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Grull, my Dad faced a situation like this. His mom's best friend from childhood never married; we all referred to her as "Aunt".

In later years, decades after my dad's mom died, this lady developed dementia. My parents knew they couldn't care for her at their home (they still had young kids at home).

When it became clear that she couldn't care for herself anymore and she refused to leave her home voluntarily, my dad enlisted the young cop on the corner to tell her he wanted to take her to lunch. They took her to the hospital and she was admitted to a NH.
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Beatty Sep 2023
No nonsence practical solution.
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Ok, so this woman is more than just a neighbor. I would not move her in with you. Her selfishness will only get worse. She needscappropriate care. Being DPOA does not mean you physically care for her. It gives you the ability to place her in a place with appropriate care. If she has money, she can hire Caregivers. Also, your husband holds POA not you.
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Why does she get to make decisions that keep you away from your family?

Or, is this a welcome break for you and a good excuse?

I ask because all of your answers just ignore questions and divert from issues. That is always a sign that the poster, you in this case, are going to do whatever they want, because we just don't understand and they must, must, must step up and be the hero, I mean solution.

Just curious why you ask, when you obviously are going to let her drive the boat, regardless of anything else.
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Grullagirl Sep 2023
I think I need to hear I’m not being selfish if we take charge. It’s a big deal to me to go against anyone’s wishes
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I should also give more back story, my husband took care of his previous wife who had early onset dementia until she passed at home. So this lady knows that as she has known my husband since he was a young child and grew up with her children. Her son passed away several years ago and has always called upon my husband for different things throughout the years even before I came along 10 years ago.
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Geaton777 Sep 2023
Understandable however this woman also has profound health issues, not "just" dementia. ALZ (early onset dementia) has a different trajectory than other types of later onset dementias. This woman could also have a UTI, which is very common in elderly women and often has no other symptoms other than changes in behavior, confusion, agitation, etc.

A strategy could be to visit her and if she displays any of this behavior have your husband (with his DPoA paperwork) call 911 and explain she is not herself but uncooperative in going to the doctor. They may be able to get her to go. From there, the ER, there may be options for other care strategies to form.
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Grull, I understand stand you care about people.

Your husband's POA doesn't give you guys any right to force care upon her.

If she is still competent, she has the right to refuse her doctor's suggestion and live as she chooses.

It sounds like she is a difficult character. I would not want her in my home causing disruption.
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Grullagirl Sep 2023
I don’t know for sure as I’m not a medical dr but I do feel like she is starting to slip. I will talk to her dr at her next appointment and see if he can do a cognitive assessment. Maybe that will help us in what more we can/can’t do.
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You posted in a reply that your husband is her DPoA.

Therefore, he needs to read the document to see what is required to activate his authority to make decisions on her behalf. Often, it is at least 1 and sometimes 2 medical diagnosis of cognitive impairment.

Once he knows what is required, then he may have to employ "therapeutic fibs" to get her to voluntarily go to the doctor for a diagnosis.

You also posted in a reply that "she has CHF and stage 4 kidney disease, with the docs giving a 6 - 12 month life span. "

If she has a health crisis before this happens, she goes to the ER and there he can discuss discharge strategies with the staff or social worker. It may be a golden opportunity to transition her directly into a facility.

It may be possible to have her assessed for LTC, which is covered by Medicaid (plus the person's SS). Does your husband know what her financial resources are? There can't be a strategy unless these details are also known and he has the access and authority to manage it all.

FYI regardless of your husband being DPoA, banks will often still require you bring in the paperwork and then go through their own PoA protocol (been there, done that with 3 different banks).
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Grullagirl Sep 2023
Good to know. We’ve just always left her in charge because that is what we wish for us when we are old, however we are seeing that she isn’t making the best choices.
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Your kidding right? Move in with her, surely you gest.

She is not related to you, let her daughter niece or whoever deal with her. She is cheap and refuses to pay for help, that is her problem not yours.

You are being used, can't you see it? Paying for your flights and so on, not getting paid, Pack up your bags and go back home to your family where you belong.

