When there's genuinely no individual you trust to serve as power of attorney or trustee, a professional fiduciary is a legitimate, increasingly common choice — not a last resort.
What they do
Licensed professional fiduciaries manage finances, pay bills, and make decisions within the scope you authorize, functioning much like a hired, accountable version of a family member serving the same role.
Typical costs
Fees vary by region and scope but are commonly charged hourly (often in the $75-$150/hour range) or as a percentage of assets managed for larger estates. Get a clear, written fee agreement upfront, and ask about minimum monthly charges.
How to find one
An elder law attorney can usually provide referrals. Some states also license and regulate professional fiduciaries directly — check whether your state has a professional fiduciary licensing board or association you can search.