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HomeMy WebLinkAbout06-04-07 1; ....-- ~s I~ ~ ;) I- Old ~~ 17 arumbtrlanb arounty Ql)ffitt of Aging & arommunity ~truitt!i . .. ... HUMAN SERVICES BUILDING 16 West High Street, Carlisle, PA 17013 Carlisle Area: [717] 240-6110 Fax: 240-6118 Toll Free: 1-888-697-0371, Ext. 6110 website: www.ccDa.net/ae:ine: e-mail: ae:ine:@ccDa.net ANNUAL GUARDIANSHIP REPORT FOR NANCY HOERNER Bruce Barclay Chairman G~i~j~~~~~;, Richard L. Rovegno Secrefary Terry L. Barley Director June 1, 2007 Report from Guardian of Person Cumberland County Office of Aging Janet Paull, Aging Care Manager 3 o So ,- :::0 -~r ~Lo ~~:o:~ -'~-: --"1'"'j C /) ~;~ l"-<) (~-:;;;,) '::;::J -I - '- c:::: ~ I .c- t~ -) :-'-'1 Sc2 "'l'i ~ On March 14 , 2006 Judge Kevin Hess appointed the Cumberland CO.~ Office:of Aging Emergency Plenary Guardian of Person for Nancy Hoerner. Farrowing thg hearing Ms. Hoerner was returned to the Shaffer Home where had been staying since being evicted from the Homeless Shelter. On March 31 , 2006 we were notified that client had to leave the Shaffer Home because of her behavior. Office of Aging staff contacted numerous facilities until we were able to find temporary placement in a personal care home in Franklin County where she was taken the next day. On April 6, 2006 following another hearing Judge Hess appointed the Cumberland County Office of Aging Nancy's Permanent Plenary Guardian. On April 18, 2006 Ms. Hoerner was taken to the Behavioral Health Unit of Chambersburg Hospital. Following treatment, she was admitted to the South Mountain Restoration Center, South Mountain, PA. In order to find both temporary and permanent placement contacted 30 facilities in 11 counties before she was accepted at South Mountain. Nancy has been diagnosed with alzheimer's type dementia, chronic schizophrenia, adjustment disorder with disturbance of conduct, and cognitive disorder. Nancy seems to have adjusted well to life at South Mountain. She has had occasional disagreements with other residents but the facility's staff has done a good job in addressing these issues and helping Nancy adjust. The Cumberland County Office of Aging contacted Franklin County Office of Aging about beginning the process of transferring the client's care to their office. Before that could be started, however, Nancy was diagnosed with possible breast cancer. 0-- . -,,-. Unfortunately, Nancy refused to go for a scheduled biopsy. A meeting was called by the agency to discuss the ethical issues involved and how to proceed. This group included our solicitor, Anthony DeLuca, as well as our consulting physician Dr. George Branscum. Because Nancy had requested a second opinion when I met with her it was decided that we should try to do this. An appointment was made but she refused to go. However, the doctor did review the mammogram and suggested we wait for 6 months and then have another mammogram done because the area in question was very small. Since then, however, the Home has scheduled an appointment for Nancy to have an MRI done. Depending on the results of this test, if client cooperates and has the test, the Office may need to seek a court order to have the required surgery and treatment done. It is the request of the Cumberland County Office of Aging that the agency retains Guardianship of Person for Nancy Hoerner. The South Mountain Restoration Center has demonstrated an adequate quality of care for his medical and mental problems. We believe, therefore, that Ms. Hoerner should continue to reside in that nursing facility .