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10 Friday, June 13, 2008 HAMILTON COUNTY HERALD<br />

Commentary: Anticipate problems to avoid ethical elder law dilemmas<br />

by Kimberly E. O’Leary<br />

The Daily Record Newswire<br />

After almost 20 <strong>years</strong> of<br />

practicing law, I joined an<br />

elder law practice in 2000. I<br />

had represented a wide range<br />

of civil clients in a variety of<br />

matters — more a generalist<br />

than a specialist — and<br />

assumed that representing senior<br />

citizens would be similar to<br />

my past practice.<br />

After eight <strong>years</strong> of elder<br />

law practice, I can say with<br />

great confidence that I<br />

encounter on a regular basis<br />

ethics questions that would<br />

have curled my hair in my previous<br />

jobs.<br />

In elder law, ethical<br />

dilemmas abound in regular,<br />

daily encounters with clients<br />

right in the heart of my law<br />

office. I have learned — and<br />

am still learning — that it is<br />

critical to anticipate problems<br />

before they occur. Once the<br />

dilemma springs into being, it<br />

is very hard to solve in a satisfactory<br />

manner. The lawyer<br />

who can anticipate the problem<br />

can prevent it from occurring.<br />

For example, during the<br />

first encounter with the office,<br />

it is sometimes hard to know<br />

who the client is. Some senior<br />

citizens call to make their own<br />

appointments. But frequently,<br />

initial contacts are made by<br />

adult children, care workers,<br />

social workers or neighbors.<br />

Most of the time callers have<br />

the welfare of the senior citizen<br />

in mind and they understandably<br />

want to be involved.<br />

However, in our office, as<br />

in most offices that represent<br />

the elderly, the elderly person<br />

is considered the client and is<br />

escorted into the interview<br />

alone.<br />

The Elder Law Clinic at<br />

Wake Forest School of Law<br />

developed a brochure called<br />

“Why Am I Left in the<br />

Waiting Room?” (find it at<br />

www.abanet.org/aging/publi-<br />

WOMAN WONDERS<br />

WHY ALL HER LOVERS<br />

HAVE BEEN CHEAP-<br />

SKATES<br />

DEAR AMY: I am 44 and<br />

have attracted cheap men all<br />

of my life.<br />

Looking back, I realize<br />

that my boyfriends were<br />

cheap. My husband is cheap<br />

(we live comfortably), my<br />

lovers have all been cheap<br />

with me, but what’s even<br />

more painful is that they<br />

have told me about the gifts<br />

they bought for their wives<br />

and former mistresses.<br />

My current lover and I<br />

have been together for more<br />

than two <strong>years</strong>. He is a successful<br />

physician and enjoys<br />

a nice lifestyle.<br />

I have enough “things,”<br />

but it is the attention and<br />

thought that counts, and I<br />

think that a long-term relationship<br />

warrants gift-giving<br />

“just because” — to make<br />

your lover happy.<br />

cations/docs/4cbrochure.pdf)<br />

to explain what to most<br />

lawyers is a pretty basic concept<br />

— that lawyer-client confidentiality<br />

exists in private<br />

between a lawyer and a client.<br />

Even after establishing<br />

who the client is, there can be<br />

complications. Some of the<br />

people helping seniors think<br />

they know what is best for the<br />

senior, even if it is not what<br />

the senior wants. Third parties<br />

might see the involvement of<br />

these “helpers” as grounds for<br />

undue influence.<br />

Having a hard and fast<br />

rule that you interview the<br />

senior alone first, only bringing<br />

in others to help if the situation<br />

warrants it, can prevent<br />

the ethical dilemma. Keeping<br />

the elderly client abreast of<br />

every action, even if someone<br />

is helping with the case, can<br />

also prevent ethical problems.<br />

Another common ethical<br />

issue in elder law is couples<br />

who want joint representation,<br />

frequently for estate<br />

planning. The ethical rules<br />

squarely require lawyers to<br />

decline representation of one<br />

client if “representation will<br />

be directly adverse to another<br />

client, unless ... the lawyer<br />

believes the representation<br />

will not adversely affect the<br />

relationship with the other<br />

client ... and each client consents<br />

...” (Rule 1.7, Rules of<br />

Professional Conduct)<br />

The comment to the rule<br />

states: “The critical questions<br />

are the likelihood that a conflict<br />

will eventuate and, if it<br />

does, whether it will materially<br />

interfere with the lawyer’s<br />

independent professional<br />

judgment in considering alternatives<br />

or foreclose courses of<br />

action that reasonably should<br />

be pursued on behalf of the<br />

client.” (Comment to Rule<br />

1.7, p 782) It is not difficult to<br />

imagine scenarios where the<br />

economic or social interests of<br />

one member of a couple might<br />

collide with those of the other.<br />

Ask Amy<br />

Advice for the Real World<br />

By Amy Dickinson<br />

Tribune Media Services<br />

He once said that he is<br />

