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My mother is trying to talk my nephew into moving her out of the assisted living facility to another town in Arkansas. She wants to live on her own, however the reason she is in a facility is because medical professionals stated she cannot live on her own again. She has also told him all she needs is $1500 for a lawyer and I cannot prevent her from leaving. She has now stated she disowns me as her daughter. I know this doesn't effect the legal document. I don't want to have her declared incompetent, but I will take this to court if he goes behind my back and tries to take her out of the facility. I have notified the place where she lives that he may try this. I want to know if I can have him arrested if he does since he will be putting her in danger. He is only listening to what she says and does not know the facts behind her situation. I am not sure what to do next. Any help?

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I believe her doctors can declare her incompetent to sign a new DPOA....a diagnosis
of dementia in itself might be all you need. Keep talking to the home and medical professionals as they have already determined she cannot be alone as it would be dangerous for her to do so. I doubt that the facility would allow him to move her...they could be sued. He's just a nephew and you a daughter with power of attorney. Have you asked the facility what they would do if he tries...I believe they would call the police themselves. Going to court would be a waste of money as no court is going to give him DPOA. Good luck and don't worry too much..just cover things with her doctor and the facility.
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Yes do what lilith53 says. I had to do exercise my dpoa as well as only thing was my grandma didn't want to change it, it was my cousin who tried using a false document to become her guardian and release her to into her care. Please whatever you do, don't feel guilty or bad. You are protecting your mother and yourself. Good luck!
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Since her dementia is causing her behaviors, just tell the facility no one is to see or take her out of the facility without your permission. Yes, the nephew can be arrested for adult endangerment, but I don't think it will come to that because the facility can be sued if they allowed him to remove her. Above all, GET YOUR INSTRUCTIONS IN WRITING TO THE FACILITY, have the administrator sign it, and give a copy to the police. Then mail a certified copy to the nephew informing him of your intentions too. That way, no one can say they didn't know your (your mother's signed DPOA) instructions. Good luck!
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If she has not been deemed mentally incompetent she can do what she wants.
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If your mother has dementia, how do you know what she is saying is even true? Have you spoken to your cousin about this directly? If you can't talk to him for whatever reason, suggest that he sit down with you and the doctor of the facility and discuss her diagnosis and the fact that she will say things she doesn't mean, etc. as a result.
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I've been dealing with something similar with my brother and my mother. You need a certificate of incompetence (it may be called something else where you are) which will prevent your mother from going to another lawyer, changing the Power of Attorney, and moving out of the care facility. Talk to the facility where your Mom lives and give them details of what is going on. Also, since you are the DPOA, talk with your mother's lawyer to get some accurate legal guidance. Keep in mind, that unless someone answering on this forum identifies him/herself as a lawyer, none of us can give legal advice. The staff at the nursing home are your best friends, keep in touch with them. (In my situation, my mother was recently, and to my shock, declared "competent of person," meaning she has the right to decide where she wants to live. However, she does not have legal or financial competency, so she cannot change lawyer, POA, or her will, or decide how to spend her money.) Good luck; I feel your pain.
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Capacity aside, just because she has dementia doesn't mean your mother isn't having a wretched time in that particular ALF. Do double-check everything is ok with her living conditions and that she's being treated well before you act on the (possibly quite justified, I don't know) assumption that she's just being contrary. And I completely agree, talk to nephew unless you're already on terrible terms with him. Best of luck x
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I am going through the same thing with a sibling who has threatened to kidnap our mother, who lives with me, and have change her will and POA. To prevent this from happening, I am having her declared incompetent and obtaining guardianship. This is a painful process as my sibling has been conducting a campaign against me, accusing me of all sorts of things, and some believe the lies, as they do not know the facts and don't bother to find out what is going on. It is also difficult because my mother is paranoid because of her dementia and will tell my sibling all kinds of hurtful things. I agree with the previous posters: communicate with the nephew, he may take her statements at face value and be well intentioned. If he is not well intentioned and wants to exploit her, then protections can be put into place so that he cannot contact her or worst case scenario, kidnap her and put her in danger.
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Everyone has given you some great advice. It sounds like you and your nephew are not on good terms and he is taking what your mother says as gospel truth. Have you ever invited him to sit down with you and Mom's doctor and had the doctor go over her entire condition and explain to him that many times a person can seem competent but their moments of being lucid are fleeting? That person who is lucid slips back into incompetency in the blink of an eye. He needs to have it put in front of him by a professional so he does not think you a lying to him.

