Friday, June 23, 2017

Elaborate scam sets up fake 'law firm' to bilk elderly

The estate planning lawyers on the website at Walsh & Padilla in Houston look like you would expect. Earnest. Well-groomed. Suits and ties for the men, pearls and pendants for the women.

There's only one problem: Walsh & Padilla doesn't exist.

The Houston Bar Association, in a lawsuit filed in state district court in Harris County, alleges that Walsh & Padilla is fictitious and its website touting estate planning, probate and other legal services is an elaborate front for a scam to fleece the elderly, including one victim who had $14,000 drained from a bank account. The attorneys in the photos look so lawyerly because they are lawyers -- except at other law firms, from where the photos were stolen. The site even includes a working phone number, with an automated answering system that patches callers through to the voice mail of top partner "Jonathan Walsh." (Calls to that number seeking comment were not returned.)

The scam involves sending letters to elderly residents in the United States and Canada informing them that they have life insurance proceeds coming to them as a pretense to gain bank account numbers and other financial details, according to court documents. The bar association on Monday obtained a court order requiring the website to shut down immediately; the bar association also said it filed a criminal complaint with the Harris Count District Attorney's Office, which declined to comment.

The scam has an unusual level of sophistication, nothing like the easy to spot email entreaties for money, said Mary Kate Raffetto, a commercial litigator at Beck Redden, who has done much of the legwork to track down the scam artists. "Someone with some know how-has done this and put this together," she said.

The website remains up as the bar association, which traced the operation to South Africa, tries to locate the web server and deliver the restraining order. "The more we investigate, you see they're trying to cover their tracks to prevent you from finding out who hosts the site," said Raffetto.

Walsh & Padilla came to the attention of the bar association recently when its president, Alistair Dawson, received a call from the Houston law firm Jackson Walker. The photo of one of its partners, Curt Langley, appeared on the Walsh & Padilla site, but over the name "Jonathan Walsh, B.A., J.D."

That was discovered by a recipient of one of the letters about life insurance proceeds who became suspicious, did a reverse search on the Jonathan Walsh photo, found Langley and notified him. "I've been telling everyone here they wanted to use someone who is good looking and has an honest looking face," said Langley.

William R. Hayes, an estate planning and probate lawyer with Hayes & Wilson in Houston, also started getting calls from Canada and discovered, much to his surprise, that his firm's website had been cloned by Walsh & Padilla. One of the calls Hayes received was from a Canadian who was contacted by Walsh & Padilla under the guise of a relative who died in Houston and left a life insurance policy of $6.2 million.

"They changed the name, put in a new (phone) number," he said, but the design, courtroom photos and even the blue/brown/gold color scheme are the same. Even the links on cloned website take visitors to the biographies of Hayes & Wilson lawyers, including Hayes and his partner Lisa Wilson, to make it look like they work for Walsh & Padilla.

"If you do enough clicking, you will find most of us on it," he said.

"Walsh & Padilla also used photos of three lawyers and one firm administrator at Allen Matkins, a Los Angeles-based real estate law firm. All the names were changed, according to the lawsuit.

"The case serves as a reminder that if something seems too good to be true it probably is," Raffetto said. If a lawyer, financial advisor or someone else says they've got money for you, she said, "Be very wary."

Full Article & Source:
Elaborate scam sets up fake 'law firm' to bilk elderly

Lawmakers continue conversation about bill to remove incapacitated elected officials

SALT LAKE CITY — As county officials prepare to use their purse strings power to help address the troubling situation around Salt Lake County Recorder Gary Ott, state leaders also are pushing forward.

The Legislature's Political Subdivisions Interim Committee voted unanimously Wednesday to create a bill file that legislators can use to create a new law to remove incapacitated county elected officials from office — and fill a "hole" in state law that provides no recourse when such situations arise.

Earlier this year, Rep. Rebecca Chavez-Houck, D-Salt Lake City, proposed a bill that would implement a three-tiered process for removal: a voter petition, a unanimous vote from the applicable governing body, and a judicial proceeding where a judge could order a medical evaluation of the public officer in question.

However, the bill was placed on hold during the 2017 Legislature, with lawmakers saying the issue needed more study, and wary that such a law could be used as a political weapon.

Previously, Chavez-Houck sponsored the bill alone. But Wednesday, Sen. Daniel Thatcher, R-West Valley City, stepped forward as a Republican backer with his own ideas of how to make such a law palatable to legislators.

