Planning with Dementia – Health Care Proxies, DNR, and Power of Attorney

Dementia is a complex and debilitating condition that can have significant implications for an individual’s health and well-being. As the disease progresses, it can become increasingly difficult for individuals with dementia to make important decisions about their health care and medical treatment. For this reason, it’s important for individuals with dementia and their families to plan ahead and make important legal arrangements to ensure that their wishes are respected and that their medical treatment is in line with their values and preferences.

One of the most important legal arrangements to consider in the context of dementia is a health care proxy. A health care proxy is a legal document that allows an individual to appoint another person to make health care decisions on their behalf if they become unable to make those decisions for themselves. In the context of dementia, it’s important to establish a health care proxy early on in the disease’s progression, as it may become increasingly difficult for the individual with dementia to make decisions about their medical treatment as the disease progresses. The appointed health care proxy can work with the individual’s health care team to make decisions that are consistent with the individual’s values and preferences. The health care proxy can also ensure that the individual with dementia is receiving appropriate care and treatment.

Another important legal document to consider in the context of dementia is a Do Not Resuscitate (DNR) order. A DNR order is a legal document that instructs health care providers not to attempt resuscitation in the event of a cardiac or respiratory arrest. A DNR order can be an important component of end-of-life planning for individuals with dementia. However, it’s important to note that a DNR order is not the same as withholding medical treatment. Medical treatment can still be provided to address other health issues that may arise in individuals with dementia.

Power of attorney is also an important legal document to consider in the context of dementia. Power of attorney is a legal document that allows an individual to appoint someone else to act on their behalf in legal, financial, and medical matters. A power of attorney can be particularly important for individuals with dementia, as it can help ensure that their finances and other important matters are taken care of when they are no longer able to manage these affairs on their own. It’s important to choose a trusted and reliable person to act as power of attorney, as this person will have significant decision-making authority.

It’s important for individuals with dementia and their families to discuss their wishes and preferences regarding medical treatment and end-of-life care. These discussions can be difficult, but they are an essential part of planning for the future. In addition to establishing a health care proxy, DNR order, and power of attorney, individuals with dementia and their families may also wish to consider other legal arrangements, such as a living will, which can provide guidance for medical treatment in the event that the individual is no longer able to make decisions for themselves.

In addition to legal arrangements, individuals with dementia and their families should also consult with their healthcare providers about the progression of the disease and available treatment options. Healthcare providers can provide important guidance and support throughout the course of the disease, and can help ensure that the individual with dementia receives appropriate care and treatment.

It’s important to note that the laws and requirements for health care proxies, DNR orders, and power of attorney may vary depending on the individual’s location and jurisdiction. It’s important to consult with an attorney or other qualified professional to ensure that these legal documents are established correctly and in compliance with local laws.

Here are the references that I used to write this response:

  1. American Bar Association. (2018). Health care decision-making/advance directives. Retrieved from https://www.americanbar.org
  2. Alzheimer’s Association
  3. National Institute on Aging. (2018). Legal and financial planning for people with Alzheimer’s disease. Retrieved from
  4. American Heart Association. (n.d.). Advance directives. Retrieved from https://www.heart.org/en/health-topics/advance-directives
  5. Centers for Medicare & Medicaid Services. (2018). Advance care planning. Retrieved from https://www.cms.gov/Medicare/Medicare-General-Information/AdvanceCarePlanning/index
  6. National Hospice and Palliative Care Organization. (n.d.). Advance care planning. Retrieved from https://www.nhpco.org/patients-and-caregivers/advance-care-planning

These resources provide important information about legal arrangements and advance care planning for individuals with dementia and their families. They can help ensure that the wishes of the individual with dementia are respected and that their medical treatment is in line with their values and preferences. It’s important to consult with an attorney or other qualified professional to ensure that these legal documents are established correctly and in compliance with local laws.

Individuals with dementia and their families should plan ahead and make important legal arrangements, including a health care proxy, DNR order, and power of attorney. These legal documents can help ensure that the wishes of the individual with dementia are respected and that their medical treatment is in line with their values and preferences. It’s important to consult with an attorney or other qualified professional to ensure that these legal documents are established correctly and in compliance with local laws. Having these legal arrangements in place can provide peace of mind and help ensure that the individual with dementia receives appropriate care and treatment.


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