If you cannot break away from this thought process, I would get some therapy, there is something out of whack here.
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And we all know that this OP will ignore the advice given and move this woman into their home so her and her husband can continue being suckers and door mats for their wealthy friend. And I use the word friend loosely because this woman is not a friend she is a user.
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MeDolly Sep 2023
Yes, she never addresses the core reason, I guess they are waiting for the big payoff after she dies. There is more to this story than meets the eye.

We are trying to figure out the angle, as experience tells us that there is one.
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Don't move her into your house for any reason. I can't even believe that a rational and sane person would even entertain the thought of such dangerous nonsense and it is dangerous nonsense.

Moving a sick elderly person into your home means you take responsibility for them.


Don't so this. This woman is a neighbor. Not family. Even when it is family I encourage people to think long and hard about if before moving a needy old person into their house.

Please take to heart what I'm saying to you. I was an in-home client caregiver for 25 years. I've seen every scenario that can happen and I'm telling you for your own good. If you think she's mean, stubborn, and ornery now wait until she's moved into your house and you and your husband are now her care slaves that are responsible for her.

She will also also know this and will ruin your lives. Please don't ruin your life.

Also, stop going overboard with the helping her. There is no reason on earth why you should have flown to Florida and sat by her bedside in the hospital.

If you want to continue to "help" her do it the way a neighbor is supposed to help out another neighbor.
Bring the occasional supper over and mow her lawn. Stop in a couple times a week to check on her and maybe have a cup of coffee. If one of you has her POA you need to go to the probate court in your town and have it removed.
Maybe you think there's going to be something in it for you and your husband because no one takes responsibility for a needy, unpleasant elder and considers moving them into their own house unless they think there's something in it for them.

There's nothing in it for you and your husband except misery. Even if there have been "deals" made with the two of you and her.

Let her get as stubborn and mean about paying for care or moving as she wants to be. You don't have to listen to her and you're not responsible for her. Tell her plainly that she is a neighbor not a family member and that you will not be available to her so much.

Don't make yourself responsible for her because you will be very sorry you did.

She may be against paying for help now, but when she starts getting hungry or has a fall she'll change her tune when they state tells her it's either paid help or placement in a nursing home against her will.
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Grullagirl Sep 2023
Maybe I’m crazy because I care about people
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Grulla, if she gets mean when you bring the subject of moving into your home up; what do you foresee her attitude being if you force a move into your home?

This is probably one of the hardest situations to ever face. You MUST consider your family more then you consider your dear neighbor. She could ruin your home life and traumatize your entire family. Is that something you are willing to do? I am not being funny or harsh, it is a reality that a sick, angry senior can be a hurricane force, destroying everything and everyone in its eye.

Only you and your family can really know if this is feasible and something you can do, have a family meeting and don't forget to discuss how challenging dealing with her pos daughter will be, because she will be around, it's a guarantee she will be snooping into everything to ensure her inheritance.

God bless you all. Your hearts are in the right place, just make sure you fully understand what you are jumping into and get your heads wrapped around how very much your lives will change if you do this. Oh, I would bet that the niece won't be as available when Auntie has a 24/7/365 caregiver, just something else to consider.

Personally, I would never move an unwilling, mean person into my home, regardless of their circumstances, not with children that can be traumatized by the experience. But, that's one of my boundaries.

EDIT: I just read she has CHF and stage 4 kidney disease, with the docs giving a 6 - 12 month life span. My dad had the same diagnosis and lived 10 more years. Are you prepared for this to be a very, very long journey? She is being unreasonable and I would highly recommend that you let her do whatever she is capable of. She is the one in need and she is driving the boat, that NEVER works out well for those that step into the eye of that sh!tshow.
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Grullagirl Sep 2023
I won’t do it unless she agrees to it. We’ve always done what she has wished. It was a suggestion that might make it so I could be home more.
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"I have offered for her to move into my home with us and she refuses to leave her home and refuses to pay for help and refuses to go into an assisted living facility. She very stubborn and gets mean with you for even suggesting it."