Thatcher proposed a different three-part framework, where a county council or commission would have to vote unanimously to call for a mental competency exam in court. If a judge then ruled the individual to be incompetent and untreatable, the council could then vote unanimously to remove the official from office.

"This is a deep, personal issue for me," Thatcher revealed during Wednesday's meeting. "Gary Ott was one of my mentors. When I made the decision to run for office, Gary Ott was the very first elected official I sat down with. He wrote me my first donation. I love this man."

But the last time Thatcher had a conversation with Ott at a Republican event, he realized something was wrong, he said.

"After about 15 seconds of lucidity, he started yelling at me for taking his tools before (his deputy) Julie (Dole) quickly whisked him away and out of sight," he said.

Dole disputed Thatcher's story, telling the Deseret News in a text message Wednesday it "never happened."

"I've never seen Gary yell at Thatcher or yell about his tools," she said. "Matter of fact, I can't recall ever seeing Gary yell. I'll think on this more, but (I) am not recalling any situations of Gary yelling in my presence."

Thatcher told lawmakers that "in a perfect world" loved ones would help an elected official step down with grace when they're inflicted by illness, but as portrayed by Ott's story, that isn't always the case. That's why, he said, a law to address such situations is needed.

"Yes, I want to deal with the Gary Ott situation," Thatcher said. "But I also want to make sure this never happens again."

However, creating such a law might not be as simple as passing a bill.

Darcy Goddard, chief policy adviser in the Salt Lake County District Attorney's Office, told lawmakers they "would almost certainly require" a change to the Utah Constitution to create a law that wouldn't be vulnerable to unconstitutional arguments.

A constitutional amendment would require a two-thirds majority vote in both the House and Senate, and would need to be approved by voters in the next general election.

Rep. Christine Watkins, R-Price, said she could "see where this is going to be very tricky," but added that Thatcher's proposal "probably has some merit."

Rep. Val Potter, R-North Logan, said he's supportive of pursuing a new law because he worries that situations such as Ott's, while rare, have happened before and can happen again.

When he was a county council member, Potter said, "we had this very thing happen."

"We had an elected official who was not able to do her job because of cancer," he said, but the matter was resolved when county leaders "offered her an opportunity to resign."

"This does happen, and I don't think we know how many times this has happened," Potter said.

Full Article & Source:
Lawmakers continue conversation about bill to remove incapacitated elected officials

Elder abuse can take many forms besides the obvious

As waves of baby-boomers reach retirement age, it seems there has been more media coverage lately about issues that affect seniors.  One of these is the prevalence of elder abuse.  I'm not sure if it's on the rise or it's just being publicized more than it once was, due to shifting demographics.

We often think of elder abuse in terms of what we can readily observe--  physical acts committed against older people, hidden cameras revealing in-home caregivers or nursing home employees lashing out at those they've been entrusted to protect.  But there's another form that can sometimes take years to recognize and can be difficult to prosecute, but it is abuse nonetheless--  financial exploitation of the elderly.

With my parents recently retired, I've been on the lookout for information about how to improve quality of life for the 65+ population.  That's why yesterday's Tribune article about a Blue Island car dealership allegedly taking advantage of an 85-year-old customer caught my attention.

Her son says his mother, June Shivers, dropped off her beloved 2005 Lincoln LS one day for some repairs.  She came home later that afternoon with a 2014 Ford Fusion and a six-year payment plan at about $400 per month.

It appears that she thought the dealership was giving her a "loaner" car to test-drive for a couple days while the Lincoln was in the shop.  Concerned, her son called the dealership after his mother's friends told him, "I think they're trying to sell your mom a car."  The dealership assured him she was just going to take it for a test drive, but when she got home, he found documents in her possession, bearing her signature, that suggest otherwise.

She's since filed a lawsuit against the dealership and the bank that provided the financing.  Her son says she wasn't given a fair trade-in value for the Lincoln; she got a $600 credit when a fair one would have totaled at least $2,000.  He also claims that his mother has been having problems with her memory and was not in a position to make the transaction.  He believes the dealership took advantage of her.

The Blue Island business, however, asserts that they had seen June Shivers several times over the years, and that they didn't notice any signs that she was having cognitive difficulties.  The car has since been repossessed, and she's still on the hook for what's left of the loan, more than $10,000.

