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I have siblings that had distanced themselves physically and emotionally from the family for well over 20 years. There has been no relationship or contact to speak of, between my siblings and parents, and for good reasons. Siblings some how found out that our parent has memory impairments, and now trying to work their way back into the picture with their agenda being of greed. I am financial and medical POA. I have been the only child that for many years has been the primary provider of care, doctor visits, arranging for care, helping with all of their needs. I have always had a close relationship with my parents, who chose to sacrifice time and energy, out of love and respect for my parents. I am offended and upset that in the "end" game, siblings that have never shown any concern, and have never contacted parents throughout the years are now trying to come around to involve themselves with a vulnerable parent. How do I handle this? I'm sure this is very common in families, so any advise would be much appreciated.

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You can't stop them from contacting their parent.. Just make sure you have 100% control of parents $... As far as medical info goe
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Oops I hit the send button..

As far as medical info goes, let them ask your parent, if they ask you about medical just tell them to educate themselves about dementia... There is many websites available..
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A similar question was recently asked and answered. You might want to read that thread. It’s titled:

Does the holder of a POA have any obligation to provide periodic reports to their siblings concerning their plans for the grantors care?”, at

https://www.agingcare.com/questions/power-of-attorney-obligation-to-provide-reports-170799.htm

As to your particular situation, I agree with Assandache - don't deny your mother the opportunity for contact, but be alert as to whether or not their late involvement causes her any distress. If it does, advise them to send cards instead of calling and/or visiting.

You could take the precaution of advising her medical team that you anticipate inquiries from long lost relatives who have no HIPAA authority and express your concern that these relatives have no legal authority to be inquiring of any medical professional. Cut them off before they try.

You can also "take the bull by the horns" and advise them that you're glad they're now interested in her welfare as you need help. Then list EVERYTHING you think they could do, including the less than pleasant tasks. You could also rub it in (I'm nasty today!) by telling them that you'll be glad to train them how to change diapers, etc., so they can provide proper care if/when they come to visit.

If they're not close, tell them to send cards, on a regular basis. You could ask for financial assistance as well. That sometimes squelches an otherwise aggressive interest.

Sometimes it just irks me to read of people ignoring someone for years then hovering around like vultures when they smell blood (or in this case assets).
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P.S. How did these siblings react when your father died?

Giving them the benefit of a doubt, it could be that they finally woke up and realized that they've lost a father and may lose a mother sooner than they expected, and now want to reconnect with the family.
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Even if their motive is greed, it might do your parents good to have some kind of a reconciliation with their prodigal children.

Just watch closely that they are not taking financial advantage of your parents.

As far as what information to share, respect your parents' right to privacy.
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Be open but cautious would be my advice. If you're concerned greed is involved, do they have a checkbook? Do they pay their own bills? Then I'd be a bit concerned about her "lending" them money. (Happened to my gram.) If they don't have a checkbook, then there's not much they can do unless your siblings are loony enough to take them to the BANK to get money.

If they ask for and take things? Well, they're only things. I personally wouldn't worry about them.

I'm with Jeanne, though. It'll widen your parents' horizons a bit to get back in touch with their other children. I sure wouldn't stand in the way of that.

You'll know their motives soon enough. You may be wrong with your assumptions.
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The aftermath of their reunion was extremely traumatic for my mother. It threw off mom's regular schedule, awkward and caused a lot of anxiety for mom. I was not present as I thought it would cause more stress, and did not want to be the person that keeps mom from communicating with the sibling if she chose to. Mom has since told me that she does not want my sibling to ever visit her again, and the only thing she can recall is the discomfort and anxiety she felt. Mom said it was like being with a stranger, said she was not friendly, and could not recall my siblings name. I've noticed this sibling is still calling mom..
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You've written about "sibling" and "siblings". Was it just one person who visited or was it several?

I think you now have your answer though. Their presence is upsetting Mom, so visiting is not a good idea.

If they want to come again, I guess the answer would be that it was too upsetting for Mom to see people who haven't been around for years and who she doesn't even remember, that it was more like being surrounded by strangers and made her uncomfortable.

Was there anyone present during the visit(s) who was neutral, such as an aide, or neighbor, who could collaborate your mother's statements? That would help support your position if/when you have to tell the family that they shouldn't come, and if they allege that you're keeping them from her.

It would also help if you had medical collaboration. Perhaps you might raise the issue with her internist or PCP next time and ask if you should allow them to come again, on the theory that they are long lost family and you were hoping for a good reunion, but that the visit wasn't successful or pleasant for your mom. Then you can tell the family that your mother's physician doesn't feel it's advisable for them to come.

They'll never know who that doctor is, nor would the doctor give them information since they don't have HIPAA authorizations.

I would be cautious, though, as you don't know what their intentions are.

As to the sibling who's still calling, let the calls go to voice mail, then type up the messages and keep them in a log, just in case....one never knows what the motivation is.

Although your update doesn't surprise me, it would have been nice if the reunion had been better and your mother could have shared the company of her family, even if they did wait several years before returning to the fold.
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Your job is to carry out your mother's wishes. Use your cellphone to videotape her request for no contact, so there is some proof of that. And no, you do not leave when they are present unless a Nanny Cam is running.
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Yes, there was a caregiver present who mom also witnessed first hand and mom also told caregiver that the sibling was like a stranger to her and there was no connection or bond. I also brought mom to her PCP, and mom shared the events and same thoughts with the doctor as well as I provided in writing, so he is on alert. I just need to call sibling and say it is in mom's best interest if a card is sent once in a while instead of a visit.
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That's disgusting behavior but you can only control your response to your siblings. Protect your parent and yourself from these vultures. Be busy and don't over share information about your parent or yourself for that matter. These may be your siblings but they sound toxic. Limit exposure!
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Imtired, it sounds as if there are regrets on both sides - very sad, and it's easy to see that stirring these up would be stressful for your mother.

But you yourself have nothing to regret; and quite honestly you have enough on your plate ensuring that your mother is well looked after. If she says she doesn't want to see her children, it makes your life simpler - you do as she requests. But try to be as humane as possible communicating her wishes to your estranged siblings: aim for truthful but neutral, or even sympathetic if you genuinely feel sorry about how things have turned out. Your suspicion of their motives is reasonable, but even if you're correct it doesn't mean they don't also have more filial feelings towards their mother. It's just not your fault if they've left it too late.

In terms of what you disclose to them about her health, assuming you retain control of all decisions and you have good working relationships with her professionals, then it shouldn't be any skin off your nose or risk any harm to her if you give them a bulletin every so often. She's their mother - it would be stranger if they really couldn't care less. On the other hand don't be surprised if they lose interest fairly quickly when there's nothing much to report...
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Tired, if I might make a suggestion...Follow up the call with a nice card or an e-mail, not only to clarify the issue but to soften any hard feelings if this sibling's intents were in fact legitimate.

From what I've read on these forums, these family relationships can become toxic, with siblings accusing each other and raising allegations that can't be proven.

Looking out for yourself and your role in caregiving is only common sense.
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