Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2011 Feb 16;305(7):698-706.
doi: 10.1001/jama.2011.164.

Finances in the older patient with cognitive impairment: "He didn't want me to take over"

Eric Widera  1 , Veronika Steenpass, Daniel Marson, Rebecca Sudore
Affiliations
Review

Finances in the older patient with cognitive impairment: "He didn't want me to take over"

Eric Widera et al. JAMA. .

Abstract

Financial capacity can be defined as the ability to independently manage one's financial affairs in a manner consistent with personal self-interest. Financial capacity is essential for an individual to function independently in society; however, Alzheimer disease and other progressive dementias eventually lead to a complete loss of financial capacity. Many patients with cognitive impairment and their families seek guidance from their primary care clinician for help with financial impairment, yet most clinicians do not understand their role or know how to help. We review the prevalence and impact of diminished financial capacity in older adults with cognitive impairment. We also articulate the role of the primary care clinician, which includes (1) educating older adult patients and their families about the need for advance financial planning; (2) recognizing signs of possible impaired financial capacity; (3) assessing financial impairments in cognitively impaired adults; (4) recommending interventions to help patients maintain financial independence; and (5) knowing when and to whom to make medical and legal referrals. Clearly delineating the clinician's role regarding identification of financial impairment could establish for patients and families effective financial protections and limit the economic, psychological, and legal hardships of financial incapacity on patients with dementia and their families.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Schematic of Progressive Decline in Financial Capacity Seen in AD
Figure 2
Figure 2
Approach to Financial Issues in the Elderly
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Marson D, Hebert T, Solomon A. Civil competencies in older adults with dementia: Medical decision-making capacity, financial capacity, and testamentary capacity. In: Larrabee G, editor. Forensic Neuropsychology: A Scientific Approach. 2. New York, NY: Oxford University Press; In Press.
    1. Marson DC, Sawrie SM, Snyder S, et al. Assessing financial capacity in patients with Alzheimer disease: A conceptual model and prototype instrument. Arch Neurol. 2000 Jun;57(6):877–884. - PubMed
    1. Marson DC, Martin RC, Wadley V, et al. Clinical interview assessment of financial capacity in older adults with mild cognitive impairment and Alzheimer’s disease. J Am Geriatr Soc. 2009 May;57(5):806–814. - PMC - PubMed
    1. Martin R, Griffith HR, Belue K, et al. Declining financial capacity in patients with mild Alzheimer disease: a one-year longitudinal study. Am J Geriatr Psychiatry. 2008 Mar;16(3):209–219. - PubMed
    1. Sherod MG, Griffith HR, Copeland J, et al. Neurocognitive predictors of financial capacity across the dementia spectrum: Normal aging, mild cognitive impairment, and Alzheimer’s disease. J Int Neuropsychol Soc. 2009 Mar;15(2):258–267. - PMC - PubMed

Publication types