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Mom had an old medical directive refusing assisted living. She is still living at home alone but cannot do anything herself due to dementia. Her doctor has deemed her incompetent. She also still drives, which is horrifying. My brother has POA and is helping where he can but is exhausted. She is hostile and stubborn and doesn’t want to move. She refuses to let any strangers in the house. Memory care facility won’t admit her due to medical directive. Can we give guardianship to the state? What other options are there?

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I have been the POA of my Mother with dementia for 7 years now. While I am glad to be able to help there are days I cry it is so much with no assistance from my siblings. I am also the legal guardian of my developmentally disabled elderly sister. A full time job that often does not bring satisfaction but frustration.

Take mom's keys away and disable her car now. tell her you will it taken to the local garage but sell it for her. Find a nice AL or memory care and place her favorite things in the room.
Take her there and then sell her house for her. She is no longer able to make these choices. I hope you all pitch in to help your mother not just the POA.
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Do nothing. She will eventually end up in a hospital, and they will put her into memory care.

To be honest, I am not so sure you can even put "do not put me in assisted living" in a medical directive.
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Igloocar Jan 16, 2025
I) think you are correct. Do not put me in assisted living is not a medical directive.
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Maybe file for Guardianship? Being deemed incompetent normally the POA takes over and makes the decisions. She sounds just like my mother in law, thank God she never thought about refusing an assisted living in her living will. So my mother in law has been deemed mentally inCAPACITATED. I think there might be a difference between incompetent and incapacitated. My husband is POA, but we agreed that my sister in law should petition for full guardianship as it’s easier for her since my husband is very busy with his construction business. There’s plenary guardianship (guardianship over person and property) and limited guardianship (leaving moms right to say where she lives)The courts do everything they can to refrain from taking away someone’s right to choose where they live, it’s a big deal. My sister in law has plenary guardianship over all of her decisions including the choice for where mom can live. Mom’s signature cannot be used for legal documents anymore.
I would assume that having plenary guardianship would give you control on placement no matter what may be in her medical directive.
Petitioning for guardianship is a very detailed and intricate process, it’s not easy to do the filing and being the actual guardian is definitely not easy, because there’s so much that has to be done monthly for the courts to show that she’s being cared for. Not to mention, very expensive. Getting an elder law attorney is basically a MUST, unless you already know how to petition and file and put everything together the right way. We got an attorney and even then, it was still confusing to us, and it’s a lot. I feel bad for people that don’t have the money to do it, because if we didn’t have one, it would’ve been next to impossible doing it ourselves. It’s also time consuming. So much so, that the guardian is suggested to keep track of their hours performing the duties and receive a pay from mom’s personal finances. We don’t do that though, we’d rather there just be enough of her money to cover the costs of the facility and for her other necessities. The money for her place to live, medical care, and needed items need, as well as all lawyer costs, to come from her finances not yours.
Your question would be a great question to ask an elder law attorney. You MIGHT be able to ask the probate division at the court house where mom lives, sometimes they aren’t allowed to answer certain questions if their answer suggests advice from them. They’re not allowed to give advice. I think your question is one that is just asking to verify a fact or not.
I wish you the best of luck! This whole experience whether you obtain guardianship or not, is going to be one of the most tough things you do- until you get used to it and learn the ropes. It will get easier
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JooFroo Jan 13, 2025
Also, you can prove that living at home alone is unsafe. Keep track of falls and any injuries. Any hospital or doctor visit from an injury or decline in health due to her self neglect or making a dangerous decision related to her well being. Keep track of any time she forgets leaving the stove on, whether it starts a fire or not. Expired food items. Refusing or forgetting to take meds or takes them any other way besides the directions on the bottle. The fact that she continues to drive, despite it not even being legal to drive anymore- incompetency and incapacity automatically disqualify her from driving legally. If she drives, she is breaking the law and an officer might arrest her not knowing any better. Not to mention the danger that you’re aware of. Your concern of her getting lost. The cleanliness of her house…. Etc…. I started a log book and kept track of all things like this- behaviors, mental status, falls etc. it helped us out immensely, especially when it came to guardianship court and with our lawyer. Notes are a HUGE help!
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It’s not clear to me that ‘medical’ in a ‘medical directive’ can include where to live. It’s usually about types of medical intervention. Perhaps finding out about that may make it easier to persuade facilities to ignore it.

