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Is this a parent of yours? Is there an estranged child or history of not getting along with another relative? Is this elder easily agitated and argumentive? I do believe the POA has the right to dictate to the facility who can and cannot take the patient out of the facility, even for a day trip.
My father spent the first few months of his stay into a planned jail break. We had to specify exactly WHO could take him out for a day visit, because he planned to have folks from church take him home.
We recently had a family reunion that we agonized over. We know we could not bring him because he has developed "hate" for several relatives and loudly makes totally inappropriate and accusatory remarks about whoever is the "hated one" of the day. We did not want the great grandchildren to have these memories. Instead, a large group had him out for supper in a more controlled setting and smaller setting.
It all depends on the person, setting and family dynamics. None of this is easy. Good luck to you.
Is that kind of authority created in the document? That would be my first step - to reread the document authorizing you to act. If you're referring to a DPOA, it's generally for legal and financial purposes, but depending on who drafted it, it could address social situations as well.
What are the reasons that you don't want her to go? At what stage is her dementia? If it would cause too much confusion and/or disorientation, that would be a consideration. But apparently the facility director doesn't see a problem.
What time is it held? If she's sundowning and the event starts in the afternoon and segues into the evening, I would be concerned about disorientation.
But really what you can or can't do is spelled out in the authorizing document, even if it generally addresses situations in broad terms.
Depending on the level or stage of the dementia, some people have a problem with large groups, with confusion and with being able to keep up with what is going on. They may get frustrated, agitated, argumentative, even mean and hateful. Even if these behaviors have never shown up before. They may get there and not "know" anyone, but strange people are coming up to them and assuming they are known and begin talking to them. If she is hard of hearing, the level of noise at most reunions would make it difficult to follow conversations. Only you know your parent. If you go knowing that it may be the most frustrating day you've ever had, you may have to leave early or have the facility come back early to pick her up....then you might be ok. Two hours isn't very long to us, but may be an eternity to her. Be sure and take lots of pictures so that you can look at them later and talk about what a nice day you had.
Unless the person has been declared or many think she is, a POA does not have the power to over-ride the resident's wishes. That's a lay opinion from a legal perspective.
In practicality, if I were the POA and didn't want my mom to attend something, as an example, I might talk to the NH administrator and promise to rain down all SORTS of hell on him if mom were injured. I'm thinking their offer to transport might go up in smoke.
No, I don't think that a POA document usually includes deciding where a person can go or whom she can visit. In some facilities they go along with the POA's wishes even though they have no legal requirement to do so. In this case, the facility is approving a 2-hour outing. I think that whoever wants the person to attend the reunion should simply make arrangements and take her.
Now if the POA person ALSO has medical proxy rights, and if the facility backed up a claim that this would be medically unsound,, that might change the situation.
But as you've described the situation, no, the POA cannot make that kind of restriction.
This is my boyfriends sister. All of the family wants her to attend the reunion except the POA, another sister. She (the nursing home resident) wants to attend. The facility director said it would be great for her to get out and spend a few hours with family. The facility admin said the same. They are all for it and think it would be good for her. The admin told us that the POA can only make medical care decisions, that if the resident says she wants to go then the facility must honor her wishes and let her go. The POA is a control freak.
Then take her. If you think the POA is going to show up and cause trouble, alert the local police dept that you may need an escort. Unless to someone else has guardianship, she cannot be held against her will, is how it's seen.
It's not like she's saying "I want to move out and live on my own". Is the POA concerned that her sibling might not want to return?
This is my 2 cents. If your boyfriend visits his sister on a regular basis and she knows who he is and is comfortable with him (can he calm her if she gets upset) then go for it. However if any of the above statements are inaccurate, I would think twice about this. I noticed when our family gathered for holidays I would pay for the get together that night. Mom wanted people out of house (they had already left) and she would be up all night aggitated. I tried to explain to family that maybe visits in smaller groups would be better but they wanted things to go down just the way we always did it. Mom did not really recognize all of the family, but I don't think that the family actually noticed this. This get together was really for family members wants and needs and not those of my mom. My mom had dementia. This may not be the situation in your case, just some things to think about. Have some plans in place in case sister wants to leave earlier then expected. Is sister mobile and able to go to the bathroom herself? If you have all your bases covered this could be a wonderful outing for sister and maybe could generate more visits for her in the future.
Well thank you all for the advice. It is very much appreciated. But the nursing home admin decided today that he will not go against the POA, who refuses to let the sister resident of the facility leave the nursing home even for a couple hours. Reunion is completely ruined. Thanks again for the advice.
If the reunion is nearby, have a few relatives stop by to visit the sister in her facility. That seems to be a much better solution to me. More control is possible for the sister and she's in a familiar place, which would minimize agitation.
Don't know why the reunion is completely ruined just because one person can't attend. We never have 100% attendance at any of ours. I think that's an excellent compromise, to ask people who care to visit with the NH resident, to go by and visit for 10-15 minutes.
Great idea. That's what we do when we have big family parties. We can't bring mom because of her constant worrying. But everyone stops by, we don't tell her there's a party. People just happen to show up for a short visit.
All the family descend upon the facility en masse, really, to visit, all at once. The facility should have a large room to gather, bring refreshments, visit and have a good time. The reunion is not finished until you do this. Don't ask, don't make reservations. Enjoy!
Oops, maybe not such a good idea, as I did not read the last page answers, some had already answered about the visit. However, I am still wanting the definitive legal answer about the POA's far reaching powers. I guess I can research.
Can't we get through our lives without a doctor's note, someone deciding what is best for us, and having to get the government's permission for soooo many things?
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
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APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
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APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
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If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
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This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
My father spent the first few months of his stay into a planned jail break. We had to specify exactly WHO could take him out for a day visit, because he planned to have folks from church take him home.
We recently had a family reunion that we agonized over. We know we could not bring him because he has developed "hate" for several relatives and loudly makes totally inappropriate and accusatory remarks about whoever is the "hated one" of the day. We did not want the great grandchildren to have these memories. Instead, a large group had him out for supper in a more controlled setting and smaller setting.
It all depends on the person, setting and family dynamics. None of this is easy. Good luck to you.
Is that kind of authority created in the document? That would be my first step - to reread the document authorizing you to act. If you're referring to a DPOA, it's generally for legal and financial purposes, but depending on who drafted it, it could address social situations as well.
What are the reasons that you don't want her to go? At what stage is her dementia? If it would cause too much confusion and/or disorientation, that would be a consideration. But apparently the facility director doesn't see a problem.
What time is it held? If she's sundowning and the event starts in the afternoon and segues into the evening, I would be concerned about disorientation.
But really what you can or can't do is spelled out in the authorizing document, even if it generally addresses situations in broad terms.
In practicality, if I were the POA and didn't want my mom to attend something, as an example, I might talk to the NH administrator and promise to rain down all SORTS of hell on him if mom were injured. I'm thinking their offer to transport might go up in smoke.
Now if the POA person ALSO has medical proxy rights, and if the facility backed up a claim that this would be medically unsound,, that might change the situation.
But as you've described the situation, no, the POA cannot make that kind of restriction.
It's not like she's saying "I want to move out and live on my own". Is the POA concerned that her sibling might not want to return?
Can't we get through our lives without a doctor's note, someone deciding what is best for us, and having to get the government's permission for soooo many things?