afraid that my husband would<br />

see a present and question it,<br />

and I assured him that I<br />

would make sure my husband<br />

didn’t see it. He also said I<br />

should not give him anything<br />

because his wife might see it.<br />

What advice can you<br />

give me? I need to know what<br />

I am doing wrong. Is there a<br />

profile of women who attract<br />

cheap men? — Wondering<br />

DEAR WONDERING:<br />

There is a profile of women<br />

who attract cheap men.<br />

These are women who don’t<br />

value themselves, who<br />

cheapen their relationships<br />

by being unfaithful and who<br />

could be “bought” for the<br />

price of an occasional present<br />

from an unfaithful lover.<br />

You sound very unhappy.<br />

Your life sounds sad. When<br />

you start to value yourself,<br />

others will start to value you.<br />

Then the gifts (non-material<br />

but valuable all the same)<br />

Elder law practice is that<br />

lawyers typically and routinely<br />

represent both members of a<br />

couple in these matters.<br />

Because the possibility is so<br />

high that a conflict might<br />

develop, elder law practitioners<br />

have developed protocols<br />

for explaining to clients why<br />

they should each consider separate<br />

counsel and that the<br />

lawyer will have to withdraw<br />

from both if an actual conflict<br />

occurs.<br />

Most lawyers I have consulted<br />

present each client with<br />

an example of such a conflict,<br />

such as one of the clients<br />

revealing that he or she has a<br />

child the other client knows<br />

nothing about. Lawyers disagree<br />

about what to do if that<br />

happens (do you tell the other<br />

party?), but lawyers agree that<br />

whatever action you take<br />

should be communicated in<br />

advance, before either side<br />

tells something to the lawyer<br />

he or she will regret later.<br />

Each office should have a<br />

detailed protocol to explain<br />

this potential conflict to couples.<br />

A third common ethical<br />

problem is competency — at<br />

the time of representation and<br />

later on. Many people are<br />

mentally razor sharp into their<br />

hundreds and for their entire<br />

lives. Some experience mental<br />

decline, often in slow and<br />

barely perceptible ways.<br />

Many people keep strong,<br />

close, stable relationships with<br />

family and friends all their<br />

lives. Some find new friends<br />

and become alienated from<br />

family, and sometimes this<br />

happens when they age.<br />

All people decline physically,<br />

although at different<br />

rates and in different ways.<br />

Sometimes lack of complete<br />

hearing or vision or a slowing<br />

of speech can be misinterpreted<br />

as mental decline when it is<br />

not. When a client who is 30<br />

wants to give all of her money<br />

to charity, she is considered<br />

will start to flow.<br />

DEAR AMY: My best<br />

friend of 10 <strong>years</strong> and her<br />

fiance recently announced<br />

their engagement. He’s in<br />

the National Guard and is<br />

leaving for a tour of duty.<br />

Their original wedding<br />

date was a date that I had a<br />

work obligation and had no<br />

way out of. I was upset that I<br />

was going to have to miss it,<br />

but there was absolutely<br />

nothing I could do.<br />

My friend called me last<br />

night saying they had<br />

received her fiance’s tour<br />

papers. He’s not leaving until<br />

September, which is later<br />

than originally thought. She<br />

decided to change the date so<br />

that I could be there. After<br />

all, we’ve been talking about<br />

our weddings for many <strong>years</strong>,<br />

and we were both upset I<br />

would have to miss it.<br />

Then to my dismay she<br />

didn’t ask me to be a bridesmaid!<br />

She moved the date<br />

just for me, so it makes sense<br />

to me that she would then<br />

want me to be in her wedding.<br />

And on top of that, one<br />

of the girls she has chosen to<br />

be a bridesmaid is a girl she<br />

has known for a year or two<br />

and recently had a huge<br />

falling out with.<br />

honorable. When a client of<br />

100 wants to give all of her<br />

money to charity, she is considered<br />

mentally questionable.<br />

I have seen very old<br />

clients labeled “paranoid” for<br />

complaining about personal or<br />

financial care by a family<br />

member, only to discover upon<br />

investigation that the care was<br />

indeed substandard by any<br />

objective measure. These<br />

complexities require lawyers<br />

to understand that there exist<br />

a wide range of medical and<br />

mental competencies, and to<br />

ask whether a client is competent<br />

to perform a specific act,<br />

rather than some generic competency<br />

standard.<br />

For example, if a person<br />

knows what they have and<br />

who are the “natural objects of<br />

bounty,” the law says that person<br />

is competent to execute a<br />

will. Other standards apply to<br />

other transactions.<br />

Even if a person comes to<br />

you clearly competent and<br />

clearheaded, in the prime of<br />

life, it is foreseeable that, at<br />

