guardianship and dementia 2

Guardianship of a Parent with Dementia

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Watching a parent struggle with dementia can be heart-wrenching. As cognitive abilities decline, you might find yourself wondering how to best protect and care for your loved one. In New Jersey, guardianship can offer a legal framework to support elderly parents with dementia who can no longer make informed decisions. This guide will walk you through the process, challenges, and considerations specific to gain guardianship for someone with dementia in the Garden State.

Understanding Guardianship of a Parent

Guardianship in New Jersey is a legal arrangement where the court appoints someone to make decisions on behalf of an incapacitated person. For a person with dementia, this often becomes necessary when the condition progresses to a point where they can no longer manage their own affairs safely.

New Jersey recognizes two main types of guardianship for adults with dementia:

  1. General (Plenary) Guardianship: This grants full decision-making authority over personal care and financial affairs.
  2. Limited Guardianship: This allows the individual to retain some decision-making rights while the guardian is responsible for specific areas.

For adults who have dementia, courts often prefer limited guardianship when possible, as it preserves some autonomy for the individual.

When is Guardianship Necessary for Elderly Parents with Dementia?

Determining the right time to get guardianship of a parent can be challenging. Some signs that indicate guardianship may be necessary include:

  • Consistent inability to manage financial affairs or get out of debt
  • Frequent confusion about medication or medical treatments
  • Unsafe behavior, such as wandering or leaving appliances on
  • Vulnerability to financial exploitation or scams

It’s important to note that a diagnosis of Alzheimer’s or dementia alone doesn’t automatically necessitate guardianship. The focus is on the individual’s mental capacity rather than the diagnosis itself.

Obtaining guardianship in New Jersey involves several steps:

  1. Filing a Petition: The process typically involves filing a petition with the court in the county where your parent resides.
  2. Providing Documentation: You’ll need to give:
    • Physician certifications (two doctors or one doctor and one psychologist)
    • Information about your parent’s assets and income
    • Details about family members who must be notified of the guardianship proceeding
  3. Court-Appointed Attorney: The court will assign a guardian ad litem to represent your parent’s interests.
  4. Attending a Hearing: A judge will review the evidence and may hear testimony to determine if guardianship is necessary.
  5. Appointment of a Guardian: If the need for guardianship is established, the court will issue an order detailing the appointed guardian’s powers and responsibilities.

Emergency Guardianship for People with Dementia

In some cases, there may be a need for immediate intervention. Emergency guardianship can be sought when there’s an urgent need to protect a person with dementia. This temporary guardianship allows for quick action while the full guardianship process is underway.

Challenges in Guardianship for Adults with Dementia

Seeking guardianship for an adult with dementia typically presents unique challenges:

  • Fluctuating Capacity: Symptoms of dementia vary day-to-day, making it difficult to assess consistent incapacity.
  • Emotional Resistance: Your parent may be unwilling to sign or accept the need for a guardian due to fear or confusion about losing independence.
  • Family Conflicts: Disagreements among next of kin about care decisions can complicate the process and sometimes get ugly.

If appointed as guardian, your duties may include:

  • Making medical decisions and overseeing personal care
  • Managing finances and property
  • Determining appropriate living arrangements
  • Reporting regularly to the court on your parent’s condition and finances

It’s crucial to understand that legal guardianship comes with significant responsibilities. You must always act in your parent’s best interests and be prepared to justify your decisions to the court if necessary.

Alternatives to Guardianship

Before pursuing guardianship, consider less restrictive alternatives that might meet your loved one with Alzheimer’s needs:

  • Durable Power of Attorney: This allows your parent to designate someone to make financial decisions on their behalf.
  • Advanced Directive for Healthcare: This document appoints someone to make medical decisions if your parent becomes incapacitated.
  • Representative Payee: For managing Social Security benefits only.

These options can be particularly useful if put in place early in the stage of dementia, while your parent still has the capacity to make these decisions.

Given the complexities involved in guardianship law, it’s highly recommended to consult with an attorney experienced in elder law. Legal experts who specialize in elder law can guide you through:

  • Specific legal requirements for guardianship in New Jersey
  • Procedures for obtaining guardianship
  • Criteria for guardianship and how to build a case for guardianship
  • Laws regarding guardianship and how they apply to your situation

An attorney who specializes in elder law can also help you navigate potential complications, such as if your parent is diagnosed with Alzheimer’s but is unwilling to accept help, or in unique situations like seeking guardianship for an elderly homeless person.

Obtaining guardianship for elderly parents with dementia in New Jersey is a complex legal process that requires careful consideration of legal, medical, and emotional factors. While it can provide necessary legal protection, it’s essential to approach the process with sensitivity to your parent’s dignity and remaining capabilities.

Remember, the goal of guardianship is to support and protect your parent while maintaining as much of their independence as possible. With the right approach and support from legal professionals, you can ensure your parent receives the care they need during this challenging time.

About Benjamin D. Eckman, Esq.

Benjamin D. Eckman, Esq., is a New Jersey attorney specializing in Elder Law and Estate Planning. With decades of experience, he helps seniors and their families address critical legal, financial, and healthcare needs, including drafting wills, trusts, special needs trusts, and powers of attorney. His practice focuses on asset protection, managing healthcare costs, and preserving eligibility for government benefits like Medicaid.

Mr. Eckman has lectured throughout New Jersey to senior groups, nursing facilities, and professional associations, and his articles have appeared in newspapers and journals. He holds a law degree from Seton Hall University School of Law and is a member of the New York State Bar Association, the New Jersey State Bar Association, a past member of the National Academy of Elder Law Attorneys, the Elder Law Section and Real Property, Probate and Trust Section of the New Jersey State Bar Association, the Union County Bar Association, Passaic County Bar Association and the Bergen County Bar Association.

For expert guidance on elder law and estate planning, schedule a consultation today by clicking HERE.

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