Patricia A Maisano – Varna LLC.

Kennett Square, Pennsylvania

General Specialty

Developmental Disabilities
Medical Advocacy
Psych Care
Standards of Care

Specialty Focus

Brain Injury-Birth
Elder Abuse
Financial and Physical Abuse to Seniors and The Disabled Guardianship
Long Term Care
Medical Management
Memory Impairment
Mental Health
Nursing Homes
Palliative Care
Pediatric physical Med and Rehab
Predatory Behavior
Special Needs Trust
Undue Influence

Primary Areas of Expertise

Geriatrics and Developmental Disabilities

I have a history of more than 40 years in nursing, and more than 20 years of those years has been as an experienced witness. I have done every aspect of case work, between meditations, arbitration, closed hearings and hearings / trials with and without a jury. The nature of these cases have been med malpractice, standards of care (both medical and psychological), abuse of the elderly (financial and physical) and the life needs of these groups. I have done both plaintiff and defense

I was on the forefront of case management in the very early 80’s and one of the first providers of advocacy for the elderly and disabled. I have been recognized as a matter expert in nursing, life care, and issues of disability. I created the first national franchise ( IKOR) in the area of Advocacy, which covered the major cities in the US. I created the software for IKOR, Datikor. Datikor addressed HIPPA.

I have also worked with attorneys as a consultant when have been considering cases and when they have needed the medical game plan for a successful outcome. My testimony has been favored over Doctors and Psychologists by the courts, with most of the cases I have been involved in hostile and lawyers combative. Although I certainly appreciate the “more easy” case, in this part of the US I have a reputation for handling the ugly.



    More than 20 years of experience
    Life and Medical
    Tailored to Individual
    For the well-being of the client
    Outline and Execution




  • RN St Francis School of Nursing
  • BS in Behavioral Science Wilmington College
  • MS – Assessments & Evaluations, Sheffield University
  • DHs – Health Sciences, Sheffield University



  • Diplomat American Board of Disability Analysts, Senior Disability Analyst (ABDA)
  • Certified Case Manager (CCM) #00838
  • Fellow Certification in Case Management (FAACM)
  • National Certification for Registered Guardian (NCG)
  • Geriatric Care Management (PGCM)
  • Recognized as expert witness in Case Management, Nursing, and Guardianship included but not limited to: Pennsylvania, Delaware, New Mexico, and Texas


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