If saying or writing down "I don't want to go into a Nursing Home" was legally binding, NH's would be fairly empty.
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@LisaMG7r

As one who is not a fan of a facility, sadly in this case, the OP probably has no other choice but to place her. Mom doesn't want strangers in her home, which rules out caregivers coming in, which is practically her only choice at this point to stay out of the facility.

OP and brother have done all they can to honor her wishes to not be in a facility, sadly placement in a facility is now the only solution.
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MiaMoor Jan 14, 2025
Sensible advice.
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@LisaMG7r

Please read the original post again. This elder is not safe at home and it cannot be made safe even if both kids move in with her. My mom lived with my husband and me and it became too dangerous because she was wondering through the house in the middle of the night and not using her walker, going into closets and pulling thinks down on top of herself. 11 months in, I had to face the fact that I was not the best caregiver for her. I think you have little to no understanding of what it takes to care for an elder who refuses any outside help, becomes combative, withdrawn, refuses to bathe, etc. You have a single experience with your mom but read the stories here and see what we've experienced and stop judging others for doing their best for their loved ones!

No one wants to dump their mother off, we arrange qualified 24 hour a day, 7 day a week care to ensure their safety and comfort when their minds no longer allow them to care for themselves!

My mom was driving when she should not be, her wreck, which totalled two cars and put her in the hospital was what alerted us to how affected with dementia she was. Her grandson moved in to help her and she was certain he was there to take advantage of her so i moved her in with me until that was unsafe. She still thinks, 3 years later that she can live alone and drive!
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So sorry that you and your brother are in difficult positions. You hint that you and your brother (and other loving people in her life) are unable to be with her 24/7/365. She can be at home with help as long as there enough finances and she cooperates with care. Otherwise, it appears that she needs to move to long term residential care. You can ask state to take over guardianship. Call local authorities to get the ball rolling. She may need to be admitted to a hospital since she is not competent - able to remain safe or healthy by her own efforts or direct her own care. Ask doctors to help her with medication so she will be less anxious, agitated, and hostile since she probably perceives everything and everybody as a threat. It is a part of her disease process.
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Definitely hire an eldercare attorney to help with this process. They are more educated in what your options are due to State regulations differing and personal issues that vary person to person. It is an expense that your brother, as POA, can apply to your mothers account. Hopefully you or your brother have his/your name on a joint account with her as primary.

At the time of your mothers directive it was a "want". This has surpassed a want to a "need" due to her medical situation.

You can give guardianship to the state but I don't believe it should. That is another can of worms you would need to deal with and quite possible be even more difficult than keeping POA and having more control with your mothers care.
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@JocelynRoxx Don't give guardianship to the state. Haven't you heard all the horror stories about that? Look it up online.
Can't your mom live with you or one of your siblings and then you bring a caregiver in to help?
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JooFroo Jan 13, 2025
Well that’s only IF mom doesn’t refuse their help and kick the caregivers out. My mother in law refused. Also, if she is anything like my mother in law, it’s no walk in the park. There comes a point when their mental status, especially behaviors, surpass the care we are qualified to give. Not to mention, even someone that is fully qualified and been through schooling for this, it’s extremely hard when it comes to caring for your own family with this condition. it’s a full time job, and you’re working doubles everyday. Not healthy for the caregiver. I’ve watched many caregivers of their loved one become physically sick and have to go on medications for themselves. It might be different for someone that gets lucky and their loved one with dementia turns into that sweet little old lady that’s smiling all the time and is easily agreeable. But definitely not for those that have behavioral issues from the dementia. So it’s not just as easy as “why can’t you just keep them home and hire a caregiver” Been there, done that, didn’t work.
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Go to court and get that clause rescinded based on current mental issue. If she had no one to be POA the state would place her.
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LisaMG7 Jan 10, 2025
What's the point in someone making an Advance Directive if it's just going to be rescinded? That has to be against the law.
What is wrong with you people that you don't care about WHAT YOUR MOTHER WANTS?? Doesn't she matter??
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Jocelynroxx: Retain an attorney.
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If she's deemed incompetent, she is incompetent to decide where she lives. Your brother should use his POA to get her out of the house, sell her car, take away car keys as well, sell the house, find a memory care facility for her and do whatever it takes - such as enlisting her doctor's help - to make sure she moves there. He's got a huge job ahead of him, but he's POA and he has to do it even if he's exhausted. Other option is he resigns POA and lets things fall where they may. Mom is now very sick. You both need to realize that and understand that she's not able to call the shots anymore.
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LisaMG7 Jan 10, 2025
How do you know? Have you evaluated her yourself? Let's have some respect for this woman. If she put it in her Advance Directive that she didn't want to go to Assisted Living, then it should be abided by. You don't just disrespect her and throw out her wishes just because someone says she's incompetent. She can't be that incompetent if she's still driving.

