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what is APS? She has told many times in the past year she just wants to die and suffer like she is.
APS is Adult Protective Services
I hope you can help your sister find the help she needs when you get down to FL to see her. Best of luck.
I wish you success in helping her get appropriate care.
If her son, your nephew, cannot function for your sister, is unable to help her or have her be cooperative, AND you sister is mentally capable of her own decisions, then there is little that can be done. She well may die at home alone of her COPD combined with age. I am uncertain if you think that a few more weeks months or even years in a nursing home is a better option? For most of us, given the suffering of COPD, it would not be.
You should, if sister is competent and not demented, ask her if she would consider palliative care or hospice care now.
Basically you cannot know her condition without a medical assessment and diagnosis for both physical and mental health. I am so sorry. You do not mention the age of your sister's son, but this is basically in his hands at this time, and the state (via APS intervention) may take it on in state guardianship if nephew is unable.