HomeMy WebLinkAbout11-20-07 (2)
IN THE COURT OF COMMON PLEAS OF CO., PENNSYLVANIA
ORPHANS' COURT DMSION
IN RE: RUTH V. SPATZER, an incapacitated penon FILE NO 21-06-813
GUARDIAN OF PERSON ANNUAL REPORT
[20 Pa. C.S.A. 5521 (c))
FROM
10/26/06
TO
10/26/07
1.1 am the_Limited_X_Plenary Guardian of the Penon of my ward, named ahove.
2. I was appointed Guardian by Order of the Court dated
X was not modified by Court Order(s) dated
. which _was
3.18 the incapacitated penon stillliviDg?
If no, answer the following:
YES
(a) Date of Death?
(b) Place of Death?
(c) Name of Administrator or Executor?
(d) Date Guardian of the Penon med the last Annual Report?
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4. If the incapacitated penon is still living, answer the following questionji 0
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(a) Date Guardian of the Penon med the last Annual Report? [~~~
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(b) Current address of the incapacitated penon j>
THE WOODS AT CEDAR RUN, 824 LISBURN RO, CAMP roLL, PA 17011
(c) Current age _88 _Date of birth of incapacitated penon 12/14/18
(d) The incapacitated penon's residence is:
Ward's own residence
Nursing Home
Hospital or Medical Facility
_My home/apartment
Relative's Home
_X_Penonal Care Home
(e) The incapacitated penon has been living there since 10/06
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(I) I rated hislher living arrangement as:
_~Excellent Average
Explaia:
Below Average
(g) I believe he/she is:
_X _content with the living situation
unhappy with the living situation
unaware of the living situation
5. Physical health
(a) Current physical condition of the incapacitated penon is:
_Excellent Good Fair_X_ Poor
(b) Hislher major physical health problems are as follows:
HX BREAST CANCER, CHRONIC ANEMIA, HYPERTHYROIDISM,
HYPERTENSION, OSTEOPOROSIS, CARDIAC PROBLEMS, PACE MAKER,
PRURIGO NODULARIS, LEGALLY BLIND
(c)During the past year, hislher physical condition has:
_X _remained about the same.
improVM. Explain
worsened. Explain
(d) During the past year, he/she received the following medical treatment
(include check-ups and dental work):
Date Ailment Type of treatment Doctor's name
3/14-17/07 PNUEMONlA, HOSPIATAL CARE HOLY SPIRIT HOSP
MONTHLY ONGOINGCARE INTERNESTOFPA
7/14/07 CARDIAC INPATIENT HOSP CARE HOLY SPIRIT HOSP.
PERIODIC PODIATRY N. BISER DPM
PERIODIC CANCER ROUTINECARE CENT.PAHEMATOLOGY
6. Mental Health
(a) The incapacitated penon's condition is
Excellent _X_Good Poor
(b) Hislher major mental health problems are as foUows:
MILD DEMENTIA
, .
.
(c) During the past year, hislher mental condition has:
_X _remained about the same.
Improved. Explain
Wonened. Explain
(d) During the past year, treatment or evaluation by a psychiatrist, psychologist
or social worker was _X_was not provided. Such mental health
services are brieOy described as:
7. Social Activities / Services
(a) Hislher current social condition is:
excellent _X~ood
fair
poor
(b) During the past year, hislher social condition has:
_X _remained about the same.
improved. Explain.
wonened Explain
(c) During the past year he/she has participated in the following activities:
_X _recreational
educational
_X _social
occupational
no activities available
he/she refuses to participate in any activities
8. Visitation
(a) During the last year, I visited himlher as follows: QUARTERLY
(b) The average amount of time I spent on each visit was 15-20 MINUTES
(c) The last time I visited was on
Date
10/03/07
9. During the last year I have performed the following activities on beh.1f the
incapacitated penon:
ALL MEDICAL AND FINANCIAL DECISIONS
10. I believe he/she has the following uomet needs:_ NONE
11. The guardianship _X_ Should
modification because:
should not be continued witbout
12. Please note any concerns about the Inaapacitated penon's physiaal or mental
well being or the finances that the Court should know.
13. I _X_ am am not guardian of the inaapacitated penon's estate. If yes,
my report is attached.
I certify under the penalties of perjury that the information contained in this report
is true and correct to the best of my knowledge, information and belief.
Date: I / /;9~ ,/
Signature of the Guardian 0 the Penon
Name: BRIAN D. BROOKS
TELE#:
717-299-4568
PENNSYLVANIA GUARDIANSHIP ASSOC. INC.
PO BOX 7295
LANCASTER, PA 17604