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I had Medical and Financial Power of Attorneys drawn up 2 years ago for my husband who has dementia, but am told by doctors that the MPoA is "situational" and that I need guardianship. Is this true in Virginia?
I think these doctors are hiding behind a technicality. A judge declares someone incompetent legally on the basis of two medical opinions. So, it is a medical decision. The ruling by a judge is only needed if your are going for guardianship which is not true in your case. My mother's neurologist and the doctor at the nursing home both said she was incompetent, but I was never told that I needed a judge to rule her as such.
Here is the STATE OF VIRGINIA's Healthcare Decision website. You need to look at this website and also the STATE of VIRGINA Power of Attorney website to determine whether the documents that your husband signed meet the requirements for the State of Virginia. http://www.vsb.org/site/public/healthcare-decisions-day (April 16-22, 2018) Eleventh Annual Healthcare Decisions Week in the Commonwealth of Virginia Healthcare Decisions Week is designed to raise public awareness of the need to plan ahead for healthcare decisions related to end of life care and medical decision-making whenever patients are unable to speak for themselves and to encourage the specific use of Advance Directives to communicate these important healthcare decisions.
Virginia Advance Directives All adults in Virginia have a right to prepare a document called an “Advance Directive” to put their wishes regarding medical care in writing. An Advance Directive lets other people know the types of medical care you do and do not want in the event you are unable to express your wishes on your own. There are two kinds of Advance Directives:
Appointment of an Agent You may authorize another person, such as a spouse, child, or friend, to be your “agent” or “proxy” to make decisions for you if you become incapable of making informed healthcare decisions for yourself. You can also specifically tell your agent what kinds of care you do and do not want. This authorization is, in legal terms, often called a “Power of Attorney for Healthcare.”
Written Healthcare Directive You may also state what kinds of healthcare you want or do not want if you are determined to be unable to express your own wishes. These instructions are often referred to as a “living will.”
FREE FORMS: Once you have printed and signed the form, you should make copies and provide a copy to your doctor, bring one when you go to the hospital, and give copies to your family and friends. Virginia Advance Directive Form for Healthcare with Sections for Medical, Mental, and End-of-Life Care - short (pdf) Virginia Advance Directive Form for Healthcare with Sections for Medical, Mental, and End-of-Life Care - full (pdf) Virginia Advance Directive Form for Healthcare with Sections for Medical and End-of-Life Care (pdf) Virginia Advance Directive Form for Mental Health Care (pdf) Virginia Advance Directive Form to Appoint a Healthcare Agent (pdf) Virginia Advance Medical Directive Form for Healthcare Decisions Day (pdf) Virginia Advance Directive Amendment - Power of my Agent to Authorize Care over my Objection (pdf) Virginia Advance Directive Amendment - Life-Prolonging Treatments During Pregnancy (pdf)
The Virginia Health Care Directive Registry Virginia created a free online advance directive registry at Connect Virginia that allows Virginia residents to securely store important healthcare documents, such as Advance Health Care Directives, Health Care Powers of Attorney, Declarations of Anatomical Gift (organ donation), and other documents so that family members, medical providers, emergency personnel, or other persons you designate will know how to honor your wishes. The information in the Virginia Registry is safe and confidential. Only health care providers, you, and persons you designate will have access to your documents.
http://www.vsb.org/docs/conferences/senior-lawyers/dspoa.pdf-- Example of POA for a lawyer that you can revise for yourself.
http://www.vsb.org/site/conferences/slc/attorney-resources-publications Look under "Virginia State Bar" website for information about POA.
First. Read your MPOA. Then call the attorney and tell him what husband’s doctor said. Is there a specific issue you and the doctor are disagreeing about? More information would be helpful. Do the doctors think your husband is still competent to make his own decisions?
Situational? That's a new one to me, and I look at a lot of POAs daily in my legal position. The entire purpose of POAs are to avoid guardianship/conservatorship!
Could you describe the situation a bit more as to why the MDs are saying that? Do they think the health POA is lacking necessary power(s)?
