She has vascular dementia, almost totally deaf, very limited mobility and stubborn as the biggest mule on planet Earth! She changed her DPOA in 2012 when my husband and I moved out of state to include a statement that prevents my brother and I placing her into a NH. She now has 24/7 CNA care with weekly hospice nurse visitation. It costs $20-22K per month to keep her there and my biggest fear is that she will live on for 4-5 more years like this with only so much money. Both my brother and I agree she should be in a NH but definitely want this to happen if she gets to a point with hospice where pain management becomes necessary. At that point, will involve me (great distance out of state) and my brother (in-state but poor health) to manage her meds. I want to honor her wish to go at home but this DPOA change feels like she has no regard for how this will affect both our jobs, life, etc to provide 24/7 care. Not sure how to deal with what may be coming soon - any suggestions??