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Activating POA for placement-have question
My MiL has been living with us since August. She is in her 80's and has vascular dementia. We have seen a very rapid decline and having been seeing her doctor on a regular basis while trying to get a handle on her meds and all the necessary changes. (lowering doses of HBP meds, and increasing doses for agitation meds). My husband found a facility that has an open bed and would be a good fit for her, and we are ready to have her placed. He and his sister have been operating under a durable POA, but in order to fill out the application and sign it for this place, we were told we need to activate the document by having 2 doctors sign off.
Since she just saw her primary two days ago, that should be a simple process on Monday, but how difficult will it be to get the 2nd doctor? Do we need to make an appointment and go through an exam just to get another signature? Can her foot doctor sign it? We are seeing her on Monday for a nail trim. What has others done in this situation?
If we bite the bullet and get MiL to sign everything herself, will that be a problem? Does that mean that she could possibly sign herself out of the facility in the middle of a confused rage? She is not able to take care of herself or make any good decisions, so I'm thinking doing the activation is the right thing at this point. Please comment with suggestions or experiences!
I would try the Dr. on staff at the facility. We only had 1 dr sign.
Sorry I’m not familiar with the 2nd Dr rule.
…He and his sister have been operating under a durable POA, but in order to fill out the application and sign it for this place, we were told we need to activate the document by having 2 doctors sign off.
This sounds like the requirement for a “springing POA”. Are you sure what you have is a “durable POA”? Check the language of the document. If it is, I would question the facility as to why they’re not honoring your legal document. Sometimes the “office people” (admissions) don’t know the difference between the two and assume everyone has a springing POA.
Thank you to those that gave suggestions. I guess in Wisconsin, there is a rule of needing 2 doctors to sign off after an exam is done. We are in communication with her primary that will sign off. I'm taking her to her regular foot doctor today, but guessing that she would not want to get involved, but it is a possibility. Otherwise we will see if the facility has a doctor that would be willing to sign off.
The idea of seeing if we could do respite first, while we get everything in place is interesting. I will see if that is an option.
The good news is that we are moving forward. I just need to be patient and get through the next couple of weeks with lack of sleep and and coming up with new ways to deal with the delusions.
Today we were able to complete the activation with the doctor at her Adult Day Care signing off. She will be moving to the Memory Care facility early next week. In Wisconsin the rules must be different than other states. When my MiL moved into our house, we went to a lawyer to have her sign an official contract that she would pay us rent and a set amount per hour for giving her care. We needed to have her be deemed capable of signing the contract and she was aware of who had PoA. Then when she was not able to do that on her own, we needed to have two doctors verify she was not competent.
Now on to figuring out how we are going to move her without her knowing until it is time.