It's not clear what happened here.  It seems odd that she would trade in a vehicle that she loved, when it was fully paid for, and take on a purchase that would leave her in so much debt.  Unfortunately, it appears that her family hasn't provided any documentation of her memory problems, which would help their case.  Still, something doesn't add up.

Her son alleges she didn't know what she was signing when she provided her John Hancock on the forms that finalized the sale, and that she never would have given up her Lincoln.

Cases like this remind us to keep tabs on our older loved ones.  It's bad enough when businesses take advantage of them.  And there are the numerous phone scams where some unknown individual contacts them to tell them their child needs to be bailed out of jail or that they must support a particular cause.  Too often, the elderly victims send money or provide bank account information, their assets are taken, and by the time law enforcement can get involved, it's usually too late to recoup the losses.

What's especially troubling is that fraud often takes more subtle forms, and the older person is exploited by some one he or she knows and trusts.  The New York Times reports that, in many cases, the guilty parties are the victims' own friends or family members.

They may seek access to the older person's home or bank account, stealing small amounts at a time so as not to call too much attention to themselves.  Those with dementia and similar problems are especially vulnerable, because they're less likely to recognize what's happening.  Yet they can be cheated out of their entire life savings, sometimes even losing their homes, too.

It can appear that they consented to the withdrawals or willingly gave away valuable possessions since they readily provided access to their assets, when in reality they didn't know they were being fleeced of everything they had.

Many instances of abuse go unreported.  Authorities may be reluctant to get involved, thinking it's a "family matter."  But as increasing numbers of well-off Americans reach their golden years, there's been a resounding call in many states and locales to put stiffer penalties on the books for those who take advantage of this population, and several jurisdictions have taken measures to crack down on elder exploitation.

In 2010, the federal government passed the Elder Justice Act to raise awareness of  financial crimes committed against older people, and to encourage reporting of cases of exploitation.

Greater awareness and tougher legislation are definitely in order.  It's also important for the families of exploited individuals, when reporting such cases, to provide relevant medical information if their loved one has memory loss.  Doing so makes it easier for a judge, jury, or police officer to understand how the victim could easily be taken advantage of.

Meanwhile, keep an eye on your older loved one.  If they mention that they've recently turned over the keys to their home or granted power of attorney to some one you wouldn't expect or don't trust, don't be afraid to ask questions and dig deeper.  If the person in question is not doing anything suspicious, they should be willing to be transparent about their relationship to your loved one, and should understand why you're concerned.

If fraudulent activity is going on, then you can intervene early, before your loved one's entire livelihood is lost, and the criminal can hopefully be brought to justice before any more damage is done.

Full Article & Source:
Elder abuse can take many forms besides the obvious

Thursday, June 22, 2017

LifeTime Resources Receives Grant for Volunteer Guardianship Program

Dearborn County Hospital
(Lawrenceburg, Ind.) – Thanks to a monetary donation by Dearborn County Hospital and the support of Circuit Court Judge James Humphrey, LifeTime Resources was recently awarded a grant to better assist seniors and incapacitated adults in Dearborn County.

Monies derived from the $50,000 Volunteer Advocates for Seniors or Incapacitated Adults (VASIA) grant, awarded by the Indiana Supreme Court, will be combined with Dearborn County Hospital’s donation of $12,500 and additional funding to help maintain and operate a volunteer guardianship program.

As a requirement to receive a VASIA grant, applicant programs must have a commitment from one or more entities in their service area to provide matching funds.

Designed to address temporary and/or emergency guardianship needs, the program, operated by Sentry Services and administered by LifeTime Resources, will serve as a guardian/representative payee for seniors or incapacitated adults whose family and/or friends are either unable or unwilling to assume the responsibility. The intent of the program is to assure that the rights and interests of all seniors and incapacitated adults are protected under the full extent of the law.

The VASIA grant will also allow for the program to expand its scope of services for seniors and incapacitated adults through the use of volunteers. The program will utilize volunteers to provide various forms of assistance such as calling and/or visiting the individual; escorting them to healthcare appointments; helping them apply for benefits; and other appropriate activities or duties.

For more information on the program and its services and requirements, please contact Sentry Services at LifeTime Resources by calling (812) 432-6220.

