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Home My WebLink About12-20-13 (2) <_=' �a . cQ �...' � cm-� � �a � '� c� tr.+ � ;T, —. _ �-� c.n -'R R� ;� r� �_� e } ANNUAL REPORT OF � �, r�' �`' ��`' ' ' o ��a �� . L� � GUARDIAN OF THE PERSON ��"} �; ,:; --�� `' �. � -;> <�� , ---�' . � . ; _ ._. .. ,, , ,;_... ._ . .:, _, . . � �.,�> �: � ; ,.,� `�;� "_� � � �=A COURT OF COMMON PLEAS OF ' u�' �' CUMBERLAND COUNTY,PENNSYLVANIA ORPHANS' COURT DIVISION Estate of Mildred M. Sitlinger , an Incapacitated Person No. 11-0976 I. INTRODUCTION Janell R.House ,was appointed �Plenary�Limited Guardian of the Person by Decree of Honorable M.L.Ebert,Jr. _r.� dated December 2.2011 � A. This is the Annual Report for the period from December 1 2012 to November 30 , 2013 (the"Report Period");or� � B. This is the Final Report for the period from to (the"Report Period"),and is filed for the following reason: 1. The death of the Incapacitated Person. Date of death: 2. The Guardianship was terminated by the Court by Decree of J.,dated For a Final Report,omit Sections II through I v Form G-03 rev.10.13.06 Page 1 of 4 Estate of Mildred M. Sitlinger ,an Incapacita.ted Person II. PERSONAL DATA Age of the Incapacitated Person: 84 Date of Birth: October 8th, 1929 III. LIVING ARRANGEMENTS A. Current address of the Incapacitated Person: 413 Park View Drive Harrisburg,PA 17110 B. The Incapacitated Person's residence is: ❑own home/apartment �nursing home ❑boarding home/personal care home ['�Guardian's home/apartment 0 hospital or medical facility m relative's home(name,relationship and address) Mary J. Anthony,Daughter 34601 Dagsboro Road; Salishury,MD 21804-2178 Q other: C. The Incapacitated Person has been in the present residence since June 27,2012 . If the Incapacitated Person has moved within the past year, state prior residence and reason(s)for move: F�c-o3 rev.10.13.06 Page 2 of 4 Estate of Mildred M. Sitlinger , an Incapacitated Person D. Name and address of the Incapacitated Person's primary caregiver: Mary J. Anthony 30601 Dagsboro Road Salisbury,MD 21804 IV. MEDICAL INFORMATION A. The major medical or mental problems of the Incapacitated Person are as follows: See attached copies from primary care Doctor B. Specify what, if any, social,medical,psychological and support services the Incapacitated Person is receiving: See attached copies from primary care Doctor V. GUARDIAN'S OPINION A. It is the opinion of the Guardian of the Person that the guardianship should: m continue �be modified �be terminated Form G-03 rev.10.13.06 Page 3 of 4 Estate of Mildred M. Sitlinger an Incapacitated Person The reasons for the faregoing opinion are: B. During the past year,the Guardian of the Person has visited the Incapacitated Person 4 times with the average visit lasting $ hours, minutes. The report of a social service organization employed by the Guardian to oversee and coordinate the care nf the Incapacitated Person for the period covered by this Report may be attached to supplement this Report. I verify that the foregoing information is correct to the best of my knowledge, information and belief; and that this Verification is subject to the penalties of 18 Pa. C.S.A. § 4904 relative to unsworn falsification to authorities. December 16,2013 Date Signa e ojGuardian of the Person Janell R. House Name of Grrardirm ojthe