Plan now for choice & control at the end of life
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Dementia - considerations for your Advance Statement

Decide at what point your Advance Decision should be triggered

Your Advance Decision will not be used until you are no longer able to make decisions about your health and welfare.

Before making any choices, you should Register on the web site. If you have previously registered then please login. Register and login are seen in grey in the top right hand side of the screen.
By registering and / or logging in all your choices will be saved on the secure server so that you can return and see your previous choices. These can be altered at any time.

To allow you to state at which stage in the progress of dementia you would want your Advance Decision to be triggered, you can include in your Advance Statement which particular symptoms your health care professionals should take into account. These symptoms will guide the health care professionals to make decisions in your best interests.

Add your preferences and wishes to an Advance Statement

Select any or all of the statements below if you wish these to be added to your Advance Statement. You may also add additional statements by selecting 'Add Statement' under 'Document Builder'. General guidance on Advance Statements can be found here.

If I am living with dementia and can't recognise people close to me such as family members, then I would hope my Advance Decision will come into effect.

Category:

Specific Illness

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

If I am living with dementia and can't recognise myself in a mirror, then I would hope my Advance Decision will come into effect.

Category:

Specific Illness

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

If I am living with dementia and am confined to bed, then I would hope my Advance Decision will come into effect.

Category:

Specific Illness

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

If I am living with dementia and am unable to walk, then I would hope my Advance Decision will come into effect.

Category:

Specific Illness

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

If I am living with dementia and do not have control of my bladder or bowel, then I would hope my Advance Decision will come into effect.

Category:

Specific Illness

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

If I am living with dementia and have severe problems with swallowing or eating, then I would hope my Advance Decision will come into effect.

Category:

Specific Illness

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

I wish my family to remember me as being active and able to engage in conversation. In my last years, I would prefer my children and grandchildren not to see me as a mere shadow of myself. I would hope my Advance Decision will come into effect if I am ill.

Category:

My Future

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

Care Home.
When my dementia gets to the stage that I donít recognise family members or close friends and I am still physically active then, if my behaviour creates problems for those looking after me I would hope that a care home will be found for me.

Category:

Specific Illness

Statement of Preferences

Please enter a valid statement.
As this is a statement of preferences you can only use words such as wish, like, hope or prefer. Please edit the statement below (click the box to change the text) then click 'Add to Current Document' when ready.

Specific decisions for your Advance Decision

Document Builder
Advance Statement
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Advance Decision
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Category:

Please add your statement

Please enter a valid statement.