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FainaY Pregatcoo/Vrand <br />2116 W Faidley, Suite 400 <br />PO Box 9802 <br />Grand Island, NE 68802 <br />Phone 308-381-0162 <br />August 19, 2015 <br />RE: Wilma A. Keown, DOB: 2-10-31 <br />To Whom It May Concern: <br />I am Wilma A. Keown's primary care physician. Wilma has been my patient since July <br />2011. <br />Wilma is an 84-year-old lady who recently moved to an assisted living facility. Her <br />physical health has declined as well. She has difficulties with balance and difficulties with <br />recurrent bladder infections. She was also diagnosed with paroxysmal atrial fibrillation <br />and has esophageal reflux. She is unable to manage her own medications. <br />In my opinion, Wilma has declined over the last year to the point where she is definitely <br />unable to manage her own affairs or understand the reasoning behind finances. <br />I recommend that she have a power of attorney to handle her affairs for her own well <br />being. <br />Rebecca J. Steinke, M.D. <br />RJS:sjr <br />201505 915 <br />