My mom has liver disease with encephalopathy. My partner and I live with her to take care of her. She is also a part of a liver institute program and is on a liver transplant list. However, her scores to get a liver are very low and she now believes she will not be getting a new liver in time to benefit from it (she is 67 years old and the cut off is 72 I think). Unfortunately her symptoms are far more severe than her scores read. She has struggled with encephalopathy for years now. She is of course on lots of medicine to help control it, but she does not remember to take it often enough, and is not very compliant with the medicine, even when administered. Mom has now made some very bad financial decisions. She has always wanted to move down to Panama. Over the past 5 months, she has completely spent down all of her savings and income, to the point that I do not think she will even be able to make her part of the mortgage this month. She is insisting on flying out of town to a conference about moving to Panama that is run by a very fishy company. She has already bought tickets and spent tons of money on the trip as well as other scams in an attempt to make money. She has had a weakness for the get-rich-quick scams all her life, and the disease has seemed to exacerbate that. I am very afraid that she will get to the hotel and get very sick and confused due to the encephalopathy, especially as she cannot always remember to take her medicine even when alarms are set to remind her. I have been against the trip the whole time she has planned it since I believe the whole thing to be a scam. I finally put my foot down this week and refused to help her with anything relating to her going out of town. I do not have the money for a plane ticket if she gets down there and gets sick, and now she does not have any money left to fall back on either. My partner and I have begged her not to go, but she is insistent. I am on an FMLA program at work, but I do not have the money or days off to go down there with her, which was a concern all along. I contacted the liver institute where she is a patient and explained the situation. I was looking for help from the social worker, but unfortunately she has left the institute and they did not have one available. I spoke with the clinical coordinator for my mom, but she said I do not have any legal recourse as my mom is technically of sound mind. At this point it sounds like I have to step back and let her make these bad decisions. I was at least somewhat willing to let her do that when it was her money (as much as I tried to get her to stop). At the time she was making these decisions she was coherent all of the time. But now I'm worried it will end up being the last bad decisions she's made. Over the past couple of months, she has declined since she has not been compliant with the medicine. This has happened before, and sometimes it ends up with her going into the hospital. They will simply pump her full of the medicine and send her home. I was against her making this trip and spending all her money when she was doing "ok" mentally, but did not seek any legal action at the time. Again, she was technically of sound mind. Now I am worried she will end up in a hotel room comatose, if not dead. She is of course insisting she will be fine. We have a couple of social worker friends who have advised us to get a psych eval done. I know mom would absolutely throw a fit at that, but I am not against it. She had to have one done before she was allowed on the liver transplant list. I do not know if that will help at all for the near future, though. She is due to go out of town in just a few days. The problem is she has good days and bad days. She had a very bad day yesterday, where she was walking the streets trying to find a ride to the mall. Then today I stayed home from work, thinking to take her for a psych eval and she was much better. Does anyone know if there is anything I can do to keep her from going at this point? Would a psych eval at a hospital even help with that? Her mental status is not related to dementia or Alzheimer's but her symptoms are similar to that. All I've been able to do is just refuse to help her with making the trip because it seems like I'm enabling her. That's unfortunately not working very well because then she feels like she has to resort to drastic measures to get what she wants. What can I do to try to avoid this terrible situation I'm afraid is coming?