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Decision Making | Management Strategies

  1. If the person you care for has difficulty remembering the possible choices and the outcomes of their decision, it may help to remind them by repeating the choices and outcomes in the same words.

  2. Consider showing the person you care for their choices for the decision. For example, when asking the person to decide what hat they want to wear, show them all the different options.

  3. It is important to allow the person you care to still be involved in the decision making process. If their decision making is impaired, leave smaller and more insignificant decisions to them. This will make them feel that they have control in their lives and increase their feeling of independence.

  4. If the person you care for becomes overwhelmed with many choices, limit their choices to make it easier for them to decide. For example, if choosing what to wear is difficult, pick out a few outfits for them to choose from.

  5. If the person you care for has impaired decision making, make sure that there is someone trustworthy present when they have to make big or important decisions. Make sure there is proper documentation particularly for financial decisions that the person you care for can refer back to. Remember there are people out there who look to take advantage of those with difficulty in decision making. In the later stages of the disease, when it is not safe for the person you care for to make important decisions on their own behalf, it may be a good idea to look into a power of attorney .

  6. Take basic safety precautions such as bells on the doors, or safety switches on the stove to protect the person you care for in case of poor decisions.

  7. It is often helpful to prepare for the future. Make a plan with the person you care for, for the time when they will no longer be able to properly make their own decisions. This will help to ensure that things will be carried out the way the person you care for had wanted. Look into whether or not you want to create a living will . This will help for one of the most important decisions that may ever be made on their behalf.

  8. Often times it helps to provide step by step guidance to the person you care for when making decisions. "Would you like to go for a walk? Which jacket do you want to wear? The white jacket or black jacket? Do you want to walk in the park or around the block?"

See Also:
About Dementia > Alzheimer's Disease > Natural Progression and Staging
Symptom Library > Thinking & Judgment > Unsafe Actions
Symptom Library > Thinking & Judgment > Judgment
About Dementia > Alzheimer's Disease > Executive Function
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Last updated January 9, 2019
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