Full Article & Source:
LifeTime Resources Receives Grant for Volunteer Guardianship Program

Couple charged with abuse of elderly woman

Josh Lane
GREENEVILLE, Tenn. - Two people in Greeneville have been charged with abuse after police say an elderly woman was locked outside of her home-- away from her oxygen.

Around 11:00 a.m. on Sunday, officers responded to an anonymous complaint to check the welfare of an elderly woman on the front porch of her home on Cherry Street.

The victim says her son, Josh Lane, and his wife, Brandy Ragan, locked her out of the house because she woke them up.

The victim also said they nailed the windows shut and padlocked the door to keep her from gaining entry to her oxygen machine.

She went on to say she had been without her oxygen for three days.

Lane and Ragan are both charged with willful abuse and neglect or exploitation of an adult.

Ragan is also charged with an outstanding violation of a probation warrant.

The police report said the incident was drug related.

Officials have not released a photo of Ragan yet.

Full Article & Source:
Couple charged with abuse of elderly woman

Maine's Aging & Disability Resource Center (ARDC)

It can be overwhelming to try to understand your options for in-home, community-based and long-term supports and services. Maine’s Aging and Disability Resource Centers (ADRCs) are here to help!

ADRCs provide answers to questions about aging and disability resources in Maine. ADRC staff are knowledgeable on a wide range of issues and can help you find the resources you need.

ADRC resource experts have designed this site to help you find your own way to the right resources. Click “Explore Your Options” to get started. If you don’t find what you need or need more help, call 1-877-353-3771.

Maine Aging and Disability Resource Center

Click to read Maine's "Elder Rights Handbook" or to order a copy of the handbook

Wednesday, June 21, 2017

FBI joins probe of trust company accused of taking clients’ funds

The FBI has joined the investigation into the alleged diversion of millions of dollars in assets, including clients’ Social Security deposits, held by the Desert State Life Management trust company in Albuquerque for elderly and mentally or physically incapacitated clients.

The FBI on Thursday filed a petition seeking the civil forfeiture of two properties owned by Desert State CEO Paul Donisthorpe and his wife, Liane Kerr.

The allegations contained in the 17-page petition contend Donisthorpe engaged in an illegal scheme to defraud the clients of his nonprofit trust company, conducting “financial transactions involving the proceeds of that scheme in a manner so as to conceal the nature, source, location, ownership or control of the proceeds of that scheme to defraud,” all in violation of federal wire fraud, bank fraud and money laundering laws.

Included in the forfeiture petition is a “luxury lodge” in Angel Fire that the couple has been actively trying to sell. The price was reduced just last weekend to $725,000 from $899,000, according to internet real estate listings. The assessed value in 2016 was $925,000.

The federal government also seeks the forfeiture of Desert State’s business office, at 1011 4th St. NW. That’s the same address for Kerr’s law office. She is a criminal defense attorney.

Both properties, the petition alleges, were purchased at least in part with Desert State client funds.

The forfeiture action filed by the U.S. Attorney’s Office in Albuquerque and signed by FBI Special Agent Grant Nixon is a civil matter, and no criminal charges have been filed in the case. Neither Donisthorpe, a certified public accountant who reportedly has medical issues, nor his wife returned Journal requests for comment.

The state Financial Institutions Division has been attempting to conduct a financial examination of Desert State since February, despite what state officials said were numerous stalling attempts by Donisthorpe. He has reportedly suffered some sort of brain damage, either from a stroke, a fall or a suicide attempt, according to a petition filed May 31 by the state agency.

The state petition, which seeks to assume control of the trust company via receivership, contends that so far examiners have found more than $4.1 million in client assets missing after being transferred into bank accounts associated with Donisthorpe and his other business interests. Donisthorpe hasn’t yet responded to the state’s allegations in court. An estimated 70 clients have been identified as suffering losses, state officials say.

The Santa Teresa family of one client has been informed that their disabled son’s $1 million account at Desert State has been drained to zero.

The federal petition states that FBI agent Nixon reviewed a March 10, 2015, financial statement signed by Donisthorpe and his wife showing their joint income to be about $100,000. The couple had obtained a mortgage on the four-bedroom, four-bathroom Angel Fire home, with $130,128 as the principal amount of the loan.