It sickens me the unbelievable disrespect the elderly are given. It's so easy to just throw around the words, incompetent, and use the word, dementia, so loosely and eagarly.
Have some respect. If this lady put in her Advance Directive that she didn't want to go into assisted living, you don't tell her to her face that okay we'll abide by that but as soon as you think she's incompetent, then you backstab her and you go against her wishes. No, you do everything you can to make sure she doesn't go into assisted living! Otherwise, what's the point in making an Advance Directive??
Get her a caregiver at home if that's what you have to do to keep her at home. Let her move in with one of you.
I gave up my life for years because my mother did not want to go in Assisted Living and my 3 dirtbag siblings didnt want her, even though 2 siblings had 2 homes, all 3 siblings were rolling in money and none of them worked, so there was no excuse why 1 of them couldn't take her. They didn't want to and they were going to force her into assisted living even though there was no reason for it because she was not even incompetent. Her doctor said she was not incompetent. They just wanted to get control of her house and her money.
I promised my mom I would never put her in assisted living, if she didn't want to go. So I moved in and I gave up my life and believe me it probably took years off my life but I'm not going to betray my mother.

I don't believe in traumatizing your parents in the last years or months of their lives by sticking them in a place they don't want to be. It blows my mind how selfish people are nowadays. Treat others how you want to be treated or maybe one day you'll be abandoned to some memory unit where they lock the doors behind you and you're never allowed out.
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Mom is not in her right mind and someone needs to step in and handle it. Can you or brother move in with her? Can she be invited to spend the night at your or his house and just set her up permanently with you or brother and take away her keys. Being a paralegal for many years, there was never an option in the POA or medical directive paperwork where there was an option to refuse assisted living. You might want to get the copy and look at it yourself. If doctor has deemed her incompetent, then half the battle is won and all of this should be fairly simple and she can be placed in a facility. I would avoid court since brother has POA. If he is tired of doing it, are you named secondary POA? Can both of you take turns in her care? There are many options other than court guardianships which take many months and lots of time and money and really only needed if there is no POA in place. Also, if there really is language in the directive to that effect, why not just act like that document doesn't exist and not show or mention it to any facility you are trying to place her in. You can always just operate under the Power of Attorney to get her admitted.
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Fawnby Jan 9, 2025
If they move her into their homes, they might have a hard time getting rid of her. That would be worse than the present circumstance! She needs facility care now.
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It sounds like the options are...
Your brother steps away from being POA
The Court appoints a Guardian.
In most cases the Court would prefer a family member but if no family wishes to take this on then she would be a Ward of the State.
OR
She accepts a caregiver in the home so that her wishes can be carried out.

I am curious if she has always refused to have people come in? If so the medical directive seems rather short sighted and possibly selfish if these have always been her wishes.

As POA though your brother should disable the care or take her keys away. She should not be driving. I would hate to think what might happen if she were in an accident and it comes to light that the doctor has deemed her incompetent and yet she is still driving. She would lose everything....not sure about your brother if he could be sued as well.
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I’m with Morris on contacting APS. Your bro or you going Guardianship route will take weeks if not months plus the costs are not insignificant out of your or his pocket. APS could swoop in and do a request to the court for an emergency placement &/or emergency Guardianship placed.
OR
y’all wait the inevitable that she falls and EMS takes her to the ER/ED and then y’all refuse to go and get her and that discharge planner at the hospital finds a NH to send her off to under rehabilitation orders…. and then she remains there to sequeway from rehab patient (MediCARE benefit) to custodial care resident. Then bro as her POA does whatever needed to do a spend down to get her eligible for LTC Medicaid if needed.
OR
Bro formally resigns his POA and she’s on her own. She refuses to go anywhere = she eventually dies in her house. It won’t be pretty.