He does have the best intentions for his grandmother but how would he feel if he stole grandma, falsified documents, put her into her own home and after he left grandma over medicated herself and died, grandma fell broke a hip, was hospitalized and died, grandma forgot a pot on the stove, caught the house on fire and grandma died, grandma left the house and wandered the neighborhood was hit by a car and died? He may be hard headed but he needs to be shown that what he thinks are actions of love for grandma, can actually cause her death...could he live with that? He needs to be educated on the disease, invite him to come to this site and read all the questions, replies and stories.

You might write him a letter and begin by telling him that you are glad that he continues to visit with grandma and you are sure his visits are looked forward to. You are sure that he loves her and that he wants the best for her. I would go on to explain grandma's condition, what happens with dementia or alzheimers, how it will only progress and worsen, how she needs to have 24 hour care and be watched for her own safety. Tell him about this site and ask him to read it. If you want you may invite him for a meeting with her doctor if the doctor agrees. You might finish off by saying that everything that is being done is for her own good however you understand his concern. I do not know how much you would want to go into the ramifications of him trying to remove her and what he would be faced with. I would try to make it as pleasant as possible and non threatening. You need to demonstrate that you are doing everything within your power to care for Mom and appease him and quell his fears.

On the other hand, possibly you need to take a long hard look at the facility and make sure that it is a good place for Mom to be. Does his anger and wish to remove grandma have any merit? Can grandma live with you or any other family member and be taken care of?

I was told in no uncertain terms that my parent needed to be placed into a nursing home to live. I have been the caregiver and did not think it was necessary although it would have been a relief from a lot of work. I sought a doctor to help and he came up with the correct mix of medications and she is able to continue living in her home with me as caregiver.

Check out your options and approach this with care and love and if he does not want to listen, you will have no alternative but to seek legal assistance.

God Bless You on Your Journey
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If mom has no mention of being dementia, memory loss or alzheimers, she would be competent and can do as she pleases. Just because you are the agent she has chosen, doesn't mean you can run her life. You must have her deemed incompetent if you want to be able to protect her...unless she has. I am not an attorney, but an Estate Planner....lot's of good info here, but go back to her competency and go from there. Double check with legal counsel.
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I feel for your loss and frustration with your mother.
I think this is needless worry, because the medical professional have already decided she has to live in a facility, correct? That's the same thing as not being competent, I would think. Check with her doctors. Some people with symptoms of dementia are affected this way; that is, that they want to run away or run to the past when they could function. If you want to after consulting with your doc, have a conference with the nephew and explain this all to him. Be patient, it's a difficult period and after a time she will understand that you did what the docs advised.
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I think being advised to live in a residential facility does not necessarily have anything to do with being competent. Competence is a mental issue, is this her issue or is her physical state such that she fares better off in a residential setting? The fact is plain, unless she is incompetent mentally, she can dissolve any DPOA, POA without a lawyer by stating in writing and signing it with a witness.
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There is an overlap because someone who is not physically capable of caring for themselves but is mentally competent would not make rash decisions to forego care they are getting without a viable alternative. Someone with dementia is more likely to make irrational decisions regarding their care as they are not completely aware of their situation or are letting their emotions rule. The latter can be exploited by people who prey on their emotions, knowing the logical side is diminished.
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After reading my answer I felt I had left out the most important part...is Mom competent? I just read KevinB's answer and in my opinion he hit the nail on the head, you MUST go with her competency and seek legal counsel if necessary.
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I think the bottom line here, is, that until she's declared financially and/or mentally incapable of making decisions for herself, she can =legally= change her POA at any time. She doesn't need your permission. Your region may have different laws and regulations that govern HOW the incompetency is determined and/or made legal. In our case, a letter from the physician was sufficient for *most* purposes.

