated person
ANNUAL REPORT OF GUARDIAN OF THE PERSON UNDER
SECTION 5521(c) OF THE PROBATE, ESTATES AND FIDUCIARIES CODE
For the period: April 3, 2006 to April 3, 2007.
Part I
Status of Guardianship
1. I am the plenary guardian of the person of the above-named incapacitated person.
2. I was appointed guardian by Court Order dated April 3, 2006, which has not been
modified by subsequent Orders of Court. '=~;
C::::l --J
3. This filing constitutes my frrst annual report, same from the period'~ril 3, jo6 ;~ " . i.;
through and including April 3, 2007. =~ ~) -c '.
"'r. I
- -- Iv
4. The incapacitated person is living.
~...-~"
~
en
Part n
Living Arrangements
-.J
5. The incapacitated person was born on September 28, 1958 and is 47 years of age.
6. The incapacitated person's current address is Church of God Home, 801 North Hanover
Street, Carlisle, Pennsylvania 17013.
7. The incapacitated person's residence (type of placement) is:
o His or her own residence
o My home or apartment
[ElNursing home
o Relative's home
o Hospital or medical facility
o Boarding home
,
8. The incapacitated person has been living at his or her current residence since
November, 2002.
9. The following is a brief description of the incapacitated person's living arrangements
and the social, medical, psychological, and other support services he or she is receiving:
Patty resides in nuning care of the home. As such, she received the
highest possible level of penonal assistance and care with daily function.
This includes not only her dietary and medical needs, but she also gets
assistance with mobility for dressing henelf and bathroom trips as well as
the social interaction of othen with whom she comes into contact, both
informally and formally. In addition, Patty participates in the Alternatives
Program of United Cerebral Palsey which conducts outside activities two days
per week with functional goals and quarterly reviews of her progress.
10. I rate the incapacitated person's living arrangements as:
o Excellent
00 Above average
o Average
o Below average
11. I believe the incapacitated person is:
00 content with the living situation.
o unhappy with the living situation.
o unaware of the living situation.
Part m
Physical Condition
12. The current physical condition of the incapacitated person is:
o Excellent 0 Good 00 Fair 0 Poor
13. The incapacitated person's major physical health problems are:
Degenerative Joint Disease, Osteoporosis, Scolilsis, Aphasia,
Chronic Back Pain, & Muscular Degeneration
14. During the past year, the incapacitated person's physical condition has:
IE remained the same.
o improved. [Explain:]
o worsened. [Explain:]
15. During the past year, the incapacitated person has received the following medical
treatment (including check-ups and dental work):
Date
04/17/06
04/22/06
04/28/06
05/12/06
OS/20/06
06/22/06
07/11/06
07/28/06
08/13/06
09/23/06
10/02/06
10/19/06
11/06/06
11/21/06
12/19/06
01/1 0/07
01/16/07
02/06/07
03/06/07
03/13/07
Ailment
See #13 Above
See # 13 Above
Mycotic Nails
See # 13 Above
See # 13 Above
See #13 Above
See # 13 Above
Mycotic Nails
See # 13 Above
See # 13 Above
See # 13 Above
Mycotic Nails
See # 13 Above
See # 13 Above
See #13 Above
Routine Dentist
See # 13 Above
See #13 Above
See #13 Above
See # 13 Above
Type of Treatment
Nursing Facility Visit
Nursing Facility Visit
Debridement
Nursing Facility Visit
Nursing Facility Visit
Nursing Facility Visit
Nursing Facility Visit
Debridement
Nursing Facility Visit
Nursing Facility Visit
Nursing Facility Visit
Debridement
Nursing Facility Visit
Nursing Facility Visit
Nursing Facility Visit
Oral Evaluation
Nursing Facility Visit
Nursing Facility Visit
Nursing Facility Visit
Nursing Facility Visit
Part IV
Mental Condition
Doctor's Name
Darryl Guistwite
Darryl Guistwite
Howard Burkett
Darryl Guistwite
Darryl Guistwite
Darryl Guistwite
Darryl Guistwite
Howard Burkett
Darryl Guistwite
Darryl Guistwite
Darryl Guistwite
Howard Burkett
Darryl Guistwite
Darryl Guistwite
Howard Burkett
Flenniken Dentistry
Darryl Guistwite
Darryl Guistwite
Darryl Guistwite
Darryl Guistwite
16. The incapacitated person's current mental condition is:
o Excellent 0 Good IXI Fair 0 Poor
17. The incapacitated person's major mental health problem is: Downs Syndrome.
18. During the past year, the incapacitated person's mental condition has:
IE remained the same.
.
o improved. [Explain:]
o worsened. [Explain:]
Part V
Social Condition
19. The incapacitated person's current social condition is:
o Excellent
o Good
IXlFair
o Poor
20. During the past year, the incapacitated person's social condition has:
[gJ remained the same.
o improved. [Explain:]
o worsened. [Explain:]
21. During the past year, the incapacitated person has participated in the following
activities:
[gJ Recreational
IXl Educational
[gJ Social
o Occupational
o No activities available
o The incapacitated person refuses to participate in any
activities
o The incapacitated person is unable to participate in
any activities
Part VI
Guardianship Activities
22. During the past year, I visited the incapacitated person as follows: Approximately two
times per month.
23. The average amount of time I spent with the incapacitated person on each visit was
onelhalf hour.
24. The last time I visited the incapacitated person was on March 21, 2007.
.
25. During the past year, I have performed the following activities on behalf of the
incapacitated person:
I have visited periodically to maintain contact and observe her overall condition. I
have attended periodic care plan meetings to assure that the home has a proper
plan in place. I have read her quarterly evaluations for assessment of her overall
progress. I have observed her condition and commented and requested special
care when appropriate.
Part VII
Concerns and Recommendations
26. I 0 do l&I do not (check one) believe the incapacitated person has unmet needs. (please
describe any unmet needs.]
27. I l&I do 0 do not (check one) have other concerns about the incapacitated person's
physical or mental well-being or finances.
My concern is for the general physical decline with age and where that will
ultimately lead. Though the home is prepared to deal with those issues, it is not
pleasant to observe.
28. I believe guardianship should be:
l&I continued without change.
o modified. [Explain:]
o terminated. [Explain:]
29. I am the guardian of Patricia A. Eichelberger's estate. My annual report is attached as
well.
I certify that the information contained in this report is true and correct to the best of my
knowledge, information, and belief This statement is made subject to the penalties of 18 Pa.C.S.
~ 4904 (relating to unsworn falsification to authorities).
Date: April 11, 2007
~--~
/Robert D. Eichelberger,
Guardian of Patricia A. Eichelberger
182 Chain Saw Road
Dillsburg, P A 17019
Telephone: 649-7074