A step-by-step guide to modifying healthcare proxies as memory deteriorates

**A Step-by-Step Guide to Modifying Healthcare Proxies as Memory Deteriorates**

As people age, it’s common for their memory to deteriorate. This can make it challenging to manage their healthcare, especially when it comes to making important decisions about their medical treatment. One crucial aspect of healthcare management is the healthcare proxy, also known as a medical power of attorney. This is a person who makes decisions on behalf of someone who is unable to do so themselves. Here’s a step-by-step guide on how to modify healthcare proxies as memory deteriorates.

### 1. **Identify the Need for a Change**

The first step is to recognize that a change is needed. This might happen when you notice that your loved one is having trouble remembering important details about their health or making decisions. It could also be triggered by a medical professional who suggests that a change is necessary due to the person’s declining cognitive abilities.

### 2. **Choose a New Healthcare Proxy**

If the current healthcare proxy is no longer able to make decisions effectively, it’s time to choose a new one. This person should be someone you trust and who understands your loved one’s wishes and values. It could be a family member, close friend, or another trusted individual.

### 3. **Discuss the Change with Your Loved One**

If your loved one is still able to communicate, it’s essential to discuss the change with them. Explain why the change is necessary and who you have chosen as the new healthcare proxy. This helps ensure that they are comfortable with the decision and understand the role of the new proxy.

### 4. **Document the Change**

Once you have chosen a new healthcare proxy, it’s crucial to document the change. This involves updating the healthcare proxy form, which is typically a legal document that outlines the person’s wishes for medical treatment. You can usually find this form at your local hospital or through an attorney specializing in elder law.

### 5. **Notify Healthcare Providers**

After updating the healthcare proxy form, you need to notify all relevant healthcare providers. This includes doctors, hospitals, and any other medical facilities that may be involved in your loved one’s care. Provide them with a copy of the updated form so they know who to contact for decisions about medical treatment.

### 6. **Review and Update Regularly**

As memory continues to deteriorate, it’s important to review and update the healthcare proxy form regularly. This ensures that the new proxy is still able to make decisions effectively and that the form remains current with any changes in your loved one’s wishes or medical conditions.

### 7. **Consider Additional Tools**

In addition to a healthcare proxy, there are other tools that can help manage healthcare decisions. For example, a Medical Orders for Life-Sustaining Treatment (MOLST) form can specify a patient’s preferences regarding life-sustaining treatments like CPR or intubation. These forms can be particularly useful in emergency situations when quick decisions need to be made.

### 8. **Seek Professional Advice**

If you’re unsure about any part of the process, it’s always a good idea to seek professional advice. An attorney specializing in elder law can help you navigate the legal aspects of updating a healthcare proxy, while a social worker or geriatric care manager can provide guidance on how to manage the practical aspects of caregiving.

By following these steps, you can ensure that your loved one’s healthcare is managed effectively even as their memory deteriorates. Remember to stay vigilant and make adjustments as needed to ensure their wishes are respected and their care is optimal.

This guide provides a clear and straightforward approach to modifying healthcare proxies as memory deteriorates. By taking these steps, you can help ensure that your loved one receives the best possible care while maintaining their autonomy and dignity.