Her doing a “medical directive” refusing care in a facility is a new one to me. & I’ve been on this forum for ages. That someone could do an Advanced / Medical Directive to state this is pretty horrifying to me. It’s not like declining CPR to be done or declining an ECMO or declining surgery or other truly medical interventions. It ties the hands of the POA to place their elder into a facility that can meet their needs.
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LisaMG7 Jan 10, 2025
II can't even believe what I am reading in this thread. For you to say so let her be at home and wait until she falls and gets hurt and gets taken to the hospital.. oh my God. Or to say let her live alone and then she'll die by herself at home. My heart hurts so badly right now.
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Driving definitely no, but good for her for having a no AL in place beforehand.
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BurntCaregiver Jan 9, 2025
@cover

It makes no differene whatsoever if she has a 'No AL' in place order on an Advanced Directive document.

If she has dementia and is no longer in her right mind, she doesn't get to make the decisions anymore. We have laws in this country that pertain to vulnerable adults. That is why we have agencies like APS, CPS, and other state-sponsored social services. A person with dementia cannot live safely without proper supervision. The same way a child can't.

Sometimes the law has to go against a demented senior's demands and protect them from themselves. The state will place the OP's mother whether she wants it or not if there's no one to take care of her at home.
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You can contact the DMV and get her license revoked. They revoked my mom's and she went back in and passed and they gave her a license, but the state removed it again. We didn't contact the DMV, but her eye doctor did. We sold her vehicles which removed her access to driving. You can ask about guardianship. In my state they can appoint people outside the family to be guardians. If your brother has durable POA he can do a lot with that, but guardianship gives someone more power to put her in a facility.
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Grandma1954 Jan 9, 2025
just revoking a license does nothing...plenty of people drive without a license and or insurance....the keys have to be taken or the car removed or disabled.
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A person can withdraw the POA at any time. Even if you try to place her if she refuses a facility may not take her for fear of a law suit. It's probably best to contact Adult Protective Services and they should be able help given that she's putting herself and others at risk by driving and other unsafe behaviors. Getting guardianship is a lengthy process that might cost you a bit of time and money and it sounds like something needs to be right done now.

Good luck.
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BurntCaregiver Jan 10, 2025
@Morris

There's no fear of a lawsuit if a person has been declared mentally incompetent by a doctor. Care facilities get hostile transfers every day and just deal with it if a POA or conservator/guardian has someone placed.

How many elderly people with or without dementia willingly go into residential care? One in a million maybe. These places know how to deal with hostile transfers and they don't fear any lawsuits.
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Your brother can make decisions for her. He can go to court, explain that her medical directive should be voided since she is now incompetent because of dementia and requires memory care. The court can override the directive. My mom also refused memory care. I had her hospitalized for her safety since she started wandering. While there, she was fully assessed. Once a person becomes incompetent, the POA goes into effect. I underwent that with my dad. With mom, I had to get guardianship since she was already incompetent by dementia. Good luck. I know how exhausting it can be. I was taking care of both of them until my dad passed.
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You really only have two choices....go before a judge and request guardianship of your mom so that you can make safe decisions for her since she is incompetent. Or you can contact adult protective services and let them know she has been deemed incompetent by her physician and she is a danger to the public since she is still driving and a danger to herself since she will not allow herself to be placed in a facility. If you don't want the responsibility, she can be made a ward of the state and they can make those decisions for her.
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Your brother is not doing his job as a POA. Please step in and intervene. You may have to reach out to an Elder Care Attorney. I would call the and report this situation to department of aging resources.
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It is your brothers obligation legally and morally to remove that car from your mother! Immediately. Or potentially find himself in big trouble legally when mother kills someone while driving, when he KNEW she had dementia and allowed it!

Then he needs to sit down with a good Elder Care attorney to talk about the nonsense in an advance directive about no managed care for an incompetent elder with dementia.

Good luck to you.
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Please remove her keys and disable her car ASAP, before she gets an innocent person killed.
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Your brother needs to go down to the probate court in the city/town your mother lives in and resign as her POA. You go with him and both of you explain what's going on. Bring her advanced directive too.

