My sister has medical POA but has made some questionable decisions. How can I confront her about giving me medical POA?
My sister has the medical POA. Over the past couple months she has made some questionable decisions with my moms medical care. She cancelled my moms cardiology appointment. My mom has heart failure and the cardiologist was working on having her edema reduced. My sister lied and told them when she cancelled the appointment that mom was doing better. Her feet were grossly swollen-enough to have to buy new bigger shoes. Moms PA put her on amlodipine 10mg which I found out for an elderly person they should only be on 2.5 mg. Side affects include swelling, fatigue, dizziness and a host of other side affects. If you read an earlier concern I had about the PA scope of practice, this is the same PA. Lately I noticed in moms records that when mom was put on amlodipine moms blood pressure spiked to 200/100. This is when I saw that my sister had her off her B/P medication for almost 6 weeks. I am still waiting to hear back from her why she was off of her meds in the first place. Then the other day she had an appointment. I went to pick mom up when she suddenly was in extreme pain in her neck which dissipated then intensified. The nurse and I decided to call the ambulance not knowing what was going on. When I called my sister her words were, "was it necessary to call the ambulance". I am second in line for the medical POA but feel I need to keep an eye on the medical because of these recent actions. Any thoughts on how I can confront my sister to allow me to take her medical. My sister has the financial POA too which she does an excellent job at.
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It is not up to your sister. Only your mother can change a POA assignment. If she is in her right mind and can understand what she is doing, she can easily change her medical POA to any one she wants to.
I discovered that eventually, with advanced dementia, it may be appropriate to evaluate medications. Is your mom receiving Palliative Care? I'd explore if this might be what has happened.
Agree to that amlodipine usually doesn't cause hypertension.
See if you can all find time to meet with the Director of Nursing first about your concerns.
I would even call mom's PCP & let him know your sister ceased the meds. Not good at all. She should be seen by a doctor as soon as she or her family can get her in for evaluation.
Does your sister know what her responsibilities are as a Medical POA. She is not a MD. Maybe someone can discuss the "job description" to help her realize the guidelines for mom's care.
But stopping the medications on her own is not good.
Her ankles and knees were already swollen due to heart failure and the amlodipine worsened the swelling.
Yes, the ambulance came and found out mom had a pinched nerve in her neck which also caused painful neck and shoulder pain. So glad it wasn't anything worse.
So, we need a new POA even if I am next in line on the POA as a successor agent.
My mom was at one time on amlodipine, as well as propranolol, a nito patch, rosuvastatin, aggrenox, and quinapril. I was certain she would stroke out within weeks when her new doctor insisted on removing everything but the propranolol, that was nearly 5 years ago.