Planning for the future
After a diagnosis of dementia, it is a good idea to make decisions about your future as early as possible.
Driving
Having dementia does not always mean that a person is immediately incapable of driving. You will eventually have to stop, but many people continue to drive safely for some time after their diagnosis. Talk to your GP about whether you are still safe to drive.
Warning signs that dementia may be affecting your driving include:
- becoming lost on a route that would previously not have confused you
- not being able to make sound judgements about what is happening on the road
- ignoring traffic lights and signals
- driving too slowly
If you have noticed any of these changes you might like to ask a friend or family member their opinion of your driving skills.
Insurance companies require any condition likely to affect the driver's ability must be disclosed, or the company has the right to exclude cover. It is vital you ask your insurance company if you are covered should an accident occur.
Some people decide to voluntarily relinquish their licence. Others decide to have a driving test and some doctors will recommend a person to stop driving without the need for a test. In any of these situations, the transition to life without driving can be a very difficult one. Talking about your feelings with a trusted friend or family member may help.
If you can find alternative methods to get around you may find giving up driving less stressful. Obvious alternatives include walking, taxis, public transport or asking a family member or friend to give you a lift. Your local council might also have subsidised transport schemes.
Employment
If you are still working you may be having some problems in your job as a result of dementia. Consider speaking to your employer about dementia and your symptoms as it will be easier if they are involved from the beginning. It may be possible to keep working a little longer by reducing your hours or changing your responsibilities. Your employer may be prepared to find other kinds of jobs within the organisation which are more appropriate to your changing capabilities.
If you own your own business, you will want to plan for its future.
If employment is not feasible you may wish to find yourself a task or hobby that you enjoy and which keeps you active and happy. Some people find taking on voluntary work is one way to keep their brain active and a chance to use their skills while continuing to make a valuable contribution to the community. Contact Work and Income New Zealand to see if you are eligible for a benefit if you are unable to work.
Money matters
Make sure that all your important documents are in order, including bank statements, insurance policies, rent, mortgage and other financial papers. Tell someone you trust where these are kept.
You might want to consider setting up direct debits or automatic payments for your regular bills.
Legal matters
Wills
Having a will ensures that when you die your money and possessions go to the people of your choice. It is important to seek legal advice when a will is set-up or updated and to let your lawyer know you have been diagnosed with dementia. If the lawyer is unsure of someone's mental capability they may recommend an appropriately qualified health professional (usually your GP) check their decision-making abilities. It is important to follow this procedure as it will reduce the chance of family and friends arguing the validity of the will, after someone has died.
Advance directive
Sometimes referred to as a ‘living will', an advance directive states what medical treatments you would like to receive in the future, once you are unable to make or communicate these decisions yourself. It allows you to tell your doctor what treatment you do or don't want in a particular situation. It is a good idea to involve your doctor when you write up your advance directive as they can help you go through the issues involved. It may also be beneficial to a close friend or relative so they understand your wishes.
Enduring Power of Attorney
An Enduring Power of Attorney is an authority given by you to another person to look after and control your affairs when you are unable to do so. It is vital that you arrange Enduring Powers of Attorney for both affairs including finance, property, health and welfare.
People often appoint one person to manage their care and welfare and another to manage their finances and property. You can have more than one attorney for property and this can be a person or a trustee company. However, only one welfare attorney can be appointed and they must be an individual (not a trustee company).
When appointing an attorney, consider whether they have the skills, judgement and time to handle your affairs. This person or company will have considerable power over your property, affairs and welfare, so take the time to make this decision.
It is important that you set up an Enduring Power of Attorney now, when you feel able to organise your own affairs. The attorney will take over when you can no longer manage on your own.
For more information on wills, enduring power of attorney and advance directives, see Alzheimers New Zealand information sheet thirteen, "Legal matters."