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16 West High Street, Carlisle, PA 17013
[717j 240-6110 or 697-0371, Ext. 6110
532-7286, Ext. 6110 Fax: 240-6118
website: w'ww.ccua.net/aQ'nQ
e-mail: a~nE(e3ccna.net
FINAL GUARDIANSHIP REPORT Bruce Bazclay
Chairman
FOR CLARENCE MOFFITT Gary Eichelberger
V(ce Chntrman
February 13, 2006 Richard L.S o e~
Terry L. Barley
Ovector
Report from Guardian of Person
Cumberland County Office of Aging
Janet Paull, Aging Care Manager III
On May 25, 2005 Guazdianship of Person for Mr. Moffitt Moffitt was granted by
Judge Edward E. Guido to the Cumberland County Office of Aging. Prior to this
appointment, on Apri122, 2005 Judge Guido ordered that Mr. Moffitt be taken into the
custody of the Office of Aging in order for him to have appropriate physical and mental
health evaluations. This was done under the Older Adults Protective Services Act. Following
the hearing, Mr. Moffitt was taken to the Emergency Room at Holy Spirit Hospital for
medical tests. He became combative to the point he was admitted to the Holy Spirit
Behavioral Health Unit under a 302 commitment. During this admission, mental illness was
ruled out but Mr. Moffitt was diagnosed with hepatitis C, liver cirrhosis and dementia.
On June 8, 2005 Mr. Moffitt was admitted to the West Shore Nursing and
Rehabilitation Center's dementia unit. This was the only facility that was willing to take
Mr. Moffitt. As part of the admission process, the Office of Aging applied for Medical
Assistance. This was granted. At time of admission, Mr. Moffitt was able to walk around the
unit and communicate with staff. Initially, he was able to feed himself, although he had
difficulty. He especially liked to listen to music and play checkers. Mr. Moffitt was later
diagnosed with an enlarged spleen.
By mid November Mr. Moffitt began to decline quite rapidly and on December 6,
2005 he was moved off the dementia unite because he could no longer feed himself and was
incontinent of bladder. He was also very lethargic.
On January 3, 2006 Mr. Moffitt was admitted to Holy Spirit Hospital. We received a
call from the attending physician the next day. He told us Mr. Moffitt was very ill with end
stage liver disease, a urinary tract infection, dehydration and was unresponsive with possible
liver failure. The doctor told us his chance of recovery was a "long shot" and he suggested
palliative care only. The Office of Aging agreed. On January 20, 2006 Mr. Moffitt began
receiving additional care through Asera Hospice. On February 1, 2006 I was notified by the
social worker at Asera Hospice that Mr. Moffitt's condition worsened. He was using more
oxygen, his color was poor and his respirations were slowing. I notified the family of this
change in his condition and recommended they visit. Mr. Moffitt died on February 3, 2006.
Causes of death that were listed on the death certificate were respiratory failure hepatic
failure, and chronic active hepatitis C.
During Mr. Moffitt's hospitalization and admission to a nursing home, he was visited
numerous times by Office of Aging staff. In addition, we met with nursing home staff for
care plan meetings and other issues, purchased clothing and other needed items for Mr.
Moffitt. Two Office of Aging staff also attended his funeral on February 11, 2006.