Crime: Man died after Orlando legal guardian filed ‘do not resuscitate’ order against his wishes, investigation finds - - PressFrom - US
  •   
  •   
  •   

CrimeMan died after Orlando legal guardian filed ‘do not resuscitate’ order against his wishes, investigation finds

16:55  15 july  2019
16:55  15 july  2019 Source:   msn.com

Trump says he is ‘thinking of’ executive order to revive census citizenship question

Trump says he is ‘thinking of’ executive order to revive census citizenship question His comments come as government lawyers scramble to find a legal path to restore the controversial query.

The case of Janet Tracey who died in Addenbrooke's hospital after family claims that a " do not resuscitate " order was put in her medical notes Adults can legally refuse medical treatment, even if that leads to their death. But the medical profession is also clear that doctors cannot be required to

Cambridge hospital and Department of Health accused of acting unlawfully by husband of woman who died .

Man died after Orlando legal guardian filed ‘do not resuscitate’ order against his wishes, investigation finds© Provided by McClatchy-Tribune Information Services

A man died at a Tampa hospital after staff could not perform life-saving procedures because of a "do not resuscitate" order his Orlando guardian filed against his wishes, state investigators determined.

The investigation into the final days of 75-year-old Steven Stryker of Cocoa caused Circuit Judge Janet C. Thorpe to seek the removal of his court-appointed guardian, Rebecca Fierle, from 98 Orange County cases at once in a hearing sealed from the media last week.

Thorpe found Fierle had "abused her powers" by requesting that incapacitated clients not receive medical treatment if their heart or breathing stopped - without permission from their families or the court, records show.

Kraft sends well wishes to Bruschi

Kraft sends well wishes to Bruschi Patriots owner Robert Kraft sent a “get-well-soon” message to former Patriots linebacker Tedy Bruschi. 

Gordon contacted the Guardian after it published David Tracey's allegations that medical staff at The ombudsman's office decided there would be no full investigation into the trust's actions as its The trust regularly audits ' do not resuscitate ' decisions. "The audits showed that on the wards visited, 70

Do - Not - Resuscitate Orders . For the elderly or ill, a DNR order can help ensure death with dignity. DNR orders affect only resuscitation of someone who has stopped breathing or has no heartbeat. Your doctor should be able to provide the paperwork. You can find many states’ forms (Illinois, New

Guardians are court-appointed decision-makers for minors and adults with mental and physical disabilities, known as wards.

The investigation into Fierle was done by the Okaloosa County Clerk of Circuit Court and Comptroller, part of the Clerks' Statewide Investigations of Professional Guardians Alliance. The Orlando Sentinel obtained a redacted copy of the report from the investigation, written by Andrew Thurman, an auditor and investigator under the Okaloosa Clerk's inspector general department.

Man died after Orlando legal guardian filed ‘do not resuscitate’ order against his wishes, investigation finds© Provided by McClatchy-Tribune Information Services

The investigation concluded that Fierle refused to remove the DNR despite Stryker's desire for life-saving actions, and that her claims about his final wishes contradicted his daughter, friend and a psychiatrist.

Judge signs order permanently blocking citizenship question from 2020 census

Judge signs order permanently blocking citizenship question from 2020 census A federal judge in New York on Tuesday signed an order permanently blocking the Trump administration from adding a citizenship question to the 2020 census, days after President Trump gave up on his efforts to get such a question on next year's census.The order, signed by Judge Jesse Furman, was jointly drafted by the parties opposing the citizenship question.It stops administration officials "from including a citizenship question on the 2020 decennial census questionnaire; from delaying the process of printing the 2020 decennial census questionnaire after June 30, 2019 for the purpose of including a citizenship question; and from asking persons about citizenship sta

His pupillary reflexes at the end of resuscitation were found to be intact. Because of the timely intervention, the patient could be resuscitated in the controlled Truog RD. “ Do - not - resuscitate ” orders during anaesthesia and surgery. The Sunday Guardian , New Delhi: 5 November 2017 http

Man dies after swimming with new tattoo. Tattoos, while clearly administered with a patient's wishes , aren't legally binding, and are usually considered Ultimately, a do not resuscitate order was issued, and the man died . The authors of the study said they were "relieved to find his written DNR request

Man died after Orlando legal guardian filed ‘do not resuscitate’ order against his wishes, investigation finds© Provided by McClatchy-Tribune Information Services

"The ward had never previously expressed a desire to die, and it seems unlikely that, as soon as he was appointed a guardian, he would suddenly be unwilling to tolerate a condition that he had been dealing with for many years," investigators wrote.