At least $49,000 of client funds were diverted from Desert State client accounts and applied to the mortgage on the Angel Fire property, the forfeiture petition states. Another $37,870 in clients funds were applied to the mortgage on the 4th Street property in Albuquerque after being diverted to Donisthorpe’s Spectrum Capital account. More than $10,000 in what the FBI believes were client funds was also applied to the 4th Street property from two other accounts that Donisthorpe controls.

The petition alleges that client funds were “laundered” through Spectrum Capital Markets LLC and into Donisthorpe’s Corazon Cattle and Paul A. Donisthorpe LLC accounts.

According to the forfeiture filing, the state Financial Institutions Division on May 17 provided the FBI with an Excel spreadsheet showing bank information for Desert State and three of Donistorpe’s other business ventures: Paul A. Donisthorpe LLC, Spectrum Capital Markets LLC and Corazon Cattle LLC. The funds came from various sources including client Social Security deposits and client accounts at financial institutions like Charles Schwab or Vanguard, the petition says.

The financial records showed a pattern of client funds being transferred from client accounts at other financial institutions to Desert State before passing through Desert State accounts to an entity controlled by Donisthorpe, Spectrum Capital. “These transfers did not appear to be authorized by clients and are not consistent with legitimate operations at DSLM,” the petition states.

From Spectrum Capital, the funds were diverted to other entities Donisthorpe controlled: bank accounts, credit card accounts and mortgages, “none of which are associated with DSLM or legitimate business activities of DSLM,” according to the forfeiture filing.

From August 2013 to April 2016, the transfers from the Desert State account to Spectrum totaled about $2.2 million, it stated. “The analysis identified no funds returning to DSLM accounts once they enter the Spectrum Account.”

Full Article & Source:
FBI joins probe of trust company accused of taking clients’ funds

Experts say  elder abuse is happening in all settings

Leif Adachi
WAIKAPU — The older veteran whose son pushed him down the stairs, the man who kept an elderly woman alive to get her Social Security checks, the overworked caregiver who took the stress out on a patient — all are examples of elder abuse, and often they go unnoticed, experts on aging and abuse said Thursday.

“There are still people who think elder abuse only occurs in nursing homes,” said Kathy Greenlee, vice president of aging and health policy with the Center for Practical Bioethics. “Most abuse occurs, by the raw numbers, in the community, and it’s appropriate that we deal with it in all settings.”

Greenlee was the keynote speaker at the daylong Elder Abuse Awareness Conference attended by nearly 200 people at the Kahili Golf Course on Thursday, which was designated World Elder Abuse Awareness Day.

Elder abuse often goes unnoticed because many people aren’t aware that it happens, and victims are ashamed to report it, Greenlee said. In Hawaii, where it’s common for many generations to live together, the risk for neglect or abuse persists.

“Caregivers mostly don’t intend to start out and harm their loved ones,” said Deborah Stone-Walls, executive on aging for the Maui County Office of Aging. “Most of the time the abuse happens because of the mounting stress. . . . It’s very cultural here in Hawaii for us to care for our families. We don’t even view ourselves as caregivers. I’m just helping my mom. That’s my job.”

Dr. Adam Coles
Dr. Adam Coles

That’s why it’s important to be alert for signs of abuse and take steps to prevent it, speakers at the conference said.

Researchers estimate that one out of every 10 people age 60 and older who live at home suffer abuse, neglect or exploitation, Greenlee said. Two-thirds are women, and victims are disproportionately African-American, Latino, poor or isolated. Abuse also can increase mortality rate among elderly victims by almost 300 percent.
“Not from the abuse itself but the ongoing trauma,” Greenlee said. “It’s a serious public health crisis . . . in terms of what it does to people.”

Part of the problem is that many people are reluctant to admit when it happens. Often abusers can be a family member or caregiver and, in addition to feelings of shame and guilt, many elderly greatly fear losing their independence.

Others simply don’t realize it’s an issue. For example, it can be hard for someone to believe that an elderly person is a victim of sexual abuse, because “the general public doesn’t see older people as sexual people,” Greenlee said.

Kathy Greenlee
Kathy Greenlee

Elder abuse comes in many forms: physical, emotional, psychological, sexual, medical and financial. It includes neglect — failing to provide proper food, clothing, medical, hygiene or supervision.

