Legal Brief: Planning for Aging and Dementia

Before sharing important legal advice about how people can maintain control of their finances, health care and other personal matters, the speaker offered a simple, easy-tounderstand piece of advice: “Don’t wait; stuff happens.”

“Your options and choices get much more limited in a crisis,” said Richard A. Courtney, a principal at Courtney Elder Law Associates PLLC, addressing legal planning for long-term care at AFA’s Educating America Tour in Jackson, MS, earlier in the year.

“When you plan ahead, there are more options, and proactive planning is much less expensive.”

Courtney mentioned three things people don’t like about aging: change, conflict and loss of control. Legal planning aims to avoid these things as much as possible, he says.

“We’re not going to avoid change but we’re going to deal with it. We’ll address situations to avoid conflict and loss of control at different life transition points.” Planning ahead will make finances secure and protect the person’s assets.

“Lots of people, like adult children, come in and say, ‘We want to try to save Mama’s assets from the nursing home.’ Sometimes I interpret that as, ‘We want to save our inheritance from the nursing home.’”

Courtney makes it clear that only the mother, if she is mentally sound at the time, has control of her assets.

“She’s my client — and I can only have one. I’m not here to worry about who inherits what; my responsibility is making sure she has what she needs for a good quality of life. That’s what I’m supposed to do as her lawyer.”

Power of Attorney

For decision-making about finances the Power or Attorney “is probably the most important document to have properly done when you’re planning for someone who’s got dementia, gets incapacitated or maybe is headed there. You need your Power of Attorney in place.”

Courtney says this document doesn’t mean you are giving up your rights to make decisions about your property, money and other assets.

“It means if I can’t do it, I’ve given someone else the legal authority to do it for me. It’s not a cookie-cutter document. We can also put in a safeguard provision that says my agent shall have no authority to make loans or gifts from my assets to other people. It’s a personalized document for what you want the rules to be if somebody steps in to manage assets for you.”

Courtney said the mother, for instance, can designate the child to speak for her in a Power of Attorney legal document. Otherwise, the mother retains power over her assets, even if she later develops a memory loss condition, in which case family members will need to go to court for guardianship or conservatorship.

A Will

Courtney describes a Will as “who gets my stuff ” when I die.

“I can give it outright or put it in a trust for them so somebody else will be the trustee and manage it for them if I don’t think they can manage it themselves. It won’t be subject to their divorce or their debts. It’s not in their ownership.”

Advanced Healthcare Directive

One of the major concerns Courtney hears from older clients is who will make health care decisions for them if they are no longer able. He recommends the Advanced Healthcare Directive (AHCD), which allows the person to make clear all their health care decisions and prevents the adult children from hiring a different lawyer to make changes.

“You can indicate your choices on the form itself,” he said. If no surrogate has been appointed to speak for an incapacitated person, medical decisions can be made by the following, in this order: a spouse if they are not legally separated, an adult child or majority of children, parent, sibling or a person who shows concern and is willing to make decisions based on the person’s values. In the latter case, the nursing home or hospital may require written evidence that the person “is one of these types of people.”

Courtney said his firm publishes the free Essential Elder Law and Dementia Planning Guide, which can be requested at www.elderlawms.com or by calling 601-987-3000.

More to explore:
Fundamentals of Legal Planning
What are Advance Directives?
Creating a Long-Term Plan Team
Guardianship & Conservatorships
Undue Influence: An Issue for Everyone

Please share this page with your loved ones and colleagues!