As has been said, unless you do your diligence, you may encounter a tricky and unsavory outcome. Good luck!!
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How can a person say that just because you refuse a certain kind of treatment it would have to indicate a level of irrational thinking, she may have other ideas for her care.
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I agree with countrymouse. Make sure there isn't a real reason she's trying to get her grandson to spring her. And like everyone says, talk to the nephew and find out IF and why he thinks this is a good idea.

On a practical level, is the facility locked or can she come and go as she pleases and have any visitors she wants? Unless you keep her from going out and you ban visitors, she can sign a new POA document if someone brings it and some witnesses to see her sign it. (Do I sound paranoid yet :-)

Banning visitors is rather extreme. I should think the ALC would work with you to make sure she doesn't get someone to take her away without your approval. If she's there because of dementia, they'd be nuts to accept a new POA signed while she was in their care. I'd suggest sending a registered letter to the facility and your nephew stating that she's not capable of making that decision for herself. If you're particularly worried, have a lawyer send the letter. That might especially bring him to your nephew that he can't just spirit her away without serious consequences.

Good luck.
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If your cousin takes your mother across state lines, that's called kidnapping. Please have your mother's physicians declare her incompetent to prevent your family from going through the same thing that our family endured. Your mother's health and safety depends on it. Good luck and God-speed.
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I was not saying that a person refusing a certain type of care is necessarily suffering from dementia. I am just saying that people with dementia are known to make rash decisions that can put their lives in danger. A person of sound mind knows their capabilities and can look at alternatives. My mother kept saying how she had to leave my house and go "someplace" but was never specific about what that meant. I had shown her many living facilities previously but she didn't like any of them. I realize it meant she wanted to leave her pain and confusion behind and the someplace was a dream place from the past. I think she finally accepts that she can no longer care for herself but it was hard.
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Thank you one and all. Nephew and I are in agreement about her staying put. However, she now has her 77 year old sister helping her. They went to the bank and opened a new account and transferred the money out of our joint account. She also told my brother the Ombudsman is going to help her revoke POA this week. I realize the Ombudsman is a patient advocate and I respect that. I just don't understand why she doesn't look into my mother's medical history and my Durable Power of Attorney to understand as soon as the medical documentation is presented declaring her incompetence it cannot be revoked. Believe me when I say there is no upside of this for me having DPOA. The only reason I have it is because she and the same sister were spending her little bit of money and not paying the bills. She then began to fall. overmedicate and not tend to her bathing and grooming. She ended up going to the hospital and rehab twice. The last time she was home one day and ended up in the emergency room and almost died. It was this visit where she was diagnosed with Dementia and I was told she would not be able to live on her own again. It was then a choice between the very nice, safe and caring assisted living facility or a nursing home. I chose A.L. She has thrived there, even though she has been consistent in saying she wants to leave with no clear answer of where she wants to go. However, now she wants control of her money (S.S. and a small retirement from her husband) and to go live in the same apartments (roach and rodent infested) as her sister. If I present documentation and she is deemed competent to do these things then so be it. I will be done with it once and for all other than keeping A.P.S. involved to make sure she is safe. Thanks again. It is nice to know there are people out there going through the same thing. This experience has taught me a lesson and I will make sure my children will never have the same experience.
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I'd love to see the expression on the Ombudsman's face when he hears that he's "going to help her revoke POA this week." Oh he is, is he? I wonder if he knows that?

Reminds me of when my mother told her family doctor that he was going to give her travel insurers a reference to confirm that she was in good health and fit to fly to Ecuador. Bless him, he nearly fainted. He did give her a reference; and she did get to Ecuador and back in one piece; but he didn't quite phrase it like that...

You're right not to worry, your mother's case should be in safe hands with the ombudsman - and by giving him the facts you've done all you can. Wishing you a good outcome x
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PEOPLE WITH OR WITHOUT DEMENTIA (whether in the own mind or now incompetent mind) HAVE THE RIGHT AS A DISABLED PERSON to live in the least restrictive environment as I have mentioned here, time and time again.
Just because a person has POA and can make decisions doesn't mean they can put somebody away like used luggage.
Anybody remember the UGLY LAWS(harboring the psychotic aunt in the attic?), they were done away with, in the 1970s, to make way for people who are disabled to have rights, to live and move around the way they wish.