Person(type or print) 413 Park View Drive Address Harrisburg,PA 17110 Ciry,SYate,Zip 717-979-4208 Telephone Form G03 rev.I0.13.06 Page 4 of 4 Progress Notes SITLINGER,MILDRED � Patient ID: 11222 DOB: 10/08/1929 Age: 84 yeazs Gender: F 11l21/2013 Date: 11/21/13 : Q9:55am Titie: Office Visit Primary Care Practice: JOY MADARANG-LEWIS, M.D. JOANNA FRE/DBERG, C.R.N.P. MEGHAN EAST, PA-C 1405 S. D/VISION ST. SALISBURY, MD 2f 804 PHO.ME: 410-546-2?1�5 FAX: 410-546-2362 Patient Information: MILDRED SITL.INGER DOB: 10/OS/29 30601 DAGSBORO ROAD SALISBURY, MD 21804 Provider this office visit:�oy N�adarang-Lewis, MD SUBJECTIVE: MILDRED SIT!INGER is a 84 year old white female who presents for 6 month follow-up appointment. History,chart, last office visit, tests/reeords reviewed and compared. Patient presents witn the following problem/s and or concern/s: Foilow up blood work: HTN, h�•nar�iG��:iamia and der*�entia. Labs: FBS=106,GFK=o4, i-ig=-t�1.6. She is demented and is a poor histori�n. Pt is brought in today by her caregiver, Crystai: She says patient has 24 hr/7 day care. She iives with daughter. Case discussed with daughter,Mary,during ov. PYs daughter is concemed about her right hand she has 3 fingers that don't move and she is developing sores where she keeps her hand shut. Daughter has firied rolling u�a wash Goth an.t lettirig her hold it but, it ends up hurting the pt. Patient says stie feeds hersr�if and daughter says she ea�s things like chicken nuggets. No fevers,chills, cough or cold. No shortness of hreath ur chest pains. , No GI or GU complaints. Caregiver said she has nei iost weight They do not think Aricept neecis to be increasc�i sinc��daughter thinks she may have trouble keeping it down(?) No nausea ar vomiting. Patient is total transfer. Review Of Symptoms: Except for Pbc�•n Constitutional: negative Eyes:negative Ears, Nose, Mouth,Thr��t: nE.�ati��e Cardiovascular:neyative Respiratory: negative Gastrointestinal: negative Genitaurinary: negative Musculoskeletal: negative Printed On: 12/10/2013 Page: 1 of 4 Progress Notes SITLINGER,MILDRED ' Patient ID: 11222 DOB: 10/08/1929 Age: 84 years Gender: F 11/21/2013 Skin and/or breasts: negative Neurologicai:negative Psychiatric: negative Endocrine:negative Hematologic/Lymphatic: negative Aliergic/Immunologic: negative Medicai History: Current Medications: Rx: RISPERIDONE 0.51viG 1 TAB three times daily-days, 270, Ref: 3 Rx: ASP!RIN EC 325Mr 1 ?/�� cncs dai!y -days, , Ref: Q Rx: CITALOPRAM HYDROBROMIDE 20MG 1 TAB once dai(y-days, 90, Ref: 3 Rx: LOPRESSOR 50mg 1 tab q hs-days, 90, Ref: 1 Rx: LASIX 20MG 1 TAB twice daily PRN -days, 120, Ref: 3 Rx: DONEPEZIL HCL 5MG 1 TAB AT BEDTIME -days, 90, Ref: 3 , Ailergies: N KDA Procedure: LIST OF CURRENT MEDICATIONS (INCLUDES PRESCRIPTION OVER-THE � G8427 Patient prefsrs speaking English Clinical Elements: Smo�cing: none �P3$ Clinicaf Elements: Alcohal: nane tP3$ OBJECTIVE: Insert Vitals from today: BP=138/72, PR=64,reoular RR=18 TEMP=97.8 F, NEIGHT=, WEIGHT=138 IbS Vitals taken by: Ashley P�oG�durP� Most�ecent ��tolir, bl�e�i prFSS�!fe < �4�J mmHG : G8752 Procedure: tJlost recent cliasfolic blood pressure < 9Q mmHG : G8754 General: Well appearing,well nourished in na distress. Heart: RRR, no murmur or gallop. Normal 51, S2. iJo S3, S4. • Lungs: GTA bilaterally, no wheezes, rhonchi: rales. Breathing