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Regarding the power of attorney, is this a durable power of attorney? If it's not a durable power of attorney, is your sister mentally incapacitated -- does she know and understand what is going on? Is there something in the power of attorney documents that gives you the authority to act when she is mentally incapacitated? These are crucial questions that I need to ask so that I can answer your question.
I'm terribly sorry about your sister and her son is out of control. I know there is something that can be done but it depends what the POA says. Thanks!