Fierle and her attorney did not immediately respond to requests for comment. Ahead of the hearing Thursday, attorneys for Fierle tried to have Thorpe disqualified from the cases, arguing the guardian has "a well-founded fear that she will not receive a fair trial or hearing," according to court records.

The investigation began after Stryker's daughter, Kim Stryker, submitted a complaint to the Ninth Judicial Circuit on May 9 alleging that Fierle refused to remove a "do not resuscitate" order she had placed on Steven Stryker despite his expressed desire to live, court records show.

'Bachelorette' Creator Mike Fleiss Under Criminal Investigation for Domestic Violence

'Bachelorette' Creator Mike Fleiss Under Criminal Investigation for Domestic Violence Hawaii Police Investigating 'Bachelor' Creator For Domestic Violence

" Do Not Resuscitate " is the 15th episode of the HBO original series The Sopranos and the second of the show's second season. Written by Robin Green, Mitchell Burgess, and Frank Renzulli, and directed by Martin Bruestle, it originally aired on January 23, 2000. James Gandolfini as Tony Soprano.

A legal guardian is a person who has the legal authority (and the corresponding duty) to care for the personal and property interests of another person, called a ward. Guardians are typically used in three situations: guardianship for an incapacitated senior (due to old age or infirmity)

Stryker's daughter also alleged Fierle moved her father to multiple assisted living facilities that were unable to care for a chronic condition that made it difficult for him to swallow, which put him at a "great risk of aspirating."

"My father was appointed the guardian Rebecca Fierle last year by this court and I have serious concerns about the care he is getting under her guardianship," Kim Stryker wrote in an email to the court. "His guardian has insisted on including a DNR (Do Not Resuscitate) order on his medical records, despite his vocal opposition. He is doing much better and is quite lucid and extremely upset that this woman has full control over his medical and financial records."

Man died after Orlando legal guardian filed ‘do not resuscitate’ order against his wishes, investigation finds© Provided by McClatchy-Tribune Information Services

The complaint was forwarded to the Office of Public and Professional Guardians (OPPG), a division of the Florida Department of Elder Affairs, according to the records obtained by the Sentinel. Although the ward's name and several passages were redacted from the report, Kim Stryker and a friend of her father's who was involved with his medical care confirmed to the Sentinel that he is the ward referenced in the report.

'The Hills' Star Audrina Patridge Accuses Ex Corey Bohan of Domestic Violence, Granted Restraining Order

'The Hills' Star Audrina Patridge Accuses Ex Corey Bohan of Domestic Violence, Granted Restraining Order The reality star rushed to court.

Support The Guardian . Available for everyone, funded by readers. But not nearly as embarrassing as president who can’t distinguish his friends from his foes. Edu, the former Arsenal player, has been appointed to oversee the club’s long-term vision but will find a squad in urgent need of quality in key

Latest news, sport, business, comment, analysis and reviews from the Guardian , the world's leading liberal voice. Support The Guardian . Available for everyone, funded by readers.

Steven Stryker, a Navy veteran, died four days after the complaint, on May 13 at St. Joseph's Hospital in Tampa.

When investigators interviewed Kim Stryker on July 2, she said Fierle told her a week before her father's death that keeping the DNR in place was a "'quality of life, rather than quantity' matter," the investigative report said.

"[The daughter] believed that if not for Fierle's actions, her father would still be alive," investigators wrote.

Linda Lanier, who was Steven Stryker's friend and health-care surrogate, told the Sentinel that he gave her durable power of attorney over him if he became incapacitated.

"Steve was capable of making his own decisions," she said. "He made all of his decisions. I was just there for backup."

Fierle was appointed Stryker's guardian after Florida Hospital Orlando, since renamed AdventHealth Orlando, petitioned the court in August 2018 for an emergency guardian while Stryker was a patient there because "the alleged incapacitated person is unable to make decisions that would be safe and reasonable for his plan of care, and is not able to effectively manage his finances," court records show. In the same motion, Florida Hospital Orlando recommended Fierle as a guardian for Stryker.

Lanier told investigators Steven Stryker was hospitalized several times due to chronic health conditions. In order to eat solid foods, he periodically required a procedure known as an upper endoscopy, Lanier said.

