in PA, it doesnt matter if the daughter is POA or not, if the pt is CAOx4, its the pt's decision. i can try and talk the pt in to going by giving them possibilities as to why they feel/felt the way they did, but if they say no, all you can do is do a pt refusal. had one of those a couple weeks ago actually and i almost had to remove the pts husband from the room cuz he was getting that upset. of course, my partner could have been a little more tactful, but in his defense, the pt's husband got an attitude first! lol