{"id":15452,"date":"2021-07-30T08:45:31","date_gmt":"2021-07-30T08:45:31","guid":{"rendered":"https:\/\/www.jccpa.org.hk\/?page_id=15452"},"modified":"2022-10-05T21:29:46","modified_gmt":"2022-10-05T13:29:46","slug":"medical-care-and-financial-arrangement","status":"publish","type":"page","link":"https:\/\/www.jccpa.org.hk\/en\/about-dementia\/caring-tips\/medical-care-and-financial-arrangement\/","title":{"rendered":"Medical, Care and Financial Arrangement"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15452\" class=\"elementor elementor-15452 elementor-4396\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d2861fe elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"d2861fe\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8a45b97\" data-id=\"8a45b97\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-519203d elementor-widget elementor-widget-html\" data-id=\"519203d\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<nav class=\"navbar submenu\">\n  <ul class=\"navbar-items\">\n    <li><a class=\"active\" href=\"#sec01\">Reaching a consensus<\/a><\/li>\n    <li><a href=\"#sec02\">Finance<\/a><\/li>\n    <li><a href=\"#sec03\">Medical Arrangement<\/a><\/li>\n   \n  <\/ul>\n<\/nav>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3fe7d45 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3fe7d45\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bab327e\" data-id=\"bab327e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-980ec03 elementor-widget elementor-widget-text-editor\" data-id=\"980ec03\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h6>When your cognition is intact, you should reach a consensus with family members, who may have to make decisions on your behalf about medical, care and financial matters if you are unable to do so due to the onset of dementia or mid-to-late stage dementia<\/h6>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1f637e69 page-section elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1f637e69\" data-element_type=\"section\" id=\"sec01\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70169d41\" data-id=\"70169d41\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d4585b elementor-widget elementor-widget-heading\" data-id=\"4d4585b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Reaching a consensus with the family<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8846612 elementor-widget elementor-widget-text-editor\" data-id=\"8846612\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h6 style=\"text-align: left;\">When you\u2019re still cognitively sound, agree on medical, care and financial arrangements earlier to:<\/h6>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c6d04f3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c6d04f3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-48c37807 knowledge-type\" data-id=\"48c37807\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-56683a9e col-header circle-o elementor-widget elementor-widget-text-editor\" data-id=\"56683a9e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/05\/water-1.svg\"><img loading=\"lazy\" class=\"alignnone size-full wp-image-2892\" src=\"https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/05\/water-1.svg\" alt=\"\" width=\"60\" height=\"60\" \/><\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2036f73e col-despt elementor-widget elementor-widget-text-editor\" data-id=\"2036f73e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<span class=\"orange\">Avoid<\/span> conflicts\namong family members about medical,\nnursing\nand financial\narrangements\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-257e3581 knowledge-type\" data-id=\"257e3581\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49ccd998 col-header circle-o elementor-widget elementor-widget-text-editor\" data-id=\"49ccd998\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><img loading=\"lazy\" class=\"alignnone size-full wp-image-2905\" src=\"https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/05\/pills-1.svg\" alt=\"\" width=\"60\" height=\"60\" \/><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25cdd942 col-despt elementor-widget elementor-widget-text-editor\" data-id=\"25cdd942\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<span class=\"orange\">Avoid<\/span> putting pressure on\nfamily members to make decisions on your behalf\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-dfe316f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dfe316f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-cb61cce knowledge-type\" data-id=\"cb61cce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bdc4d75 col-header circle-o elementor-widget elementor-widget-text-editor\" data-id=\"bdc4d75\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/05\/water-1.svg\"><img loading=\"lazy\" class=\"alignnone size-full wp-image-2892\" src=\"https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/05\/water-1.svg\" alt=\"\" width=\"60\" height=\"60\" \/><\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0e6798f col-despt elementor-widget elementor-widget-text-editor\" data-id=\"0e6798f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<span class=\"orange\">Avoid<\/span> differences in opinion among family members affecting your\ninterest, safety\nand health, which could lead to an application from family members, social workers\nor medical personnel to the Guardianship Board to have the board appointed as\nyour guardian and make decisions on your behalf\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a34f862 knowledge-type\" data-id=\"a34f862\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8d267d5 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8d267d5\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c4a287f\" data-id=\"c4a287f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-54a30c3 page-section elementor-widget elementor-widget-heading\" data-id=\"54a30c3\" data-element_type=\"widget\" id=\"sec02\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What should you and your family members arrange?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8548602 elementor-widget elementor-widget-heading\" data-id=\"8548602\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Finance<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff7fc85 width-size-box  elementor-widget elementor-widget-text-editor\" data-id=\"ff7fc85\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 class=\"colun-title\" style=\"text-align: center;\">Prepare an Enduring Power of Attorney (EPA)<\/h2>\n<p style=\"text-align: justify;\">The EPA allows you to appoint one or more attorney(s) to take care of your financial matters even after you become mentally incapacitated; the EPA will become effective after registering at the High Court.