Mom has Alzheimer's dementia and cannot make health decisions, is it too late or can I still get a DPOA?

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Have her interviewed by an elder specialist for competency. Sometimes the seniors are not too far gone. Having a good POA, will, trust, etc documents is easily understood, even if the person has some impairment. An elder specialist can help clarify the issue.
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If your mom's Alzheimer's prevents her from making healthcare decisions on her own behalf she isn't competent to sign a POA. I agree with Felidae, you probably need an attorney and you probably need to seek guardianship at this point.
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