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Living Wills and Dementia Care: Planning Ahead in Tennessee

Planning for your healthcare as you age is crucial, and this includes preparing for conditions like dementia. While many think of living wills in terms of emergencies, such as life support or feeding tubes, they can also play a role in guiding long-term dementia care—if properly crafted.

At Maryville Estate Planning, we help Tennessee families design living wills and advance directives that reflect their unique healthcare preferences while providing clarity and protection for loved ones.


Living Wills and Dementia Care - Planning Ahead in Tennessee

Understanding Dementia and Advance Directives

A living will is a type of advance directive that communicates your wishes about medical care if you become unable to speak for yourself. Traditional living wills focus on terminal illness or permanent unconsciousness, which may not fit the slow, progressive nature of dementia.

Dementia care involves ongoing decision-making over months or years, including preferences around:

  • Pain management and comfort care
  • Life-sustaining interventions like ventilators or feeding tubes
  • Do-not-resuscitate (DNR) orders
  • Hospital transfers or in-home care priorities

Because dementia evolves gradually, advance planning requires more than a standard form—it requires careful legal documentation and thoughtful guidance.


How to Include Dementia Care in Your Planning

1. Customize Your Living Will
Tennessee allows you to add clauses addressing dementia-specific care, such as prioritizing comfort or avoiding unnecessary hospitalizations. A skilled estate planning attorney ensures this language is legally sound.

2. Appoint a Durable Medical Power of Attorney (POA)
A durable medical POA designates a trusted person to make decisions on your behalf, adapting to your changing needs and the unpredictable progression of dementia.

3. Create a Dementia Directive
This supplemental document provides guidance for your care team and proxy, detailing daily care preferences, routines, and values. Its primary value is as a guidance document for caregivers and healthcare agents rather than a legally enforceable directive, but it ensures your wishes are clearly understood and respected throughout the progression of your care.

4. Plan for Long-Term Care
Dementia care often involves memory care facilities, in-home assistance, and associated costs. An estate planning attorney can help coordinate your legal documents — including financial powers of attorney and trusts to support your long-term care goals. For Medicaid planning specifically, we can help ensure your documents are in order and refer you to appropriate resources for guidance on eligibility and asset planning.

5. Review and Update Regularly
Your healthcare wishes, relationships, and legal requirements can change over time. Review your living will and dementia directives every few years or after significant life events.


Why Professional Guidance Matters

A living will alone may not fully cover dementia care preferences. Partnering with an experienced estate planning attorney ensures your directives are comprehensive, legally enforceable, and tailored to the realities of cognitive decline.

At Maryville Estate Planning, we guide Tennessee families in preparing living wills, dementia directives, and related documents to provide peace of mind for both you and your loved ones.

SCHEDULE YOUR FREE CONSULTATION OR Call 865.935.9769 for more information.

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