Of course if your nephew is not a good care taker, or an opportunist, would be the only reasons he shouldn't be the caregiver.

Q: Have you ever tried to imagine what a nursing home
looks like to a person put into one against their will?

A: A jail.
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Have you ever been in jail?
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I was almost put in a nursing home
when I was 44 after I had a stroke,
haven't had one in 12 years, thank God
but I can remember the family talk,
like I was deaf? and could not hear them.

Sometimes what is someones convenience,
is another person's reason not to live,
exactly how I saw going into a nursing home,
my family wanted to put me in.
It was mostly my sister,
who had my daughter through the ordeal.

No more solitude with your morning Joe (even if you need assistance)
replaced by a bunch of noise of people getting to a dining room and
a large group of people being served, the clamoring of trays, why do people
always say their loved ones are better off living in a nursing home?
I worked in one, in the mid 70's, the new Alzheimers and Assisted Living Facilities look good, but did you know...
if your relative gets the flu in Assisted Living it is not the CNA's job to help them sip down their tea or ear their toast, like you would do if they were with you.
That is just propaganda to lull you into thinking every thing is being done, for your loved one, next time you are at your facility, ask the RN or LPN ratio per facility or floor, you will find out it is only one and that CNA's are calling the shots in most facilities daily. That their is a certain schedule during the day when it is busy and another one at night... I was walking around a facility for 45 minutes at 700-745 at night, looking for the open house (that had been cancelled) while walking around I saw nobody, nobody in the dining room, nobody...when I went back down to the desk and was writing a note for the facility, I saw a pizza delivery man walk in the same as I did.
He rang a bell behind a potted plant, and out came a person to collect and pay for the pizza, one person. One person, that is how I found out the open house had been cancelled...who knows where anyone else was.
You facility should ask you to sign in
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Iwentanon, don't bother sending me any hugs. I asked you if you ever were in jail. Simple question, I have worked in state prison for quite some time and I do not see the comparison to my mother's nursing home and a prison. What you describe sounds like a mental institution like Willow Brook from years back that was closed down. Are there crappy residential homes, yes, like anything else it is relative. But, I can assure you there is no comparison.
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Don't take it so personal, I did not question your decision,
there is nothing wrong with wanting to be in your own home,
our 86 year old was in one of the new modern monstrosities,
they show modern apartments , suites, etc.
But our 86 year old had a small room,
maybe 10X12, that fit a twin bed,
a love seat, a table for her phone and
a tv stand and television.
She could make coffee but not much more
and she still has her wits about her,
but back then, she weighed 98 lbs,
and we would have lost her, for 6500 dollars a month.
Every body solves their own issues, in their own way,
I never said you did not solve yours.
And I never said that your mother's residential home was a jail.

I said being in one feels like jail.

And no I was never in jail,
but then I don't have to be in one to empathize.
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Get an attorney ASAP, she can still sign whatever she wants until she is declared incompetent. The facility will not get involved in a family feud, but they will respect court documents.
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I..., you are incorrect in your assumption that I took what you said personally. My decision was made with a team and in my mother's best interest. You really have to have the experience of being locked inside a prison to really know the difference. Just like people can empathize what it must be like to take care of someone 24/7, but unless they have done it themselves it is a theory.
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Many elders won't have any experience of prison, either, of course. The point made was that, to elders who don't know what an actual, real prison is like, a care home they don't want to move to can look like one.

And in that they are being sent there without their consent and will not be free to leave when they wish, the analogy is valid. That's all. Perhaps if our older people really had been to jail they wouldn't be so afraid of care homes? - but I'm not sure that thought is much comfort.

Madeaa, I would not dream of questioning a carer's decision about what is best for his or her loved one, and I'm sure Iwentanon wouldn't either. Surely if there's one thing this forum proves it's that you can only do your best with the reality you have to deal with. Everyone is free to disagree , but nobody has any business to criticise another's choice. xxx
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Let me make this crystal clear, my intent is not bellicose. What I am saying is a prison is not a nursing home. There are people who are struggling with the decision to put their loved one in a nursing home with great angst, this prison analogy could add to the guilt, which is not needed. I guess you'd call me literal minded, I'd say, I know what it is like to face the decision.
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