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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.
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.
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..
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.
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.
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.
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.
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").
B.
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.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
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.
* 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
AADMM.com
(copy. and paste)
https://www.alz.org/help-support/caregiving/financial-legal-planning/legal-documents
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.
"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.
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.
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.
https://www.aginglifecare.org/