Changing of a will requires signature of the person who's will it belongs too along with the lawyer. He can write anything but when the original will is produced - copies are given to the owner or family to put in a safe place. If there was any additions they need to have signatures or a letter attached notarized with lawyer and the will's owners signature on it.
So no - its not a photoshop kinda thing.
You're also forgetting if there is surviving family - they can take it to court as well and challenge the will
Added note - if you were to try and do this - try to make sure he doesn't have family or they'll likely contest the will.
Now if I was the old man - I'd let the 20 year old do that - but only leave enough to live modestly - my wealth would be given to family. I would know why you're there - and would pay you the going price for a nurse with benefits and additional duties - you buy anything expensive then it gets taken off the value you get when I die.
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