Am I giving away complete control of her care if I hire a professional guardian?

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My mom has stage 4 Alzheimer's and needs a guardian.

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Are you hiring a geriatric care manager? They are very helpful particularly when POA is a distance away. Guardianship is only assigned and granted by a court.
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BarbBrooklyn is correct. Only a judge in a court of law can appoint a legal guardian for a person deemed unable to care for themselves, make appropriate decisions - is incompetent or incapacitated. If there is not a suitable person in the life of the person in question or if no one is willing, a judge will appoint a "professional" guardian. Sometimes it's a person who does this for a living and may have more than one person that they preform guardianship duties for and sometimes it can be someone such as a social worker or attorney who takes on just one "client". This is typically a paid position with the appointed guardian being paid from the principals funds. Should this be the case - then yes, family members loose all rights in making decisions for the person - although some professional guardians are open to hearing from family. In my own situation - when my disabled son turned 18 I was given the opportunity to become his paid caregiver - however it meant I would not be able to be his legal guardian as well. I chose to be his guardian- I was not willing to give up the legal right to make decisions regarding my sons care and in general, how he would be living his life.
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I think we need more information. My experience is that you don't " hire" a guardian. Guardianship is a judicial process by which a person is deemed incompetent to manage their own life and thus the ability to manage either or both the person and their finances is assigned to others. Guardianship can be granted to a family member or to someone else.

Are you perhaps thinking about hiring a geriatric care manager?
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