08/06/2026
Have you considered your wishes if you develop dementia or Alzheimer’s disease?
An Advance Directive is important, but you may also want to document your wishes specifically regarding advanced dementia, including your preferences about medically assisted nutrition and hydration, hand-feeding, comfort-focused care, hospitalization, and other life-prolonging treatments.
Some people also want to learn about VSED — Voluntarily Stopping Eating and Drinking — as a possible end-of-life option. VSED involves a decision by a person with decision-making capacity to voluntarily stop taking food and fluids, with medical and comfort-care support.
If this is something you feel strongly about, don’t leave your family guessing. Discuss your wishes while you are able to clearly make and communicate your own healthcare decisions. Put your preferences in writing, choose a healthcare agent who understands your values, and discuss them with your physician and family.
Laws and requirements vary by state, and a written or notarized statement does not necessarily mean that VSED can later be initiated on behalf of a person who no longer has decision-making capacity. An elder-law attorney or other qualified professional can help you create documents appropriate for your state.
The goal isn’t to make decisions out of fear. It’s to make your wishes known while you still have the ability to speak for yourself.
End-of-life planning is not only about how we want to die. It is about how we want to be cared for when we can no longer speak for ourselves.
Educational information only; not medical or legal advice.
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