When he is removed as POA, your mother becomes a Ward of the State. Then her court-appointed conservator will put her in memory care.

Don't you think most seniors would make an advanced directive refusing AL, memory care, or a nursing home if it could actually force their family to care for them at home? It can't.

Your brother can easily resign as POA by signing documents at the probate court. I was a POA for a mentally ill relative for a time. I couldn't take it anymore. So I went to the court and signed documents removing myself as their POA. I did not need their permission or anything else. It was easy. Visit the probate court with your brother and in the meantime, put in a call to APS tell them what's going on. Visit the local police and ask them to do wellness checks on your mother. They will and they will call APS too.
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AlvaDeer Jan 4, 2025
This I think is best advice. These children are not well enough informed to act for mother and she is currently a danger to self and others. She is going to require state supervision and placement. I DO think they will perhaps have to call in APS on this so they may as well try that as first move, because often, in many states, APS can help those who are POA and unable to fulfill the duty, to decline the duty. It sounds as though they have never ASSUMED POA over a diagnosed person; therefore it may be much easier to not assume it and to let APS refer the case to court management.
Worth a TRY, as a much easier route.
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Arrange for a virtual driving assessment through her OT department of her medical network (you may have to first go through her primary doctor. You will probably need to arrange through her primary doctor. When she fails, the doc is a mandated reporter and the failed test results get sent to the Department of of Public Safety and they will cancel her license. This is how I got my Mom to stop this past summer). Or, make the car disappear for "repairs".

Next, both Assisted Living and MC are not medical care, they are custodial care. If they are considered medical care then health insurance, Medicare or Medicaid would cover it, and none of them do. There's nothing medical about living in a room and having meals prepared for you. I don't see why anyone would honor this ridiculous inclusion to her paperwork. That lawyer did it to humor her, or she did a DIY document.

If all else fails your brother can resign his PoA and reports her to APS. This paves the way for the courts to assign a legal guardian for her. They will get her appropriate custodial care.
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The POA takes over when a person is no longer competent in his or her own decisions.
Now advance directives do not consider choices for care in future.
That is because someone may need care whether they want care or not.
So it is fine to refuse "heroic" measures such as dialysis, heart transplant, invasive surgeries, ventilators, and etc.
But one cannot make a directive that is "suicidal" if you get my meaning, because suicide is not lawful. If competent, one can refuse food or water and do a VSED exit by stopping eating and drinking, but if INcompetent, then the POA takes over.
Your POA for the mother will now have to arrange care for her so that she isn't in danger of death caused by being alone and helpless.

Hopefully that will make some sense. There need be no heroic measures to prolong her life, and in fact if the doctor agrees she can be put on hospice care.

As to a memory care that won't allow a POA to place an incompetent person due to some that silly in an advance directive (which I as a NURSE never heard of in my life, having read some 1,000s of directives)? I can only say I really can't imagine such a silly place (and in fact find it quite unbelievable; I think there must be a misunderstanding somewhere here).

So I would simply choose another nursing home.
Don't worry, no social worker will allow an old, incompetent woman to die in her home because of something silly written years prior.
Things are no longer in you dear mom's hands; when we are incompetent there are legal means of having our needs acted upon.
Just a PS here:
Now that mom has been DIAGNOSED as incompetent brother does need to remove the keys and the car. Part of his duties as her POA for her own safety and the safety of the general public. Your mom at present is somewhat of a lethal weapon brother is responsible to contain.

I would, in fact, given the level of misunderstandings of what POA is and is responsible to do, suggest a visit for an elder law attorney and getting some of these issues ironed out. It will be well worth the money whatEVER the cost.
Don't worry.
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You may be best off consulting an edler law attorney about this, it may be well worth the money spent. Have an attorney review the details of the medical directive, and the POA. Who wrote up the POA document? OFten they have some detailed legal language about site of living, that can well allow for a facility move when needed
If not, the attorney could go over the details of the process of how your brother could drop POA and then have the state appoint a guardian, if you were to go that route.
either way I think an attorney is going to help you a lot
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Reply to strugglinson
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For starters, take away her car keys, for the safety of herself and others. Just get them out of the house entirely.
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JoAnn29 Jan 4, 2025
Also, put the car somewhere else.
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