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My Grandma, who is 95 & my last living relative, is on the verge of Dementia and has made my life extremely difficult the last year. She has spread lies about me, defamed my character, called me bipolar ( I am not) in the town I grew up in. I stepped out of her life for a month due to dangerous allegations. During that time she fell x2. The last put her in the hosp and then rehab, due to her knees buckling, I am her POA. One doctor told me she is having strong delusions and believes them, but is competent. Nursing home Dr told me she has dementia, the start of it, Social worker says she does not & will be discharged home. She told the hospital that a friend was her brother, and he is just a friend. It's manipulation to get home and have him fill her med minders. Something I used to do and only state-certified people can do. This is very concerning. She is blind and will not accept paid support. If she is competent, I cannot do anything for long-term placement, and I don't know what to do? Any suggestions? I can tell you, I have provided care for 9 years, and this behavior started in the last year, and each time I see her, she begins an argument. I have endured mental and emotional abuse for a year and I feel I must remove myself, to save myself. She pays anyone that does something for her with cash (grass cutting, bushes cut, house painting, etc, the problem is she is legally blind and cannot see the denominations and will not let me help her. I am her POA—any suggestions.

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A dementia diagnosis is not an opinion given out by different doctors based on given behavior of the moment of knowing who the current potus is. A valid dementia diagnosis comes from a MoCA or SLUMS test administered and scored by a medical professional. Only then will you know what's really going on with grandma. I suggest you get her properly diagnosed and go from there.
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Being her POA doesn't mean that you have to provide her care yourself, and I'm glad you understand the need to remove yourself. Please do that for your sake.

Some doctors know little about dementia. "Strong delusions and believes them" shouldn't be ignored because that IS something wrong, and it certainly could affect her competence. For instance, my Rude Aunt, age 88, had strong delusions that there was nothing wrong with my dad despite the doctors' reports, diagnosis of cancer, and dementia. All we needed to do was feed him mashed potatoes, which would help get rid of the cancer, and make sure he did Sudoku puzzles that he could no longer do, which would help his dementia. This delusion caused major trouble because everything she associated with my dad was driven by her irrational thinking. She told people these things, which caused others not to trust me (until they figured out by observation that she was wrong). She threatened to take me, his POA, to court to prove dad WAS competent, but he'd never been declared incompetent because he still was, according to his estate lawyer. Delusions need to be taken seriously. Rude Aunt herself was mentally incompetent due to her delusions; dad's hospice doctor identified this and suggested she get help for her denial, but she refused counseling because she knew she was okay! At least your grandma's nursing home doctor seems to have a handle on her situation, and that doctor should know because he/she sees dementia a lot in the course of that job.

There are associations to help blind people in most parts of the US. Lighthouse For The Blind comes to mind; I'm sure if you search online in your area you will find some organizations like it that have the resources grandma needs. There may be volunteers, special equipment to help her, and advice about living arrangements. You could ask her eye doctor for guidance to a group that offers help to the visually impaired and the blind. Where I live, there is a club for the visually impaired that meets regularly to help each other and to find info that will make their lives easier. I hope you find the right help for your grandmother (the "right" help being the kind that gets her away from you).
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I would say you are stuck.
You cannot get her placed as long as everyone keeps saying she is competent (if delusional).
I am sorry you chose to have POA.
I myself would resign that POA by letter while she is still considered competent.
I would not attend her anymore.
You have given us history. You cannot manage an uncooperative senior who is considered to be competent enough to be on her own.

If you are next of kin, then when grandmother falls again you will be called either by a hospital or a coroner. If the former, I would tell them she isn't safe at home and you resigned POA because she will not be managed in getting care. That you did this while you were assured, she is competent.

Your grandmother has had her life.
Whether she dies in her own home (which I imagine she would prefer) or lives another year or so miserable in a nursing home, hardly seems worth arguing at this point.
Not everything can be fixed.
We can be SORRY for that fact, but that just doesn't change it.
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Sorry you’re getting mixed signals from those involved with Grandma’s care. This definitely sounds like dementia and not the beginnings of it. You’re wise to realize you need to protect yourself. Geaton gave excellent advice on resigning POA and reporting to APS, I hope you’ll follow it. I wish you peace
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I'm sorry for this distressing situation. Did her doctor actually perform a cogntive/memory exam on your Grandma? Doesn't sound like it. If your Grandma is having delusions and paranoia *regularly*, she is already in moderate dementia. Ideally she should be taken to a new doctor. You can tell her a therapeutic fib: that she needs to complete her free annual Medicare wellness exam (which is a real thing) in order for her benefits to continue. If she allows you to take her, you go with your PoA docs and a pre-written note explaining her symptoms and that you need her to be tested and you need a written diagnosis on the clinic letterhead and signed by her doctor so that you can activate your PoA authority so you can operate in her best interests. But even with active PoA it is very difficult to get a resistant and irrational elder to cooperate. You won't be able to force your solutions onto her. Your options are: - You can call and report her to APS to make sure they know she's vulnerable and that you've been trying to help her but she won't allow it. Do not be involved with her at all and just wait until she has a medical crisis. When she's at the hospital bring your PoA paperwork. You explain that she's an "unsafe discharge" being blind and delusional and resistant to any help from anyone. Then ask to talk to a hospital social worker about transitioning her directly into a facility. You make sure she doesn't call anyone else to come and get her. - you resign your PoA and call APS to report her as a vulnerable adult. The county will put her on track for a court-appointed 3rd party legal guardian and they will deal with her accusations, resistance and delusions and get her the appropriate care she needs. I know you want to help her but the reality is that being partially involved just delays an actual solution for her. By what you describe she is doing most or all of her ADLs and somehow is managing to not start her house on fire or fall down stairs. I get that you're worried about her being financially abused. Not sure you can do anything to solve this since she's paranoid. Her world is about retaining control. As long as you are in contact with social workers and they know you've been trying to help her, then you'll have to endure the delusions and confabulations she spins about you (and probably others). May you receive clarity and wisdom, and peace in your heart as you wait for an opportunity to step in and advocate for her.
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