Having dementia is the greatest fear shared by most people as they age. One needs to plan for the time when you may no longer have a clear mind and the ability to make decisions about your own medical care. The advance directive (AD) in its usual format is insufficient if you suffer from dementia. In this case, a dementia provision should be added to your AD to describe what kind of medical care you’d like. Various options and strategies will be discussed to help you develop a plan should you develop dementia.