Dementia Pathways. For Primary Care in ireland

In addition to the Advance Healthcare Directive and the Enduring Power of Attorney this Act also allows a person to create two separate decision support arrangements, depending on the level of decision making support a person requires.

A person whose capacity is in question or will shortly be in question can choose another person to either jointly make decisions with them or to assist them to make decisions.


A Co-Decision Making Agreement

  • This is an agreement whereby a person has appointed another person (i.e. a co-decision maker) to make decisions jointly with them.
  • The co-decision-maker will get the information needed to make a decision, advise on decisions and make decisions together with the appointer based on their will and preferences


A  Decision-Making Assistance Agreement

  • The assistant will assist the person making the decision by
    • helping them get the information needed to make the decision,
    • explaining the information to the person
    • ascertaining the person’s will and preference in relation to the decision.
  • The assistant will also communicate the decision if necessary and follow up on the decision to ensure it is implemented.
  • However, unlike a co-decision maker, a decision making assistant does not make decisions jointly or otherwise on behalf of the appointer. The decision in this instance is made by the person alone.