unlabored. Extremities: No deformities,cfubbing,cyariosis, or edema. Musculoskeletal� in wheelchair, +OA, +contracture right hand Labs andlor Tests/Repores: MOST RECENT BASIC METABOLIC PAiVEL: SODIUM: 141 on 11/15/2013 POTASSIUM:3.8 an 11I15l20'3 CHLORIDE: 107 on 11/15/2013 CO2:30 on 11/15/2013 BUN: 19 on 11/15/2013 CREAT:0.84 on 11I15/2013 GLUC, RANDOM: 105 on 09/19/2012 CALClUM:9.3 on 11/15/2013 , Printed On: 12/10/2013 Pa�e: 2 of 4 ra�ent iu: �� DOB: 10/08/1929 • Age:��year GEn�lEr:F 11/21/2013 MOST RECENT GFR: � MOST RECENT HEPATIC PANEL: ALBUMIN:3.9 on 11/15/2013 GLOBULIN:3.1 on 11/15/2013 A/G RATIO: 1.5 on 09/19/2012 ALT(SGPT):8[-Date] AST(SGO�: 16[-Date] ALK PHOS:63 on 11/15/2013 BILIRUBIN TOTAL: 1.0 on 11/15/2013 MOST RECENT LIPID PANEL: MOST RECENT HEMOGLOBIN A1G: MOST RECENT THYROID TESTING: TSH: 1.020 on 09/19/2012 MOST RECENT CBC: WBC:6.7 on 11/15/2013 RBC: 3.93 on 11/15/2013 MCV:89 on 11/15l2013 MCN:29.6 on 11/15/2013 RDW: 13.3 or 11/15/2013 HGB: 11.6 on 11/15/2013 HCT:34.7 on 11/15/2013 PLK-i ELE 15: 193 on 11/15/2013, MOST RECENT URINALYSIS: , MOST RECENT MICROALBUMIN/CREA: INSERT M(�ST RECENT STOOLS OB: !PlSE4T F:?C�T REGE�lT�TC�)LS OE: INSERT MOST RECENT PSA: �NSERT MOST RECENT VIT D: ASSESSMENT: �iagnosis: UNSPECIFIED cSSENTIAL HYPERTENSIO�J .40�.� Diagnosis: SENILE DEMENTfA UNCOMPL�CATED :290 Major Probtem: OSTEOARTHRITIS: 715.00 Diagnosis: JOINT CONTRACTURE r�IGHT HP,ND: 718.44 Diagnosis: OTHER ABNORMAL GL : 79�.29 Other Problem: RENAL INSUFFICIENCY: b88.9 PLAN: Patient Education: Y Printed On: 12/10/2013 Page: 3 of 4 Progress Notes SITLINGER, MILDRED ' Patient ID: 11222 DOB: 10/08/1929 Age: 84 years Gender:F 11/21/2013 Exercise:Advised to engage in regular aerobic physical activity such as brisk walking (at least 30 minutes per day, most days of the week) if possible. Medications: Continue current medications as directed with the following changes: Decrease Lasix 20 mg 1 q day if needed. Labs: Check the following labs: Complete Metabolic Panel, Lipids,CBC,TSH, U/A , hemog�obin A 1 C before next appointment. Immunizatio7s: A�uit lmmunza'ion Schedule discussed and advised nfluenza vaccination requested today. Patient denies URI symptoms, denies fever, chills. Patient denies any prior problems with flu vaccine administration. Qiscussed with patient the risks and benefits of flu vaccinatior?. Patient understands and agrees to accept potential risks and benefits of such treatment. Procedure: Admin. Flu: 90471 Procedure: Flu vaccine:90658 Health Maintenance: �nfluenza vaccine X Administered by: Brooke Influenza vaccination injection given in the left deltoid . Dose: 0.5ML Lot#: HK75L Manufacturer: GLAXOS�,AITHKLINE Vaccination information sheet given to patient. Refer: Referral to Physicai TherapyAquacare/Jaunita �-.,_�__.,., �..,�,..... ,. �, � Ja.l�a.U41G�VIINW'lt+.i. v il lti�IU IJ - '- ' '� " ' . - - .`_._. . PQRI DOCUMENTATION: Patient encounter documented using CCHIT certified EMR-PracticePartner. Procedt�re: Office Visit LeV=�4 : 99?14 Rx: LASIX 20MG 1 TAB daily PRN , , Ref: 0 # SIGNED BY Joy Madarang-Lewis, MD (JML) 11/21/2013 04:03PM Printed On: 12/10/2013 Page:4 of 4 Addition comments for Annual Repart of Guardian of the Person report# 11-0976 For Mildred M. Sitlinger; V. Guardian's Opinion part B: 4 times with the average visit lasting 6 to 8 hours since she is out of state.