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I feel Gladimhere possibly provided the best info:
"Look into a geriatric care manager. https://www.aginglifecare.org/ "

We consulted with one several years ago and will again if needed. They network with a lot of the legal and medical resources you may need and will oversee the services you then receive. Their experience with health professionals is valuable because having an advocate to help you navigate the health care system can make sure your decisions are respected.

I have two sons, their wives, three sisters and four grandchildren... but at least right now do not feel any one individually has the time or understanding to advocate to the level I have had to for my husband. My sons currently are on my Durable POA and Healthcare POA but they have a lot of responsibilities with their own families and jobs. As a caregiver for my husband there have been many times I have felt providers, especially in the ER, have written him off in their mind and had I not advocated he may not be here today or at least not functioning as well as he is.

My sons do not seem to tune in completely to all I have do for their father. I am considering meeting with a care manager again to discuss an arrangement to step in as a supervisor if I am not able to advocate for my self. My oldest son is a CPA and the second one is very bright too so I totally trust them with our finances and hopefully will tune in more medically should I have the need. However, I feel I need to be finding out what plan B with a care manager would cost to provide guidance to my sons in caregiving situations.
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Look into a geriatric care manager.

https://www.aginglifecare.org/
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freqflyer Dec 2022
gladimhere, good to know. I've bookmarked that site for myself :)
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agingaging, I always worried about that, what if no one is left that is able to be my Power of Attorney.

When I had an appointment with my Elder Law Attorney [there are a lot of them in Northern Virginia] she told me that I could have an Attorney be my Medical Power of Attorney but there would be an hourly fee with would be taken out of my estate. Best to use a law firm in case one's Elder Law Attorney retires or moved, another Elder Law Attorney can be assigned with my approval and signature.

As for financial POA, I could have my CPA assigned, again the CPA would charge a hourly rate. Luckily I have a long time CPA, and his son is also working with him.

That was a relief, if I needed to go that route in the future.
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I think you can hire financial POA.

However I don’t think you can hire someone to be in charge of your medical wishes if you become incapacitated (ie pull the plug for you). In AR, I was told medical end of life decisions must be someone you know and trust, who you have a relationship with. Again, it probably varies by state laws.

I don’t have any one at all. My attorney was not happy leaving that like that, however there just isn’t anyone. I asked my attorney if there was anyone in the office who would volunteer and she looked at me in horror and disbelief. I said well, that’s why I can’t find anyone…I don’t have family or close friends and no one wants that responsibility to carry out my wishes for end of life. FYI my “wishes” are pain meds if I’m in pain, but no life saving/life extending measures of any kind. Pretty cut and dried.

Best to consult and elder care attorney in your state.
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AlvaDeer Jan 2023
My advice would be never to hire a financial advisor in this capacity. They work for the incentive of selling you products they make money on. Many elders are talked into buying products such as annuities they cannot access for decades. What is needed is a licensed Fiduciary who only does this. See my note below..
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A licensed Fiduciary is the way to go if you are able. These folks are licensed and practice within their states, and for the most part they are hired by the State's courts when a person needs someone to oversee their finances and placement, and there is no family willing or able to do this work.
An Elder Law Attorney or Trust and Estate Attorney should have a list of people in your area, as they are most often appointed by the court.
In California the PFAC (Professional Fiduciary Assn. Of California) oversees education, advocacy and advancement of Professional Fiduciaries. You may get information from them about how to reach such people in your own area. They can be reached at 866-886-7322 or email pfac@pfac-pro.org.
You want to be careful not to trip into a Financial Manager type' they often call themselves Fiduciaries. They are often selling investment products on which they make a profit.
I have a friend, the former partner of my deceased brother, in the care of a Fiduciary now for some years. I don't know recent costs but in the past it was approx. 90.00 an hour, and once the set up for billpaying and etc is done it often takes just about that amount of time monthly to manage things for a person.
You can also try speaking with your professional banker for some advice.
Good luck with researching in your own area for your own needs. NEVER try to get a friend to sign on for this hard work. Well-meaning people often say yes to this when they are in no wise able to handle it. It is a big job and one needs to be in the know.
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Speak to your bank about their trust department. They can give you advice on whether they can handle your finances for you. I know my folks had their bank listed as trustee after me and my brother.
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Our Elder Law Attorney will be hiring a guardian for us. See "Guardianship" in this article:
(copy. and paste)

https://www.alz.org/help-support/caregiving/financial-legal-planning/legal-documents
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TRyan this organization
AADMM.com
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Is a conundrum.
* Depends on how much money you have for this need.
* If everything is legally in place now, it is a matter of carrying out your instructions.
- I believe this would be an executor (of your estate). This could be 'anyone.' Doesn't have to be a lawyer or fiduciary (they work on a specific percentage as I recall I was told).
- Wondering if your / a church would have someone there to assist you.
- Best to get everything in order now as you can.
- And, as I'm finding out, see if your estate needs to go into probate / court. I am doing similar work need for my friend. I don't know who'll do it for me when the time comes. I tend to agree with others here recommending a geriatric care manager (this is likely what I am although I am not credentialled).
- You have good ideas here to consider. I am confident you will find the right person.

I was told to specify in bank / investments who the beneficiaries are, including non-profits and how much each gets. And, then to let them know they are one of your beneficiaries. Still, someone needs to manage it all.

In the light, Gena / Touch Matters
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