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I am in a weird spot and I feel utterly helpless and alone. I am the guardian of my mother we went through what is called article 81 guardianship. I have been doing this for around four years, and tbh it was the worse decision of my life.



As per my mother's order I pretty much need to seek court approval for any life altering choices in her care, and I also have a duty to do what is in the overall best interest of the IP my mother.



Here is where I run into issues. About six mouths ago with the help of my attorney we requested that my mother be placed because I felt I could no longer provide her care in the community.



My request was denied, the state had their own evaluation done and they felt she was not ready for SNF placement, and unfortunately AL is not an option for my mother with her Medicaid in our state.



So around two months later i made a request to be removed as guardian that was denied until the state or myself could find someone who could take over my duties. The state told me community guardians are only for emergency cases and my mother does not fall under that because I am her guardian.



I am legit stuck, my attorney told me unfortunately this is common in our county. The judges tend to favor family over state involvement and since I am already involved they tend to make it harder to get out of it unless the guardian is abusing the IP in someway but that comes with a host of difficulties.



On top of this everyone wants me to treat my mother's cancer because it is highly treatable but I don't want to. My mother wants to but she is IP and does not understand what prolonging her life means for her or myself.



I feel defeated. Not exactly sure what I am looking for maybe just a place to vent and feel less judged. That is what I feel everyday.

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CALL APS. Tell them you are no longer able to care for your mother either mentally or physically. I would in fact get a letter from your own MD attesting to that fact. I would then resign any guardianship legally and request guardianship by the state. Understand that at that point you will not have any choices as to placement, and etc, nor as to finances. No one has to serve as guardian when they are physically, mentally, emotionally or educationally able to do so in this country. A fiduciary will be appointed.

HOWEVER, when you DO this through either APS or legally with a court order through attorney, you will have not to be in any sort of back and forth. This must at that point be that you CANNOT DO THIS. Just as tho you were, in fact dying of some disease or struck down with a stoke. There cannot be any argument.

No one can force anyone in this country to be a guardian of anyone else when they are no longer capable of doing that service.

Your letter here does serve as fair warning. People should understand if they are POA or guardian for someone who has passed into competency it is NO EASY THING to simply walk away. In fact it is difficult, is a court legal action, and comes with a cost both monetary and emotional.
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Wintergrasp88 May 13, 2024
Thanks for the advice, my mother does have an open APS case and I have informed them that I am not capable anymore but as my mother's caseworker told me I cannot just say I cannot do it any longer after making this commitment. So they kind of ignored me. They are not wrong I dislike the situation but I would not hurt my mother.

The courts dismissed my claims as active threats also.

Yes they cannot force me to be guardian but they can prevent me from giving up the role as guardian especially if they cite lack of availability of community guardians.

Fun times
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So sorry you are in this bad situation. I wonder if you went to see a therapist because of the stress this is causing you and said you were suicidal because of it if that would be enough for you to be removed as her guardian and let the state take over.

It's insane that they could force someone to do this to their own mental, physical and financial detriment.

I totally get your not wanting to get this cancer treated too. It only prolongs your being stuck against your will as moms guardian.
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Wintergrasp88 May 12, 2024
It is nutty, that is the grounds we used to try to get me out of it. Unfortunately, my therapist could not coach me as to what I would have to say to show my stress and thoughts pose a risk to myself or my mother.

They did note I was stressed and thankfully that means when a community guardian becomes available I can get out but as my attorney said good luck on that. Unless I do something to myself or my mother they will not view this as an emergency situation.
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wintergrasp, you absolutely should not, nor are you required to, pay any money of your own towards her care. Moms' money pays for what she needs, and if she doesn't have the money, she can apply for Medicaid. It is not your responsibility, even as guardian, to use your own money for her care!
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sp196902 May 13, 2024
Moms on medicaid. I think OP is paying for some in home care out of pocket so they can get a break from the care giving. Yet ironically the courts and social worker won't approve mom to go into a facility because they say she doesn't need that level of care yet.
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If I was desperate enough I would have myself committed to a mental institution for a 3 day evaluation to try and get rid of guardianship that way.

