Throughout the tool, you will see key terms in blue underlined text. Clicking on those links will open a brief video to provide more information about that term.

Click on the blue arrow to the right to begin and move through the tool.

Every end-of-life plan should start with thinking about your values and wishes. For example, what will be most important to you in the final weeks or days of life? What does “quality of life” mean to you? How do you feel about the use of life-sustaining treatments (such as artificial nutrition, breathing assistance, medications) if diagnosed with a terminal illness?

Reminder: click on “quality of life” and other key terms in blue above for more information.

An important part of every end-of-life plan is an Advance Directive (also known as a Living Will), which details your wishes for the medical treatment you do and do not want if a time comes that you are unable to speak for yourself. 

It also includes information about the person(s) you choose to make decisions if/when you become unable. This individual will be known as your Durable Power of Attorney for Healthcare, Healthcare Proxy or Surrogate.

The individual you choose as your health care agent agent (also known as your Durable Power of Attorney for Healthcare or surrogate decision maker) will communicate on your behalf and work closely with your medical team to make care decisions. The person in this role should be someone who:

• Is willing to take the time to really understand what is important to you  
• You trust will carry out your wishes, even if they differ from their own 
• Knows how to advocate and will speak up in a crisis 
• Will be in the right emotional place to make difficult choices under pressure 
• Will be able to navigate the family dynamics that may occur in a stressful situation

A few important reminders about your Advance Directive: 

• Thoughtfully choose your health care agent, make sure they know your wishes and will be able to speak on your behalf 
• Discuss your wishes and provide a copy of your advance directive to your health care agent, loved ones and medical team
• Review your Advance Directive annually and update when any one of the “5 Ds” has occurred: Death of a loved one, Divorce, a new Diagnosis, Decline in health or you reach a new Decade.
• Keep your Advance Directive in a place where it will be easily found by yourhealth care agent and/or loved ones
• Make sure your Advance Directive will be honored in all states you receive care or frequently visit 
• Talk with your medical provider about completing a Maryland MOLST

The Dementia Values & Priorities Tool is a specific type of directive that focuses on symptoms and changes commonly seen in all types of dementia, including Alzheimer’s disease, Lewy Body Dementia, Frontotemporal Dementia (FTD), and Vascular Dementia.

Once completed, the signed document should be saved with your advance directive and shared with your healthcare team and health care agent(s).

The Dementia Values & Priorities Tool focuses on the symptoms and changes commonly seen with advanced dementia. Take your time to think carefully about each and choose the type/level of care and support you would want in that situation.

All of your answers and information is confidential and will not be shared or used in any way. Responses are not saved when you exit the tool. The information contained in this Dementia Values & Priorities Tool is provided for informational purposes only, and should not be construed as legal advice. If you have questions or want to ensure you have taken all necessary steps, share your completed document with an attorney licensed in Maryland.

For the questions in the pop-up window, select one of three options to indicate your desired care preferences. 

Live as Long as Possible – My goal is to live as long as possible and receive aggressive medical care and life-saving treatments. This could include calling 911, going to the hospital, CPR, nutrition support, artificial hydration, or intubation if needed. 

Treat me but not Aggressively – I want to continue medications for chronic conditions (such as diabetes, heart disease) and treatments for illness (such as pneumonia, bladder infection). However, I want to avoid complex surgeries, life sustaining treatments, long-term feeding tubes and other aggressive, life-prolonging measures. 

Allow a Natural Death – Medications and care should be for my comfort only. I do not want any medications or treatments that extend my life. This may include refusing surgery or treatment for infections, turning off pacemakers, stopping dialysis or blood transfusions and withdrawing treatment for heart disease, diabetes and other chronic conditions.