HomeMy WebLinkAbout02-01-12r
- _ _ _ _ _
/ D ~ ~( Y
/""-~~~,,~ CUMBERLAND COUNTY
~ AGING & COMMUNITY SERVICES
~~~ 1100 CLAREMo1VT ROAD, CARLISLE, PA 17015
~.,, (717) 24b-6110 OR 1-888-697-0371 ExT 6110
FAx: (7]7) 240-6118
One Team ...One Minion Gary Elchelberger
Chairman
FINAL GUARDIANSHIP REPORt
FOR PHILIP MESSINGER
Richard L Rovegno
January 31, 2012
Report from Guardian of Person and estate `- ; ~_
Cumberland County Aging and Community Services m ~'
Priscilla Whitman, Aging Care Manager 3 ~ ' '•`= " ~~~
On June 15, 2010 Judge Guido appointed the Cumberland County Aging w =~
Community Services as the Permanent Plenary Guardian of Iverson and E~fa~e of Pbilip
Wayne Messinger. Following the hearing he returned to the ~hippensburg Health Cie
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 v~rith hypertension,
cardiovascular disease, atrial fibrillation, dementia, anemia, Type 2 diabetes, and
ambulation dysfunction. He seemed to adapt well except for bleeping 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 attended activities and especially elnjoyed morning exercise,
games, cooking activities and picnics. He was one person assist for all ADL's with
extensive assistance with dressing. The nursing home staff ~vnitors 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's, 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 tryf to increase his leg
strength, gait and transfers. Wayne continued to be seen by h'im 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 asse$sed by the speech
therapist to check his ability to chew and swallow; his position; and any assistance he
EMAIL US AT aging@ccpa.net OR VISIT OUR WEBSITE AT wwtv,ccpa.net/aging
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may need. He was later fitted for a brace that helps him sit up straighter and was given
a different wheel chair.
In September a meeting was held with the Shippensburg Health Center to discuss
Wayne's condition. A representative from Odyssey Hospice Hras also present. Wayne is
losing weight and generally becoming weaker overall and is in pain most of the time.
The recommendation was for Hospice to become involved because of his extensive
health issues and the fact that he is not comfortable. He had ICHF, hypertension,
shortness of breath and general overall pain. He was also being treated for bronchitis at
that time. Hospice was started and they were checking into his nutrition, adaptive
utensils, were there when he ate a meal to assist and provided personal care and
chaplain services. After consulting with our nurse, we authorized a "Do not resuscitate"
order with comfort measures
In November his health started to decline rapidly. He became very anxious and restless.
When our worker visited on December 20, 2011 she was notified that he was
experiencing regular periods of apnea where he was not breajthing for several seconds
at a time. We were notified that Wayne passed away around lam on Christmas
morning.
ESTATE
Pre-funeral arrangements had been set up to be automatically withdrawn from his
checking account by the Community Services Program, a MR program in York County
which was responsible for Wayne prior to his coming to Shippensburg Health Center.
We were assured by the Kuhner Associates Funeral Directors that all the expenses,
including transportation from Shippensburg to York would be covered.
Wayne received $940 in Social Security. The monthly bill frorrh the Shippensburg Health
Care Center was currently $795.08. In addition, Cumberland County Aging received a
$100 monthly guardianship fee as agreed upon by the court.
Enclosed is an Income/Expense summary
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