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Home My WebLink About10-31-11 One Team ...One Minion CUMBERLAND COUNTY AGING & COMMUNITY SERVICES 1100 CLAREMONT ROAD, CARLISLE, PA 17015 (717) 240-6110 OR 1-888-697-0371 EXT 6110 FAx: (717) 240-6118 Gary Efchelberger C7 ChaAman ANNUAL GUARDIANSHIP REPORT ~ a ~~- . _ :~~ FOR PHILIP MESSINGER a ~ -~ ~c~ ~ CJ ~ ~ --aa --~.' ~ - 7 -Y' f ~' ~~ard L ovegno ?-~ ~ ' October 30, 2011 ~~ ~ ~ , ~ Report from Guardian of Person and Estate ~~ -~ _ Cumberland County Aging and Community Services ~ --+ _ ~ ~~ T' Priscilla Whitman, Aging Care Manager 3 ~ ~' On June 15, 2010 Judge Guido appointed the Cumberland County Aging and Community Services as the Permanent Plenary Guardian of Person and Estate of Philip Wayne Messinger. Following the hearing he returned to the Shippensburg Health Care Center where he had been residing. Prior to his admission to the nursing home he had been living in a group home in Hanover, PA. PERSON At the time off his admission, Mr. Messinger was diagnosed with hypertension, cardiovascular disease, atrial fibrillation, dementia, anemia, Type 2 diabetes, and ambulation dysfunction. He seemed to adapt well except for sleeping in a bed. Once they got him a geri chair to sleep in he did better. Throughout the year he had several falls but without injury. He attends activities and especially enjoys morning exercise, games, cooking activities and picnics. He is one person assist for all ADL's with extensive assistance with dressing. The nursing home staff monitors his blood pressure and pulse every shift and Accu checks are done twice on two days per week to monitor blood sugar. At one point there was a sever change in his behavior and he became more aggressive with care, actually growling at staff. There was a diagnosis of a respiratory infection and an antibiotic was ordered. He received physical-therapy to try to increase his leg strength, gait and transfers. He still laughs inappropriately and continues to have periods of crying, although these are decreasing. He eats about 75% of his meals and his weight is currently 194. The Agency was able to sign Wayne up for a Medicare D program with Medco- Medicare Prescription Plan. Christmas presents were prov ided by Home Instead and delivered by staff. Also during the holidays he was visited by his 90 year old aunt who EMAIL US AT agingQccpa.net OR VISIT OUR WEBSI'I'E AT www.ccpa.net/aging ~~ /U - 5/l had not seen him for some time. Wayne continues to be seen by him York County MH/MR caseworker on an annual basis. He began to develop increased leg pain which has been treated by medication. In May he began to experience a decrease in weight so he was assessed by the speech therapist to check his ability to chew and swallow, his position, and any assistance he may need. He was later fitted for a brace that helps him sit up straighter and was given a different wheel chair. These changes seemed to help. He is on a mechanical soft diet. ESTATE At the time of the appointment, Mr. Messinger's social security check was direct deposited to an account at Susquehanna Bank in Hanover. The authorized signers from Aging were placed on the account. Since there were no such banks in the Carlisle area, a guardianship account was opened at MB~T Bank. When all the automatic withdrawal for his funeral pre-arrangements with A Forethought and the direct deposits are changed to M&T the account at Susquehanna Bank will be closed. Aging also took his 2009 income taxes to AARP to be done. Wayne receives $940 in Social Security. The monthly bill from the Shippensburg Health Care Center is currently $795.08. Attached is a copy of his check register for his account at M&T which was started by transfers from the Susquehanna Bank account. The balance at the end of May 2011 was $3277.98. Cumberland County Aging receives a $100 monthly guardianship fee as agreed upon by the court. Enclosed is an Income/Expense summary It is the request of the Cumberland County Aging and Community Services that the agency retain Guardianship of Person and Estate of Philip Wayne Messinger. The Shippensburg Health Care Center has demonstrated an adequate quality of care for his medical and mental problems. 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