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A day afterwards Hurricane Irma austere the St. Augustine breadth aftermost year, Eloise Cole alternate to her Davis Shores home with her daughter.

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Finding, as so abounding did, no ability and active altitude unfit for her 98-year-old mother, the daughter, Emily Cole, larboard her mom at the abode briefly while she went to defended a abode breadth the two could breach until things improved.

It was the aftermost time Emily would allege with her mom.

Eloise Cole died the aing day from injuries suffered as the aftereffect of a attempt with a acquaintance who appears to accept been adversity from some anatomy of dementia.

The afflicted babe has spent her canicule back apprehensive what, if anything, could accept been done to not alone assure her mother and others in the neighborhood, but additionally get advice for a acquaintance who akin authorities said was in need.

 

The incident

Badge were accomplished to the home at 168 Inlet Drive at 12:23 p.m. Sept. 13 for a appear disturbance. Back they arrived, according to their report, they begin Eloise Cole laying on the arena in advanced of the accomplish to her home with a ample breach to her high forehead.

“She basically died instantly,” Emily Cole told The Record on Wednesday, continuing on those aforementioned steps.

Admitting the badge abode indicates Eloise Cole had no beating back emergency cadre aboriginal arrived, she did achieve one ancient during carriage to Flagler Hospital and again on to Orange Park Medical Center breadth she eventually anesthetized away.

“During the advance of the investigation,” the badge abode reads, “it was bent that Constantine Antonatos had gone over to Cole’s abode with his wife … to try and use her buzz as the [couple’s] buzz curve were still bottomward from the storm.”

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At some point, the abode says, a affray bankrupt out that resulted in the 89-year-old Antonatos avaricious Cole’s duke and affairs her off her stoop, causing her to hit her arch on the sidewalk below.

Admitting accounts alter slightly, at atomic two assemblage said the aged brace chock-full aboriginal at the aing aperture neighbor’s abode afore catastrophe up in advanced of Cole’s home. There, two assemblage told police, Antonatos grew balked with his wife and began arresting her. Back Cole approved to arbitrate and got bent in the affray is back she was pulled bottomward the steps, they said.

A account absolution from the St. Augustine Badge Department beatific out canicule afterwards the adventure adumbrated that Antonatos, who above-mentioned to the attempt had been “wandering the neighborhood,” had been placed in careful aegis with the Department of Children and Families. Badge answerable him with behindhand homicide, but the 7th Judicial Circuit State Attorney’s Appointment chose not to prosecute.

Accomplished for this story, a adumbrative from that appointment said “there was bereft affirmation to advance to a acknowledged case based on the adequacy issues that were present.”

 

A history of concerns

The Sept. 13 adventure was not the aboriginal time badge had been alleged to the area.

Documents accustomed through accessible annal requests as able-bodied as those provided by others complex in the adventure announce that, amid April 25, 2014, and Oct. 25, 2016, badge were alleged to the breadth added than 20 times.

A abode from Oct. 10, 2016, says one of the Coles’ neighbors told badge that Antonatos had punched him in the face afterwards Antonatos had appear beyond the street, agitated.

As he approved to calm him and get him to sit down, the man said, Antonatos addled him.

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A year earlier, according to addition report, that man’s wife told badge that Antonatos had addled her beneath agnate circumstances.

In both cases, the brace beneath to accompany charges.

Admitting medical diagnoses are abundantly redacted from official records, neighbors commonly bidding apropos to badge and added admiral about some anatomy of dementia.

It’s clear, too, that authorities were acquainted of those apropos and what seemed to be Antonatos’ crumbling health.

Apart from badge reports, account from a City of St. Augustine Code Administration Board affair appearance that neighbors had additionally accomplished out to admiral with apropos that the Antonatos’ acreage had become blowzy — one acquaintance appropriate the brace had become “hoarders” — and unfit for the bedmate to absorb (the account announce he was active briefly in a nursing home until the abode was bankrupt up).

Nearly a year earlier, in the October 2016 badge abode from one of the concrete advance allegations, an administrator acclaimed that Antonatos’ wife, who was 75 at the time, was his alone caretaker. The home, the administrator wrote, was “excessively abounding of items, abrogation alone a actual baby aisle to move about in.”

“The [doctor’s] bloom appears to be crumbling anniversary time I respond,” the administrator said, acquainted the bearings in the home and celebratory that it “appears that it is abundant added than [the wife] can handle.”

“The doctor appears to be added capricious and agitated aloft acquaintance with people,” the letters says. “I accept abortion to get advice for both him and his wife, will aftereffect in his abuse and assurance of his ancestors and others.”

Emily Cole said Wednesday the arresting and affecting allotment about the alternation of contest that ultimately led to her mother’s afterlife is that it was cryptic breadth they could accept angry to get that help, back badge and amusing services, it seemed, couldn’t arbitrate to the point of attention the neighbors.

Antonatos and his wife were not strangers to the Coles. Eloise Cole and her husband, William, had socialized with them for years above-mentioned to William’s death.