It's crazy how if the OP died today the mother would all of sudden be taken care of by the courts. Why does the OP have to continue to destroy their life because they made a mistake in taking on guardianship of their mother 4 years ago?

The most ridiculous part of all this is OP's mother has cancer and they want the OP to get the mother treatment. Why are we extending the lives of people with dementia and alz with cancer treatments, pace makers, stents, etc?

And this certainly is a cautionary tale for everyone to not try and get guardianship because even then you have to go to the court if you want to place them in a facility and strangers get to decide if said person should be placed, not you.
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Anxietynacy May 13, 2024
Wow, that's an interesting idea
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Wintergrasp88,
Are you on SSDI for what may be a mental disability?
What if you can change the focus to only your health, your needs?

Seems the courts and judges usually put a lot of weight on a doctor's letter or affidavit.

If you could qualify for a disability for yourself, at that time you would not
qualify to take care of someone else or remain their guardian. ??

Your own health could have changed over the last 4 years. A doctor's letter (on your behalf) might suffice to get you the break you need for your own mental health, before it does become an emergency for you.

Are you employed? Are you able to become employed?

You do not need to reply, just offering things to think about and bring up with your attorney or doctor. I am not a professional, but have observed some unusual legal issues in my lifetime. Sometimes, with enough information, we can work these things out.

In the meantime, check out medical care that comes under what is usual, customary, and reasonable in your Mother's case. Consult a second opinion on the part of her care whether or not to treat her cancer. A difference of opinion could get you (like you said) in big trouble, so get it in writing that a professional agrees with you not to treat the cancer. Especially since
1) Mom wants it treated;
2) It is easily treatable.
You need it documented that you sought advice on her treatment if you are going against the recommended treatment.
You may be required to get her the treatment anyway.
This is not the hill you want to take a strong stand on, because of the scrutiny
of the social workers and courts. You might need to comply for a time, just to protect yourself from accusations of neglect by the APS or court.
Can you get Mom in a clinical trial at one of the larger teaching hospitals, like
The Mayo Clinic?

Here is a far reach: Any chance that your Mom could be declared competent at some point and no longer be required to have a guardian? Her attorney could fight the guardianship? Yike, that's a stretch. But your Mom may need an attorney separate from your attorney. You are two separate legal entities.
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Anxietynacy May 14, 2024
Really good advice sends
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I’m sorry you are going through this. I believe your post should be stickied here for all who may be contemplating obtaining guardianship to see. It’s a huge undertaking and will consume much of your time and energy. Now it appears you are stuck and forced to be a caregiver. This is why I often advise people here to keep a distance and at the least not accept family that may eventually need more care than you provide into your home from the hospital or SNF. I wish I had an answer for you now, but I don’t, unless you are able to show good justification to the judge why you can’t be Guardian anymore.
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sp196902 May 13, 2024
This post should be at the top of this forum. Along with another titled: Thinking of letting your parent move in with you - here's why you shouldn't do it.
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Since Mom is only 68 one way out of this malarky is to hire 24/7 care daily forever, until her money is gone. There will then be nothing to be guardian of and the state will likely take over and place her in Medicaid Housing, since you are under no obligation to pay for your mom's housing. This will keep a lot of doctors off the doorstep as well.

