If a person would want to limit or stop handfeeding at a certain point in dementia progression, then completing our dementia directive is a good idea. Earlier in this guide it was noted that a health care agent can make decisions for artificial nutrition and hydration if they know your wishes. However, handfeeding is not considered “artificial,” and in order for your agent to consent to stop handfeeding, which may cause concern from others, your wishes regarding hand feeding should be carefully documented in writing. This form enables you to do just that.


Please note, this form should only be utilized if you wish to limit oral feeding (i.e., handfeeding). If you would not want to have handfeeding limited (which is the default assumption), then this form is not appropriate or necessary. If you have early-stage dementia, still have capacity to make your own decisions, and do not want to wait until dementia is advanced to stop eating and drinking, you have the right to stop. Just as all advance directives, this form would only take effect once you lose capacity to make your own decisions.

January 3, 2022

Who should consider completing the Dementia Directive?

If a person would want to limit or stop handfeeding at a certain point in dementia progression, then completing our dementia directive is a good idea. […]
January 3, 2022

Why did End of Life Choices New York create the EOLCNY Dementia Directive?

Unfortunately, dementia is common and increasingly becoming more prevalent. Right now, about 10% of people 65 and older have Alzheimer’s disease, or another form of dementia, […]
January 3, 2022

How do I complete a MOLST?

Completion of the MOLST begins with a conversation or a series of conversations between the patient (or the patient’s health care agent or surrogate) and a […]
January 3, 2022

Is a MOLST helpful for New Yorkers without a health care agent?

As this is a medical order, it can be of particular benefit to New Yorkers with a serious illness that do not have anyone they trust […]
January 3, 2022

Can a MOLST replace a Health Care Proxy Form?

The MOLST does not replace a Health Care Proxy Form (it cannot be used to appoint a decision-maker). The MOLST form must be signed by your […]
January 3, 2022

What are Medical Orders for Life-Sustaining Treatment (MOLST)?

The MOLST form was created in 2008, but most people are unaware of its existence; even some doctors and eldercare lawyers have never heard of it. […]
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