What they are telling me is that finding him incompetent is a legal decision, not a medical one. That said, he couldn't answer a single question the neurologist asked him last Friday, including what year it is and what she was holding (pen). Luckily for me, I guess, Kaiser doctors don't know their own protocols, and one doctor gave me the letter, and I was able to get one from a doctor I know outside of Kaiser. But if they won't honor it, that is a whole different problem. I will check with the lawyer who did the original Medical PoA and see what he says.
What? A medical POA is not situational. It authorizes you to make medical decisions in his behalf. Where did these doctors get the idea that the medical POA is situational? Gaurdianship is expensive and as far as I know does not give you anymore medical authority than you already have.
You need a lawyer who specializes in elder law which not all of them do.
One thing for sure, at some point he is going to need more care than one person can humanly do as in 24/7 unless you want to be part of the statistics of how many caregivers die before the person they are caring for. Just thought, I'd mention that.
Take care and tell those doctors that they don't know what the are talking about.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
http://www.vsb.org/site/public/healthcare-decisions-day
(April 16-22, 2018) Eleventh Annual Healthcare Decisions Week in the Commonwealth of Virginia
Healthcare Decisions Week is designed to raise public awareness of the need to plan ahead for healthcare decisions related to end of life care and medical decision-making whenever patients are unable to speak for themselves and to encourage the specific use of Advance Directives to communicate these important healthcare decisions.
Virginia Advance Directives
All adults in Virginia have a right to prepare a document called an “Advance Directive” to put their wishes regarding medical care in writing. An Advance Directive lets other people know the types of medical care you do and do not want in the event you are unable to express your wishes on your own. There are two kinds of Advance Directives:
Appointment of an Agent
You may authorize another person, such as a spouse, child, or friend, to be your “agent” or “proxy” to make decisions for you if you become incapable of making informed healthcare decisions for yourself. You can also specifically tell your agent what kinds of care you do and do not want. This authorization is, in legal terms, often called a “Power of Attorney for Healthcare.”
Written Healthcare Directive
You may also state what kinds of healthcare you want or do not want if you are determined to be unable to express your own wishes. These instructions are often referred to as a “living will.”
FREE FORMS:
Once you have printed and signed the form, you should make copies and provide a copy to your doctor, bring one when you go to the hospital, and give copies to your family and friends.
Virginia Advance Directive Form for Healthcare with Sections for Medical, Mental, and End-of-Life Care - short (pdf)
Virginia Advance Directive Form for Healthcare with Sections for Medical, Mental, and End-of-Life Care - full (pdf)
Virginia Advance Directive Form for Healthcare with Sections for Medical and End-of-Life Care (pdf)
Virginia Advance Directive Form for Mental Health Care (pdf)
Virginia Advance Directive Form to Appoint a Healthcare Agent (pdf)
Virginia Advance Medical Directive Form for Healthcare Decisions Day (pdf)
Virginia Advance Directive Amendment - Power of my Agent to Authorize Care over my Objection (pdf)
Virginia Advance Directive Amendment - Life-Prolonging Treatments During Pregnancy (pdf)
The Virginia Health Care Directive Registry
Virginia created a free online advance directive registry at Connect Virginia that allows Virginia residents to securely store important healthcare documents, such as Advance Health Care Directives, Health Care Powers of Attorney, Declarations of Anatomical Gift (organ donation), and other documents so that family members, medical providers, emergency personnel, or other persons you designate will know how to honor your wishes.
The information in the Virginia Registry is safe and confidential. Only health care providers, you, and persons you designate will have access to your documents.
http://www.vsb.org/docs/conferences/senior-lawyers/dspoa.pdf-- Example of POA for a lawyer that you can revise for yourself.
http://www.vsb.org/site/conferences/slc/attorney-resources-publications Look under "Virginia State Bar" website for information about POA.
Hope that these websites help.
Is there a specific issue you and the doctor are disagreeing about? More information would be helpful.
Do the doctors think your husband is still competent to make his own decisions?
Could you describe the situation a bit more as to why the MDs are saying that? Do they think the health POA is lacking necessary power(s)?
You need a lawyer who specializes in elder law which not all of them do.
One thing for sure, at some point he is going to need more care than one person can humanly do as in 24/7 unless you want to be part of the statistics of how many caregivers die before the person they are caring for. Just thought, I'd mention that.
Take care and tell those doctors that they don't know what the are talking about.