Deputies: Stolen car found in flames on I-4 ramp in Orlando, man arrested

Deputies: Stolen car found in flames on I-4 ramp in Orlando, man arrested Authorities arrested a man they said was driving a stolen car that was found in flames on I-4 on Sunday. Orange County deputies said information from the Osceola County Sheriff's Office about a stolen car headed into the county led them to a vehicle engulfed in flames near the Highway 408 off-ramp. Officials said Mariano Martinez fled but was tracked down by a K-9 unit. Deputies said Martinez is facing felony charges. READ MORE:Deputies: Stolen car found in flames on I-4 ramp in Orlando, man arrested CHECK OUT WESH:Stay in the know with the latest Orlando news, weather and sports. Get the top stories and all the scores from the team at WESH.

Support The Guardian . Available for everyone, funded by readers. You do not normally have to follow their wishes but if they had a pre-paid funeral plan, you do You can find a funeral director at the National Association of Funeral Directors or the Society of Allied and Independent Funeral Directors.

Attorneys for family of Jonathan Sanders say state medical examiners found he died through homicide by manual asphyxiation.

Stryker was scheduled to undergo the procedure a few weeks after the day he died at St. Joseph's Hospital, where he was receiving in-patient care, according to the report.

Investigators interviewed Kirtikumar Pandya, a licensed psychiatrist who examined Stryker at St. Joseph's Hospital and told them he was "concerned" about the "do not resuscitate" order filed by Fierle.

"While he acknowledged that the ward did not have the capacity to make all decisions, Dr. Pandya believed that he had the ability to decide that he wanted to live," the report said. "Dr. Pandya said that the ward wanted to be resuscitated and wanted to be alive."

Pandya told investigators Fierle's reasons for filing the order were "not rational" because Stryker's condition is generally not considered terminal, so he requested that the hospital rescind the DNR and order an ethics consult.

When investigators interviewed Fierle, she told them it was difficult to find facilities for Stryker because he was a registered sex offender for lewd exhibition. Investigators found that Fierle had moved Stryker to various assisted living facilities that did not meet his needs for care or supervision, resulting in multiple hospitalizations.

"Even though it was difficult to find a facility willing to accept him due to his sex offender status, as court-appointed guardian, it remained Fierle's responsibility to ensure the ward's medical care needs were met," the report said.

Man died after Orlando legal guardian filed ‘do not resuscitate’ order against his wishes, investigation finds© Provided by McClatchy-Tribune Information Services

When asked about the DNR she filed on Stryker, Fierle gave investigators the same response she gave his daughter: it was "an issue of quality of life rather than quantity."

1-day-old baby left on doorstep of Orlando apartment, police say

1-day-old baby left on doorstep of Orlando apartment, police say Clive Petgrave awoke Saturday to Orlando police knocking at his door. Officers were notifying him of a shocking discovery made on the doorstep of his Willow Key apartment -- a one-day-old baby boy.

A legal guardian assumes many of the responsibilities of a legal parent, including basic provisions such as food and housing. Guardians can also ask a court to be relieved of his or her guardianship , at which point the court will appoint a new guardian .

Mendez, who runs the UN office that investigates incidents of alleged torture around the world, told the Guardian : "I conclude that the 11 months under conditions of solitary confinement (regardless of the name given to his regime by But the Pentagon's arguments did not impress the special rapporteur.

"Fierle stated that she discussed life-saving care with the ward and that he agreed to the DNR being in place," investigators wrote. "She also stated that this was common for her and that she files DNR for wards regularly."

Fierle told investigators she had attended an ethics consultation at St. Joseph's Hospital, but she decided to keep the DNR order on Stryker.

"The meeting determined that because she was the court-appointed guardian, she had the authority to decide on end of life care and life-saving procedures, and the DNR remained in place," the report said.

Lanier, who said Fierle refused to let her visit her friend, said Stryker choked to death.

"He knew everything that was going on," she said. "He was lucid."

Investigators tried to interview the hospital's case manager and the physician who pronounced Stryker dead, but the case manager was told by the hospital not to speak with them, and the physician did not return messages left with his office staff, the investigative report states.

Medical records confirmed hospital staff did not perform "life-saving procedures" on Stryker because of his guardian's order, investigators said. A spokeswoman for St. Joseph's Hospital said they could not immediately comment on Stryker's case because the Health Insurance Portability and Accountability Act requires patients' consent to discuss anything about their care.

"The note in the records written upon the Ward's death, and digitally signed by the pronouncing physician, indicated that they did not perform life-saving procedures due to the DNR in place," the investigative report said.

Lanier said neither she nor Kim Stryker were informed that Steve Stryker had died until Lanier sent flowers to her friend at the hospital with a note telling him Fierle had agreed to give up guardianship of him. A nurse informed her of his death.

