Working Caregiver- Caregiver Articles
Advanced Planning for long term care
Advanced Planning
Revised with permission from the Office of the Attorney General, Texas
Texas law provides a number of ways for individuals to ensure that their wishes are carried out in the event they become incapacitated due to Alzheimer's Disease or other health conditions. Various standard forms can provide direction for medical professionals and family members who may have to make critical decisions regarding treatment, resuscitation, the disposition of property, and other matters. Although it is advisable for an individual to consult an attorney when planning for the future, certain forms are available to anyone, and when properly completed, they are legally valid. Some useful forms are:
- The Medical Power of Attorney -- used to designate a person who can make decisions for someone who is incapacitated.
- The Directive to Physicians and Family or Surrogates -- can prohibit or authorize the use of life-prolonging treatments when a person's condition is terminal or irreversible.
- The Out-of-Hospital Do-Not-Resuscitate (DNR) -- instructs emergency medical personnel and other health care professionals to forego resuscitation measures.
Information about the Medical Power of Attorney, the Directive and other advance planning documents is available on the Alzheimer's Program section of the Texas Department of Health's Web site. More information about the DNR is available from the EMS section of TDH's Web site. The Texas Department of Aging and Disability Services provides all three forms
A Durable Power of Attorney gives another person the authority to make personal and financial decisions on your behalf. A durable power of attorney can cover all aspects of your personal and financial affairs, or may be limited to specific situations and activities. You should consult with an attorney when preparing a durable power of attorney, to ensure that it accurately reflects your wishes and needs.
A living trust is created while you are alive, and is a legal arrangement which often is used to allow another person to assist you in managing your assets during your lifetime and to distribute your assets after you die. As the "grantor," you transfer ownership of your property and other assets to the trust, which is administered by a "trustee" for the "beneficiary’s" benefit. You may serve as the grantor, the trustee, and the beneficiary of the trust, or you may name another person or an institution (such as a bank) to serve as trustee for you. After you die, a successor trustee named by you will distribute the assets of the trust. Assets held by the trust are not subject to probate. A living trust is different from a "living will" (now called a "directive to physicians and family or surrogates), which expresses your health care wishes about being kept alive or not if you are seriously injured or terminally ill.
Whether a living trust is an appropriate estate planning tool depends on your personal financial situation, health condition and goals. For example, living trusts are often appropriate for someone who is facing a serious incapacity like Alzheimer's. You should discuss the benefits and drawbacks with accountants, attorneys and financial planners who are experienced in this area and whom you trust before taking any action. Beware of scams that exaggerate the benefits of a living trust or that falsely claim a local attorney will prepare the documents. Some living trust offers are a ruse to gain access to your personal financial information or promote the sale of other financial services. The State Bar of TexasWeb site has more information on living trusts and consumer scams associated with them. | 