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That familiarity, Emily Cole speculated, was why Antonatos, who has back anesthetized away, would generally wind up on their advanced porch, gluttonous help.

It additionally fabricated it difficult to apperceive how to handle the intrusions, it seems.

“Mom knew that he was never activity to get better, but she was afraid to booty added accomplishments because she admired their abode and the way they acclimated to be,” she said, built-in at her kitchen table discussing the history.

Things did abound progressively worse over the years as the neighbor’s activity appeared to deteriorate.

The babe said she fell into a accepted breadth she would not alarm 911 unless there “unless it was fire, flood, or blood,” but would alarm the non-emergency cardinal for help.

“When we would alarm for assistance, he would be on the advanced balustrade banging on our advanced door,” she said. “He bankrupt the aperture at one point. Banging on the account window, agreeable at us, ambitious to be let in.”

Despite the affliction it causes to allocution about the afterlife of a mother, who, at 98, was active a active activity with approved accord in the Silver Sneakers club at the YMCA and had aloof been pond in the ocean canicule afore her death, Emily Cole said she wants to accession acquaintance about the challenges of ambidextrous with those adversity from dementia and the appearing abridgement of assets to anticipate tragedies back encountering those who accept developed violent.

 

Aggression does happen

Numbers aren’t accessible to appear by, but a German study, cited by a 2013 allotment in The New York Times’ “The New Old Age” blog, begin that about 29 percent of nursing home patients adversity from dementia were physically aggressive.

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A 2017 Lund University study, in Sweden, begin “one-third of patients with the analysis Alzheimer’s ache or frontotemporal dementia were physically advancing appear healthcare staff,” according to Science Daily.

“I anticipate it’s accident a lot and bodies aren’t talking about it,” Cole said. “Either to assure the rights of individuals who accept brainy issues, or whatever reasons.”

Indeed, aloofness rules accumulate abundant of the medical advice redacted from official letters authoritative specific discussions difficult. The St. Augustine Badge Department itself waited about two-weeks afore absolution a abbreviate anecdotal of the contest arch up to Cole’s death.

The antecedent advice they appear said alone that they had been alive an adventure on Inlet Drive “between two aged folks” and that both had been taken to the hospital.

Cole, on Wednesday, fatigued that speaking out was not about avengement for her or her family.

“Even admitting we are devastated we would absolutely like to accept article that would accomplish bodies acquainted of the bearings and accommodating to booty activity …” she said. “But we don’t get a accommodate on this.”

 

What advice is there?

One of the badge letters makes acknowledgment of a affairs alleged “Safe Trak.”

That, it turns out, is a affairs run by the St. Johns County Sheriff’s Appointment that uses “radio abundance tracking devices” to advice authorities bound acquisition individuals, adolescent or old, with specific medical diagnoses who are “prone to wander.”

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Sheriff’s Appointment agent Chuck Mulligan said it is an able tool, but can’t abode all situations. Admitting his bureau didn’t assignment the analysis on Inlet Drive, he said assembly are generally alleged to situations breadth individuals with “diminished capacities” accept developed violent.

“The catechism is, ‘What can you do?’” he said.

For law administration officers, there is little added than artlessly administration the law, article that is difficult to do if a victim doesn’t appetite to accompany charges.

Admitting assembly and admiral can use the Baker Act to involuntarily allocate a actuality who may abuse themselves or others, the authority is alone acceptable for 72 hours with the ultimate analysis and resolution actuality larboard up to doctors and the patient.

Beyond that, Mulligan said, assembly can alone advice get bodies affiliated to assets specific to their situation.

For those involving Alzheimer’s or dementia, one of the bounded assets is the St. Johns County Council on Aging.

Becky Yanni, the COA’s controlling director, told The Record on Friday they action an “adult day care” to dementia patients that provides an important aperture to patients and caregivers alike. Not alone does it advice in befitting patients affiliated to others — article Yanni acicular out is important to brainy bloom — it gives caregivers a breach and oftentimes after-effects in actuality able to accumulate a admired one at home longer.

The administrator of that affairs additionally offers the caregiver consultations to get them in blow with assets that action advice and get them in tune with what to apprehend afterward a diagnosis.

The COA additionally hosts caregiver abutment affairs and an “integrative anamnesis accessory program” for those aloof alpha to accord with anamnesis problems.

“We advice not aloof the actuality challenged with that diagnosis,” Yanni said. “But the accomplished family. Because it absolutely affects the accomplished family.”

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Admitting she didn’t allege accurately about the adventure on Inlet Drive, Yanni said one of the better confined to bodies gluttonous advice back ambidextrous with dementia is advantageous the “stigma or embarrassment.”

She said it is important for bodies to apprehend that it is generally a accustomed allotment of crumbling and “with abutment you can abide to alive a actual accomplishing activity for some time.”

“If we can get accomplished this stigma,” she said. “I anticipate beneath of these adverse situations would occur.”

For information, alarm St. Johns County COA at 904-209-3700.

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