My Uncle is semi-independent in his own apt. I have taken on increasing responsibility for his needs each year (he has no other family). We recently completed all the legal docs. The Financial POA is "durable and immediate". One of the clauses states "to make,endorse, accept, sign.....assignments, agreements...... and other instruments in writing of every kind and nature." I would like to think this could allow me to write up an agreement be paid for my fiduciary responsibilities as well as my domestic caregiver responsibilities. I checked online and don't seem to be able to find a straight answer. Has anyone had experience doing this?
Can't afford that, so we went back to my Uncle's friend who lives at a NH, and re-hashed all the issues again with the objective to reach some compromises and agreements. In front of his friend, I informed my Uncle that due to his continuing incorrigable attitude and lack of cooperation, that my personal mental and physical health were being seriously affected - and that after today, if no agreements were reached, I would give notice to the lawyer of my intent to quit as POA effective Dec 1st, and immediately start arrangements for the State to take over his care, and after that was in place, I would be out of his life permanently. His friend knew I was really serious by this time, and he asked my Uncle if he really wanted to lose me. I guess that really got his attention, because he said he really wanted me to continue taking care of him and would listen to me.
So after 3 hours of pretty intense negotiation, we reached the following agreements:
1 - Reasonable monthly amount of petty cash for Uncle to keep in his wallet for misc. personal expenditures.
2 - A nominal monthly stipend for caregiver services (officially covering 20 hours, in reality averages 60 hours), plus some compensation for gasoline and a 60 minute phone card. It's the principal of the thing - I am consciously aware that I am allowing him to take advantage of me monetarily, but the caregiver contract basically garners his respect for my services, and makes him realize he can no longer take me for granted.
3 - Acknowledgement of the practicality of direct-deposit and automatic bill-paying services by the bank - both time-wise and for accurate documentation of income and expenditures.
4 - He agreed to allow me to exercise100% control as POA - basically acknowledging he trusts me - which was the point of the POA assignments to begin with!
5 - Agreement to see eye doctor in order to get an updated 'Certif of Legal Blindness' which is required by the Commission for the Blind before they will even come out to evaluate him.
6 - Agreement to accept lessons in Mobility Training with the proper type of cane used by the blind.
We could not get him to agree to hearing aids, but after 3 hours of negotiation, we figured that was enough for one day. So we will see how it goes. I am continuing to leave him to his own daily self-management within reason, keeping in frequent contact by phone on a daily basis, day and night. I am available for any urgent issues or emergency 24/7, and will not leave him physically unattended more than 2 days regardless of any issues - he needs to be personally checked up on and given routine domestic assistance by the 3rd day. This week I am going to complete the on-line bill paying arrangements (saves me about 10 hours/mo.), and follow-up on the supermarket shopping by a local elder care service (small fee-well worth it), which could save me about 5 hours/mo.
So we finally made some progress - we will see how it plays out in actual practice!
Another option I think might help... A contract written up naming you a care manager with compensation. This was another idea offered to me from our attorney. It has to be worded right for Medicare to accept but it would (or could) offer you compensation. And if there is enough money still hire some help.
Ditto on the hearing aides. My MIL did the same thing.
I think the hearing aids aren't perfect. They have their own issues and people don't like to wear them. My dad had them and never wore them unless I told him I wouldn't talk to him unless he put them in. My mom needs them but won't go to get new ones (she has some that she's never worn since she got them).
OrangeBlossom, keep us posted on how it's going. I hope your Uncle will settle in with letting you do what you can for him.
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