Edward Fiala and his wife were residents of Bickford Senior Living Group. He was confined to a wheelchair and suffered from a disorder that affected his motor control and cognition. The healthcare power of attorney was held by Fiala and his children. The nursing home staff from the beginning of his residency were instructed that Fiala was not to get any medicine without their prior consent and that Paxil specifically was prohibited. These instructions were made apparent in Fiala’s nursing home medical chart.
In spite of that specific instruction, the nursing home staff members, who found Fiala difficult, administered Paxil and other medicines from time to time. There was no prior consent to allow it over the original instructions prohibiting it.
Fiala believed that the staff gave him medication to chemically sedate him to make him easier to work with. Sometimes, the drugs left him in a catatonic state. Other times the medicine caused him to be agitated and behave violently.