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If they are being paid via a relative who is POA but are concerned about a conflict of interest and potential elder abuse?

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This sounds strange.
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Obscure question. Probate only comes into effect after death. POA ends at death.

Elder Abuse should be reported to the local authorities. Just as child abuse should be reported. In BC where I live there is a hotline that can be called.

Conflict of interest can be hard to prove, are you thinking of misuse of funds?
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If you are a caregiver you are also a mandatory reporter, so if you even think there is a possibility of abuse you are required by law to notify the police, you should not hesitate to get this done as your post is now proof that you had a concern and did not fulfill your legal obligation as a paid caregiver, that is part of any training.
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I am a caregiver for an elderly woman with dementia. Her niece-in-law is her POA (I assume durable) and is also the beneficiary of the estate. It seems to me that the POA does not want to use the estate funds to pay for things which might reverse or halt the dementia. Now my client wants to change her will to make a sister and nephew the beneficiaries. Would the niece-in-law still be expected to serve as POA despite any bad feelings brought about by this change? Is this something I should even be concerned with and possibly report to Adult Protective Services?
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She needs to get a lawyer involved, the problem with dementia patients is they are no longer of sound mind, meaning they can not sign certain papers. Get an attorney involved.
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She has an attorney but is it my role as caregiver to be involved in that? I will call Institute on Aging and APS for advice.
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