If you have a trust, do you need a durable power of attorney?

Question Details: My late dad did the Trust. My 89 year old mother was next in line so she is the trustee. We are wondering if she needs a durable POA with myself daughter being named or, because there is a Trust and myself being next in line to take over the Trust, does she even need one? My understanding is if she is unable to continue as trustee, such as if her mind goes, etc., we need a letter from a physician and I would then be able to take over the Trust since I am next in line with my brother and sister next in line after me.

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