REALLY? It's not your problem. Your friend sounds like a selfish senior who has taken advantage of you and your husband. She won't go to a facility or pay for help and has NO problem with you and your husband doing all this for her for free.

And now you want this woman to move into your home? Are you freaking crazy? Is there something mentally wrong with you and your husband that you would continue on this crazy path?

Get some perspective because you and your husband are being taken advantage of and she is not even your own family.

Please LEAVE Florida and your friend where she is and go back to your home and family. It's time. Your husband has POA and needs to have her involuntarily placed into a facility.

This all seems like above and beyond for someone who is just a friend, especially the part about you and your niece taking turns staying in Florida from December to April. Seriously who does that? It sounds completely insane.

You say the friend has a laundry list of issues and the doctor doesn't want her to be alone. It is now time for her to be placed in a facility.

Honestly I don't know what to make of all of this other than to say I hope you and your husband are in her will and you stand to inherit something for all the money, time and effort you have given to this woman for free.

To neglect your own home and house for a woman that is long past needing to be in a facility is completely nuts.
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Grullagirl Sep 2023
She has been selfish her whole life, hence why the daughter has washed her hands. I guess we are just the stupid ones who care a little too much about what’s best for her.
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You seem to be bound and determined that you are going to do this.
Are you POA? For health and finances?
If not who is and are they going to be forthcoming with funds and information so you can provide proper care?
Will you get paid to care for her?
Will you get paid for the extra gas, electricity that another person will use? She should pay for her portion of ALL household expenses.
What happens if you get hurt caring for her?
What happens when you can no longer care for her in your home?
What happens if when you move her in with you and you find out that she is more difficult to deal with than you thought?
What happens when you find out that she is incontinent and she (to use recent examples found in other posts)
Stops up the toilet, causing $6000 dollars worth of damage?
She leaks through her pull ups and damages the mattress now you can't get the smell of urine out.
She smears fecal matter on the walls in the hall and bathroom.
She refuses to bathe or change her clothes
She can no longer do stairs, can not walk,
Is your house set up for this
I am not going to go on but you get the idea.

And if no one is POA and she is not competent are you prepared to obtain Guardianship? That is an expensive and time consuming undertaking.

This is not a simple..."I'm gonna take care of the nice neighbor lady"

Ok, your response to Geaton777 answered the POA question. And with POA you would probably not need Guardianship however if any of her relatives wished to step in they would probably have to become her Guardian.
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Grullagirl Sep 2023
I have never been paid for all we do for her. She has the money to but I would never ask. I paid for all of my own flights back and forth to Florida every 3 weeks and paid to take her daughter down because we didn’t think she was going to make it. (She has stage 4 kidney disease and congestive heart failure) in February they gave her 6-12 months. We’ve been aggressive with treatment (that’s what she wants) and she does infusions and a recrit injection weekly/bi weekly.
Im not set on doing this just trying to find out all the good bad and ugly and what other options there may be.
she said she isn’t going to pay a caregiver and she isn’t going into a home and says she is just fine staying on her own.(we know she’s not) she couldn’t get out if there were a fire or defend herself if someone broke in. It’s only out of concern for her wellbeing. If I lived right next door to her it wouldn’t be an issue but my home is 20 minutes from her and she has fallen in the past and the 20 minute drive feels like a hour.
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From your profile:

"I have a husband, children and a farm full of animals."

You have NO capacity to take on more responsibilities. Your own husband and kids are the priority. This doesn't mean you don't care about your long-time friend/neighbor but this is where reality meets the road. I'm assuming this woman has no PoA assigned...

Often stubbornness and resistance are the beginnings of dementia. If you want to know what it's like to try to juggle a family and a mobile adult with dementia just read some of the posts on this forum from well-meaning people who took in people with dementia (and no PoA or legal guardianship) and the absolute poopshow it turns into (literally and figuratively). You have been wisely warned not to take her on. Please heed the advice.

