HomeMy WebLinkAbout11-06-08
IN THE COURT OF COMMON PLEAS OF CO., PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: RUTH V. SPATZER , an incapacitated person FILE NO 21-06-813
GUARDIAN OF PERSON FINAL REPORT
[2fl Pa. C.S.A. 5521(c)]
FROM 10/2b/0~ TO 9/18/08
1.I am the Limited X Plenary Guardian of the Person of my ward, n
2. I was appointed Guardian by Order of the Court dated , whi '
X was not modified by Court Order(s) dated Q
3. Is the incapacitated person still living? NO
If no, answer the following:
(a) Date of Death? 9/18/08
(b) Place of Death?
CLAREMONT NURSING HOME, CARLISLE, PA
(c) Name of Administrator or Executor? M&T BANK
(d) Date Guardian of the Person filed the last Annual Report? 10/26/07
4. If the incapacitated person is still living, answer the following questions:
(a) Date Guardian of the Person filed the last Annual Report?
THIS IS FIRST
(b) Current address of the incapacitated person
(c) Current age Date of birth of incapacitated person 12/14/18
(d) The incapacitated person's residence is:
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Ward's own residence My home/apartment
Nursing Home Relative's Home
Hospital or Medical Facility Personal Care Home
(e) The incapacitated person has been living there since 6/08
(f) I rated his/her living arrangement as:
Excellent Average Below Average
Explain•
(g) I believe he/she is:
_ ~ 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 person is:
Excellent Good Fair Poor
(b) His/her 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, his/her physical condition has:
remained about the same.
improved. 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
MONTHLY ONGOING CARE AT FACILITY
5/25/08 BROKEN THIGH & SHOULDER
PERIODIC CANCER ROUTINE CARE
b. Mental Health
Doctor's name
DR D. WENNER
HOLY SPIRIT HOSP.
CENT.PA HEMATOLOGY
(a) The incapacitated person's condition is
Excellent Good Poor
(b) His/her major mental health problems are as follows:
MILD DEMENTIA
(c) During the past year, his/her mental condition has:
_ _ remained about the same.
Improved. Explain
X Worsened. Explafn DEATH
(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 briefly described as:
7. Social Activities / Services
(a) His/her current social condition is:
excellent -good fair poor
(b) During the past year, his/her social condition has:
_ _ remained about the same.
improved. Explain.
worsened Explain
(c) During the past year he/she has participated in the following activities:
_ _ recreational
educational
social
occupational
no activities available
he/she refuses to participate in any activities
8. Visitation
(a) During the last year, I visited him/her 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 9/03/08
9. During the last year I have performed the following activities on behalf the
incapacitated person:
ALL MEDICAL AND FINANCIAL DECISIONS
10. I believe he/she has the following unmet needs:- NONE
11. The guardianship Should X should not be continued without
modification because:
DEATH
12. Please note any concerns about the Incapacitated person's physical or mental
well being or the finances that the Court should know.
13. I X_ am am not guardian of the incapacitated person'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: /O f/~D ~, ~
ignature of the Guardian of he Person
Name: BRIAN D. BROOKS TELE#: 717-299-4568
PENNSYLVANIA GUARDIANSHIP ASSOC. INC.
PO BOX 7295
LANCASTER, PA 17604