NY LAW: (from internet)

"What if a Guardian Resigns or Dies?
Resigning: If a guardian wants to resign, they must file papers with the court (make a motion) asking permission to resign and file their final guardianship accounting. A guardian will often suggest a replacement (successor guardian) to take their place if no standby guardian has been named. If a guardian does not suggest a replacement (successor guardian), the court chooses who to appoint in their place. [see Section 81.37 of the Mental Hygiene Law about the resignation of a guardian.] 
Guardian Dies: In a case where the guardian dies, if no standby guardian had been previously named, the court examiner will present the court with a Notice of Death and ask to have a successor guardian appointed. The court examiner may also request a “referee” be appointed to complete the deceased guardian’s final accounting or the Court may direct the successor Guardian to complete the deceased guardian’s final accounting. [see Section 81.38 of the Mental Hygiene Law about when a guardian’s position is “vacant” due to death or other reasons.]"

I guess for myself I would do this, and would tell the judge that I REFUSE to act as a guardian, and will not do so, and if the law wishes to prosecute me I will ask for a public defender and will be jailed before I will serve as guardian.
Then guess they would have to jail me and guess I would make the news because I have never yet in this country heard of a case of a guardian jailed for resigning.

I do think that you post here serves as warning.
I was POA and Trustee of Trust for a very loving, gentle, cooperative and organized brother, and it was a huge job that took many hours of my time. I always warn people not to take on POA or guardianship. I would never do it again.
As to the question of cancer care for an incompetent senior my answer would be NO.
Again, they wanted to haul me to court they could, as the guardianship pays for my defense, being I am guardian.
Once the money is gone, this is pretty much over.

Quite the amazing story, Wintergrasp; one of the most amazing I have seen in five years here. I surely do wish you the very best of luck, because quite honestly I would as SOON be in jail reading a book as go through this daily Hades. They'd have top feed you, house you and pay for your medical. At this point, that's not nothin!
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Isthisrealyreal May 13, 2024
Now the inmate has to pay for medical if they get any money from outside. Speaking from personal experience with my bil.
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What are the criteria for SNF placement that your state (NY) follows? I would get really familiar with them and let the Medicaid people know when they need to re evaluate the situation with mom because she might meet them now. Thank you for sharing your story. Its an eye opener. You provided a really clear history, information and details, really concisely. I am so sorry you are going through this. I would have gone with the I am not capable route first, just like you did. I am so sorry that the judge/lawyer did not consider your interests more compassionately. The way you described, this seems very unfair to you. However, you are wise to not act rashly and make anything worse. Are there any other people who have been in your situation before and what did they do and what was the outcome? Engage hospice when you can, with the cancer diagnosis. It provides some support. You will get access to a social worker who may be able to help. Sounds like mom is Medicaid qualified. Is there a PACE program in your city? It provides some home care and services to a person who qualifies for SNF but keeps them in the home. I get that they have to qualify for SNF first and that is your current hurdle. Things may deteriorate with the cancer diagnosis or mobility or ability to take care of her own activities of daily living. Maybe keep pushing for re evaluation for Medicaid SNF benefits. A big hug. I think we All get how difficult this is for you. you did a Really great job describing. You are not being unreasonable. And, you are Not alone.
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Wintergrasp88 May 13, 2024
My mother meets the medicaid criteria for SNF, she just does not meet the criteria for active homecare. Issue is because of the order I need court approval for placement and unfortunately the Judge in her county holds the opinion that families should care for their loved ones with dementia and nursing placement is more so meant for end of life or for those that are a danger to others or themselves.

In NY we have a program called nursing home diversion program. My mother is in a wait list for said program. They just happen to prioritize those in nursing homes first before community based applicants.

She is also on the wait list for a rental voucher.
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"As per my mother's order I pretty much need to seek court approval for any life altering choices in her care, and I also have a duty to do what is in the overall best interest of the IP my mother."

Thinking outside the box here.
Has anyone applied the concept:
It is better to apologize after the fact than to ask permission?

Another concept, if it can be aptly applied:
Keep a low profile.
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"Sadly I cannot say I lacked the information consent everything was in the order I signed. Just my fault for listening to the courts say thing they would assist me with everything when it was all bullshit."

Order a written transcript from the hearing where the court told you that you would receive assistance with everything.
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