Together with her niece report your neighbor to APS as a vulnerable adult. It may take a while but eventually the county will acquire guardianship of her and then they will make sure she is cared for, and will manage all her affairs.

At that point no other person will except the court-appointed guardian will have any control or insight into any of her assets, property or medical care. BUT, you can stay in contact with the guardian to know where she is re-homed, and you will be allowed to visit her as much as you like. I wish you clarity, wisdom and peace in your heart as you and the niece work to get her settled somewhere.
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Grullagirl Sep 2023
My husband is and has been her POA over medical and financial. So this isn’t necessarily a friend/neighbor situation. I’m sure POA is different than guardianship.
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It is the most challenging thing I’ve ever faced, no doubt. I just feel that because the dr has told her neice and I she can’t be alone anymore and if we just stop taking turns staying with her then we will be in trouble for neglect. So my best solution was to cross the path of having her live with us.
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Geaton777 Sep 2023
If you aren't her PoA or legal guardian you will not be liable for her well-being, especially if she is resistant/refusing the help you have been offering. What makes you think she will willingly live at your house? Full of other people? She would probably become a wandering risk. No... you can't and shouldn't do it. Her dementia will only get worse. Read some of the behaviors that can accompany this rotten disease. Neither she nor you will be able to control it. Dementia robs people of their ability to use logic and reason, and therefore destroys their ability to make sound judgments; they can no longer empathize with others (so she won't care what impact her behaviors or choices have on you and your family); her memory will get worse; she may become incontinent and resistant to using disposable undies; she won't want to shower no matter what; she can start shadowing you so that she won't let you out of her sight; she can sundown and pack her clothes everyday and leave the house to "go home"; she could say and do things that are extremely inappropriate to your family or visitors and out in public (like screaming "HELP!" out the car window when going to a simple appointment -- been there done that personally with my own Aunt.

You will need to bring your heart and mind to understand that for some problems there are just no perfect or even good solutions -- only least bad options. Calling APS is the least bad option that works for everyone.
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NO!!!!
You have no relationship, other than you being a friendly neighbor.
She is not your responsibility.
She has relatives they can deal with her and the legalities that come with it.
PLEASE do not get yourself or your husband into this.
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Grullagirl Sep 2023
She had a sister who lives 2 hours from her and she can only help once in a while and her daughter will not help even when we have asked her to. Her pos daughter has never helped and has always called me to help her mom.
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What is your relationship with this lady? Friendly neighbour?

Moving from a helping hand or providing favours for a friend/neighbour to providing a free home, meals & care is one HUGE step...
Straight down a slippery slope into a quicksand bog in my opinion. Easy to slide in - will be very very hard to get out.

Yes I can see you want to help your friend/neighbour. You care.
But you lack the authority. This can lead to very big problems. Especially with the lady's family/next of kin/POA.

Instead, you can point this lady towards help. If she refuses, you can point APS or other welfare or aging services towards her. But think very carefully before becoming more involved & providing all the support yourself.

Another angle is this - It would not take much for family to acuse you of grooming the lady for elder financual abuse. In fact I just read today about a man (elderley, blind, dementia) who's non-related carer took over his care. Then started siphoning away his funds. Re-wrote a new POA & Will - ommitting family & naming the carer. Despite both documents being completely illegal, it caused much harm. I believe it is now before the courts & that 'carer' will be facing serious charges & the consequences.

If you wish to stay involved, consider being your friend/neighbour's ADVOCATE instead.
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Grullagirl Sep 2023
It is a bit sticky, my husband is her DPOA as well as executor of her trust/will as well as her FPOA. We have been all she has had for several years.
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You offered she refused so you don't need to feel the need to ask again.

Report her like BarbBrooklyn suggested, cut ties and move on with your life.
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No. Caregiving is stressful enough when you are looking after your own family and have proper legal authority to make decisions and spend their money for necessities, it will be better for all of you if she is forced to accept the reality that she needs care.
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Do not move her in with you.

Call your local Area Agency on Aging and tell them that she is a vulnerable senior living alone.
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Do you move her in with you? no No NO!
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