Orlando police investigating deadly shooting

Orlando police investigating deadly shooting A man was shot and killed late Sunday at a gas station in Orlando, police said. Officials with the Orlando Police Department said officers were called just after 11:30 p.m. to a 7-Eleven at the intersection of Kirkman and Vineland roads. Police found a man suffering from a gunshot wound at the scene. The man was pronounced dead at a hospital. The name of the man killed has not been released. Investigators said the shooting is an isolated incident and they are working to identify the people involved. Police are asking anyone with information on the shooting to call Crimeline at 800-423-TIPS.

After 150 years of resisting and repelling the outside world, the church found itself engaging with it 2,000, 2,500 years … if the people in this room, the people in the church, do not … fight for our beliefs against this new It is this tiny passage that has united all the other rebellions against his authority.

"She's an evil person. ... How many other people did this happen to?" Lanier said.

The investigative report included a redacted email from Kim Stryker to Fierle on May 15 with the subject line, "My father is dead."

"Were you even going to tell me?" Kim Stryker asked in the email. "My family wants to know what is being done with my father's remains. He had specific instructions and preparations made, which you will no doubt ignore."

Fierle told Kim Stryker that she assumed a hospital case manager had let her know of her father's death.

"Any final arrangements can be handled by you and your brother," Fierle wrote. "That is not a task I handle if there is family. The funeral home of your choice can send an invoice to my office for payment from the funds I have in the guardianship account."

The report alleges Fierle violated several OPPG standards, including requiring people determined incapacitated retain the right to be "treated humanely, with dignity and respect, and to be protected against abuse."

"During our interview, Fierle stated that placing DNR orders for her wards is common and something that she does frequently," the report said. "Because she did not petition the court for approval to place the DNRs, and these records are not generally maintained in the guardianship case files, we do not currently know the extent to which Fierle's current or former wards may be affected."

Investigators also alleged Fierle's decision to file a DNR order against the ward's wishes amounted to "the removal of care necessary to maintain the ward's physical health" and cited criminal statues. Fierle is not currently facing criminal charges in connection with Stryker's death or her handling of other wards.

"The removal of this necessary care directly resulted in the ward's death," investigators said in the report. "Fla. Stat. states 'A person who causes the death of any elderly person or disabled adult by culpable negligence ... commits aggravated manslaughter of an elderly person or disabled adult, a felony of the first degree.'"

Kim Stryker said her father was charming, intelligent, funny and worked for the U.S. Environmental Protection Agency but also struggled with alcoholism, bipolar disorder and post-traumatic stress disorder from his time in Vietnam. She said she thinks Fierle should never be appointed as a guardian to anyone else, she said.

"She had a responsibility she neglected. ... But it's not enough to just get rid of Rebecca," Kim Stryker said. "I want to see the powers that be really examine the system because I think there's no way to pull the emergency brake on guardianship if the system is bad."

The statewide alliance of clerks' offices responsible for the investigation into Fierle is overseen by Anthony Palmieri, deputy inspector general and chief guardianship investigator for Palm Beach County Clerk and Comptroller Sharon Bock. Bock started a program in her office investigating guardianship fraud about a decade ago.

"I was becoming concerned over the number of cases that were being filed in the guardianship realm," Bock said. "At the same time, I was becoming aware of the immensity of the problem due to the fact that there was so little oversight and so little monitoring of the guardian."

Bock said Fierle's case has a "far-reaching effect" into different Florida counties besides Orange County. The alliance has an ethical obligation to refer any alleged criminal conduct to the proper law enforcement, she added.

"One aspect I believe people don't fully understand is the powers that we give to a guardian," Bock said. "It only stands to reason that there must be a check and balance system so the guardian always acts in the best interests of the ward. The majority of guardians do, but when they don't, it's egregious like this case. We have a ward, who against his wishes, died."

mcordeiro@orlandosentinel.com or 407-420-5774.

Read More

Orlando police investigating deadly shooting.
A man was shot and killed late Sunday at a gas station in Orlando, police said. Officials with the Orlando Police Department said officers were called just after 11:30 p.m. to a 7-Eleven at the intersection of Kirkman and Vineland roads. Police found a man suffering from a gunshot wound at the scene. The man was pronounced dead at a hospital. The name of the man killed has not been released. Investigators said the shooting is an isolated incident and they are working to identify the people involved. Police are asking anyone with information on the shooting to call Crimeline at 800-423-TIPS.

—   Share news in the SOC. Networks

Topical videos:

usr: 3
This is interesting!