<\/p>\n\n<p style=\"text-align: center;\">\n \t<strong>\u00a0Please appoint a trustworthy attorney(s) to avoid financial abuse<\/strong>\n<\/p>\n<br>\n<h2 class=\"colun-title\" style=\"text-align: center;\">Arrange your assets to be co-owned by a trustworthy person<\/h2>\n<p style=\"text-align: justify;\">Allowing your family members to use or sell your assets to pay for your care. They may run into a financial crisis if they cannot access your bank accounts or sell your investments.<\/p>\n\n<p style=\"text-align: center;\">\n \t<strong>Please appoint a trustworthy person to avoid financial abuse<\/strong>\n<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91dc17d elementor-widget elementor-widget-heading\" data-id=\"91dc17d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Long-term care choices<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d725bc width-size-box  elementor-widget elementor-widget-text-editor\" data-id=\"8d725bc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 class=\"colun-title\" style=\"text-align: center;\">Discussions with your family about your preference<\/h2>\n<p style=\"text-align: justify;\">If you and your family members can reach a consensus earlier, your wishes can be executed, such as:<\/p>\n\n<ul style=\"text-align: justify;\">\n \t<li>You prefer to stay at home or in a residential care facility when your family can no longer accommodate the level of nursing care you needed<\/li>\n<\/ul>\n<ul style=\"text-align: justify;\">\n \t<li>You prefer to stay at home or receive palliative care at palliative care wards (aims at relieving pain and symptoms of distress); or in the hospitals or nursing homes receiving life-sustaining treatments (such as cardiopulmonary resuscitation, artificial respiration, blood products, pacemakers, vasopressors, etc.) when you are terminally ill<\/li>\n<\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdbb61a page-section elementor-widget elementor-widget-heading\" data-id=\"cdbb61a\" data-element_type=\"widget\" id=\"sec03\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Medical Arrangement<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71fc6a6 width-size-box page-section elementor-widget elementor-widget-text-editor\" data-id=\"71fc6a6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 class=\"colun-title\">Prepare an Advance Directive in relation to Medical Treatment (AD)<\/h2><p style=\"text-align: justify;\">You can give advance instructions via an AD when you are mentally capable of doing so, on whether to receive the following medical care and treatment when you are \u201cterminally ill\u201d or \u201cin a persistent vegetative state or a state of irreversible coma\u201d, or \u201cin other specified end-stage irreversible life-limiting condition,\u201d e.g. Cardiopulmonary resuscitation (CPR), Artificial respiration, i.e. CPAP, BiPAP, etc., Blood products, Pacemakers, Specialised treatments for particular conditions, such as chemotherapy or dialysis, Intravenous antibiotics, Oral antibiotics, Intravenous infusion, Subcutaneous infusion, Tube feeding.<\/p><ul><li style=\"text-align: left;\">AD must be countersigned by two witnesses. One of them must be a registered medical practitioner<\/li><li style=\"text-align: left;\">You can revoke or revise an AD verbally or on paper as long as you are mentally capable<\/li><li style=\"text-align: left;\">An AD only becomes valid when you are unable to take part in decisions about your medical care and treatment<\/li><li style=\"text-align: left;\">Medical staff might violate the law or consider guilty of professional misconduct if they administrated your instructions before receiving the original AD<\/li><\/ul><h2 class=\"colun-title\">Complete an Advance Care Plan (ACP)<\/h2><p style=\"text-align: justify;\">If you are diagnosed with dementia, you can discuss with your family whether to receive, try, or refuse life-sustaining treatments that can prolong your life for a few hours to a few days but is futile physiologically. The decision should be made after you, and your family received clear and comprehensive information about your current condition, anticipated progression and prognosis of the disease, and the medical and care treatment available from a registered medical practitioner. Such life-sustaining treatments include: Cardiopulmonary resuscitation (CPR), Artificial respiration, i.e. CPAP, BiPAP, etc., Intravenous antibiotics, Oral antibiotics, Intravenous infusion, Subcutaneous Infusion, Tube feeding.<\/p><ul><li style=\"text-align: left;\">Your family member can discuss with the medical professionals and decide on behalf of you if your dementia has progressed to the moderate or late stage.<\/li><li style=\"text-align: left;\">Life-sustaining treatments can induce physical and psychological distress and pain in you. You should carefully consider whether your priority is to preserve life, relieve suffering, maintain social contact, or stay at home when you are terminally ill and mentally incapacitated.<\/li><li style=\"text-align: left;\">Your family can revoke or revise an ACP verbally or on paper at any time<\/li><li style=\"text-align: left;\">Medical staff might violate the law or consider guilty of professional misconduct if they administrated your instructions before receiving the original ACP<\/li><li style=\"text-align: left;\">To find out how to prepare an Enduring Power of Attorney, please contact your lawyer<\/li><li style=\"text-align: left;\">To find out about the services and application criteria for various government-funded long-term care services, please contact the District Elderly Community Centre or Elderly Centre in your neighbourhood<\/li><li style=\"text-align: left;\">To make an AD or ACP, please contact the Hospital Authority or your doctor<\/li><\/ul><h2 class=\"colun-title\">\u00a0<\/h2>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Reaching a consensus Finance Medical Arrangement When your cognition is intact, you should reach a consensus with family members, who may have to make decisions on your behalf about medical, care and financial matters if you are unable to do so due to the onset of dementia or mid-to-late stage dementia Reaching a consensus with&hellip; <a class=\"more-link\" href=\"https:\/\/www.jccpa.org.hk\/en\/about-dementia\/caring-tips\/medical-care-and-financial-arrangement\/\">Continue reading <span class=\"screen-reader-text\">Medical, Care and Financial Arrangement<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":16422,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"tpl\/pagewbanner.php","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.4 - 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