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The aide comes once a week and cleans, helps him run errands, takes him to appts and takes him out to the park or something nephew wants to do. The Coordinator helps him with appointments, keeps track of those appts, can help him reapply for services. My nephew has lived 5 years with a leak everytime it rains. I wrote a letter about it, Nephew mentions it on and off when paying his rent. Nothing had been done. He told the coordinator, the coordinator called the office and within the week, the leak was repaired. Is this what you need. If so, call your County Disabilities Dept.
Costs about four years ago in California for a Licensed Fiduciary management was about 90.00 an hour. In the beginning, when there is a lot to arrange in presenting paperwork, arranging accounts for payment, visiting banks, calling billing companies for utilities, perhaps choosing facilities the cost are a bit more, but once everything is running like clockwork it often comes to not a lot more than one or two hours a month.
Your attorney will have a list of names and they frequently work with Fiduciaries in the court system who are assigned to their clients without family, and in need. Attorneys will sometimes take on this work; are more costly. Some banks do some of this work, but don't serve for all needs, mainly only for financial.
Usually a Guardian is for someone that can no longer manage their own health, finances for any number of reasons typically due to cognitive decline.
If you are cognizant but need help with aspects of your life you can hire caregivers, you can hire a Care Manager.
I think the first thing to do would be to consult with an Elder Care Attorney and get all your "legal ducks in a row". Make sure that you have written instructions for medical emergencies, any Trusts that may be necessary, End of Life decisions. Some law firms may have people that can manage things like this if not I am sure they can refer you to the proper people. I can not believe you are the only person that has dealt with this issue. (other posts I have seen here mention this as well)
You could also check with the Senor Services Agency in your area they usually have Social Workers that may help answer questions like this as well.
In essence, because you are an adult you are already your own "guardian" (meaning, you are wholly responsible for yourself if you have capacity).
If you are incapacitated, how to you expect to "represent yourself" if you can't speak or comprehend what's going on? A legal guardian needs to be a separate person.
You should have a conversation with social services or a lawyer to put a guardian into place. Where I live I have worked with Lutheran Social Services, a non-profit organization that provides guardians with accountability when my stepFIL needed a guardian and it was a good experience. So, you can research if this type of organization is available in your state/county.