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My friend has not been able to self medicate or manage her own finances for more than a year now. She doesn't eat unless I remind her to; she wears the same clothes for days in a row and seems unaware unless I point it out to her. She hasn't taken a shower in more than a week now and I really don't feel leaving her alone when I go out is safe anymore.

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Hope you have medical POA. I would suggest contacting Adult Protective Services for advice. In most states it takes two doctors and the courts to determine a person incompetent. Anyway to use in home care agencies? Are you willing to take on the task of guardianship? One would have to be appointed if she is declared incompetent. I think it is wonderful that you are a caretaker for your friend. Good luck to you!
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