But how do family members or friends distinguish the normal signs of aging from signs of declining health due to abuse? Often, it comes down to looking for things that seem off, explained Dr. Adam Coles, a psychiatrist and clinical director at the Maui Family Guidance Center. It could be new or recurring injuries, especially those where the explanation for the injury or the accounts of the caregiver and the elderly patient don’t match up. It could be sudden weight loss or the onset of depression, or any unusual change in behavior.

“There’s going to be some obvious signs,” Stone-Walls said. “Broken bones, bruises, some overt things like an unkempt home . . . and poor hygiene. But there may also be other more subtle signs, such as withdrawal or a noticeable change in activities. . . . Usually with seniors when there’s a drastic change in their ability to spend money to care for themselves, that could be an indication that they are being financially abused.”

The elderly are frequent targets of financial scams, said Leif Adachi, a detective with the Maui Police Department who investigates financial crimes.

“Why are kupunas targeted? The number one reason should actually be money,” Adachi said. “Grandma who’s retired and worked all her life has a savings.”

Deborah Stone-Walls
Deborah Stone-Walls

Criminals have concocted a wide array of tricks, from claiming to be computer techs to posing as a grandchild calling from prison and needing money for bail. And, it’s not just distant crooks doing the swindling. It’s also people who misuse their elderly family members’ money. Adachi advised people to stay up to date on the latest scams, validate people’s information before doing business with them and reporting any suspicious activity to police.

But the most common source of elder abuse is at the hands of caregivers. While providing long-term care is “a burden of love,” it’s also a risk, Greenlee said.

“I think it’s too easy to dismiss all caregiver abuse as stress, but I think it’s a great correlation,” she said. “There are mean caregivers. But there are also caregivers who are under tremendous stress, and we need to pay particular attention to them and give them interventions and support.”

Stone-Walls encouraged people to call their local aging office “before they feel stressed.”

“Even if they don’t feel like they need anything today, we can help them know what could be available in the future,” Stone-Walls said. “Caregivers need to be sure to not put themselves last. 
When they put themselves last, it can have devastating effects.”

Coles said one of the many ways people can prevent potential abuse is by “maximizing the independent living skills of the elderly,” which takes a burden off caregivers and gives the elderly a greater sense of freedom.

Avoiding the TV, getting some exercise and providing them with human or animal companionship also can help combat loneliness and feelings of neglect. It’s also important to make sure their medical and mental needs are meant.

Sometimes, people just need to “be brave enough to ask,” Stone-Walls said.

“Even for professionals, sometimes I hear, ‘I think someone might be being abused and I don’t know how to ask,'” Stone-Walls said. “Sometimes people just need you to say, ‘Are you OK? How can we help you?'”

Full Article & Source:
Experts say  elder abuse is happening in all settings

DNR Codes and Levels of Care - Understand Before They're Needed

Many family caregivers of seniors will, at some point, have to answer the question “does your loved one have a DNR?”

Too often that question will come at a stressful time, during a medical emergency.

“What does that mean?” you may ask.

You won’t have to ask that, though, after you read this article.

DNR (Do Not Resuscitate), often referred to as “no code,” is an advance directive document that guides medical personnel to NOT perform CPR or otherwise try to revive your loved one if their heart is stopped.

If your senior loved one does not have a DNR in place, they are considered to be a full code and will receive all aggressive measures if their heart or breathing stops.

As a family caregiver you might be asked about their code status during an emergency — either full or no code or some level in-between.

A DNR advance directive is used only when the person is unable to communicate their own wishes and someone else needs to step in to direct their care, otherwise they will be asked to direct their care themselves.

CPR, cardiopulmonary resuscitation, is a technique that is used to reestablish a person’s heart rhythm and breathing, shocking the heart back to a normal beating rhythm. It can involve chest compressions, rescue breathing, defibrillation, medicine to stimulate the heart function, mask ventilation and intubation for mechanical breathing (also known as life support).
Details About DNR Orders

A doctor is required to sign a DNR advance directive to be placed in your senior loved ones medical record, unlike a living will which requires a signature of the person involved and possibly a witness. A new DNR is required upon each hospital admission, including transfers between facilities.

It is important to know that many EMS (emergency medical personnel) are not allowed to honor a DNR order unless specific to that state and properly executed. For example, some states have a DNR document for use by EMS and then another one for the hospital.

A physician order for life-sustaining treatment (POLST), which covers out of hospital DNR orders, may be available in your state. There are also bracelets or documents kept on the refrigerator to alert first responders or your senior’s wishes.