some point in the future, that<br />

person may not understand<br />

what is going on. For this reason,<br />

many clients engage in<br />

planning for a future when<br />

they might not be able to<br />

make decisions.<br />

Lawyers frequently fail to<br />

discuss how the client wants<br />

the lawyer to handle disclosure<br />

of confidential information<br />

in a future when the<br />

client cannot waive access to<br />

private attorney-client materials.<br />

For example, a 60-yearold<br />

client may indicate she<br />

does not trust her siblings and<br />

wants her nephew to handle<br />

her affairs should she become<br />

incompetent. Ten <strong>years</strong> later,<br />

if one of the siblings comes to<br />

your office asking for help<br />

obtaining a guardianship<br />

against his incompetent sister<br />

(your former client), not only<br />

can you, of course, not represent<br />

the brother, but you also<br />

Am I being childish or is<br />

my frustration warranted?<br />

I’m very upset that I’m<br />

not going to be a part of her<br />

wedding.<br />

Should I approach my<br />

best friend about this or simply<br />

be happy for her and just<br />

be at the wedding? —<br />

Confused<br />

DEAR CONFUSED:<br />

Your friend may not have<br />

changed her wedding date<br />

just for you, though it’s good<br />

that you can now attend.<br />

It’s fine to say to your<br />

friend, “I have to be honest<br />

with you — I was hoping to<br />

be a bridesmaid.”<br />

But don’t pressure her,<br />

ask her to explain her reasoning<br />

or expect her to<br />

change her scheme because<br />

of your statement. Simply<br />

express your wish and then<br />

let it go.<br />

Beyond that, remember<br />

that this is her day and be<br />

happy for her. Attend the<br />

wedding, be a good sport and<br />

do your best to celebrate and<br />

enjoy her happiness.<br />

DEAR AMY: I’m<br />

responding to the letter from<br />

“Loyal Fan,” whose neighbor<br />

is a cigar smoker.<br />

While I completely agree<br />

with the advice given by you<br />

cannot inform the nephew of<br />

your client’s wishes absent an<br />

informed waiver obtained<br />

when the client was competent.<br />

Similarly, attorneys often<br />

obtain permission in advance<br />

to share a copy of a will with<br />

persons the client nominated<br />

to serve as personal representative.<br />

However, the client might<br />

want his attorney to share a<br />

copy of the will with any family<br />

member who asks for one.<br />

Does the client want her<br />

attorney to provide information<br />

if someone is challenging<br />

a will? Elder law attorneys<br />

should have conversations<br />

with every client to find out<br />

whether the client wants the<br />

attorney to share her wishes or<br />

copies of documents with anyone<br />

if she becomes incompetent<br />

or after her death.<br />

The application of the<br />

Rules of Professional Conduct<br />

to elder law practice make this<br />

area of law one of the most<br />

interesting real-life applications<br />

of legal ethics that exists<br />

in law practice. The National<br />

Academy of Elder Law<br />

Attorneys (NAELA), recognizing<br />

how difficult the ethical<br />

issues are, has developed<br />

aspirational standards for elder<br />

law attorneys which can be<br />

found at<br />

www.naela.com/PDFFiles/aspirationalstandards.pdf.<br />

The struggle to protect<br />

the dignity and autonomy of<br />

our senior citizens with the<br />

desire to help those who are<br />

struggling with mental confusion<br />

is a constant tension in<br />

this arena. Elder law practitioners<br />

should take the time to<br />

consider in advance a range of<br />

probable scenarios and discuss<br />

these with their clients.<br />

The clients will be happy<br />

the attorney is thinking about<br />

these problems in advance,<br />

and the attorney will minimize<br />

the risk of making a false step.<br />

❖<br />

and the smoking researcher<br />

you quoted, it can be hard to<br />

tell a person that they can’t<br />

smoke a cigar on their own<br />

patio.<br />

My suggestion is to set<br />

up a floor fan on that side of<br />

the patio that will help blow<br />

the smoke away and to turn<br />

it on when he lights up. It<br />

might serve the dual purpose<br />

of letting her get a breath of<br />

fresh air and letting him<br />

know that the smoke is<br />

affecting his neighbors. —<br />

Rory<br />

DEAR RORY: The cigar<br />

smoker in question certainly<br />

excited many readers.<br />

I’ve received dozens of<br />

letters suggesting that the<br />

judicious placement of a fan<br />

could be just the thing to<br />

solve this particularly smoky<br />

problem.<br />

(Send questions via email<br />

to askamy@tribune.com<br />

or by mail to Ask Amy,<br />

Chic<strong>ago</strong> Tribune, TT<strong>50</strong>0,<br />

435 N. Michigan Ave.,<br />

Chic<strong>ago</strong>, IL 60611.)<br />

© 2008 BY THE<br />

CHICAGO TRIBUNE DIS-<br />

TRIBUTED BY TRIBUNE<br />

MEDIA SERVICES, INC.<br />

© 2008 Tribune Media<br />

Services. All rights reserved.<br />

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