dementia caregiver planning backup care for loved one
What Happens If Something Happens to You?

Written by Larea Mcqueen

Hi, I’m Larea, a Registered Nurse, Faith Community Nurse, and Certified in Dementia Care with 30 years of experience supporting families living with Alzheimer’s and other dementias. Both of my parents have Dementia, so I understand the journey personally as well as professionally. My heart is in helping family caregivers feel supported, prepared, and confident every step of the way.

Last updated May 10, 2026

If you are the main caregiver for someone with dementia, there’s a question that may quietly sit in the back of your mind…

👉 “What would happen to them if something happened to me?”

Most of us don’t like to think about it.

We’re already dealing with so much.
We’re tired.
We’re doing the best we can each day.

But the truth is…

👉 This may be one of the most important plans you ever make.

💛 “Having a plan doesn’t mean you expect something to happen… it means you care enough to be prepared.”

💛 A Real-Life Moment That Hit Close to Home

 

A couple of weeks ago, this became very real for our family.

My stepmom had a medical scare.

She is the primary caregiver for my dad, who is in the middle stage of dementia.

The “what if something happens to me” worry suddenly jumped to the front of the line.

It was time for her to develop a plan.

We sat down and had a conversation that many families avoid.

👉 What would happen if she could no longer care for him?
👉 Who would step in?
👉 What needed to be in place?

We made a plan.

I would take over his care.
And we completed the paperwork to make me his Power of Attorney if something were to happen to her.

It wasn’t an easy conversation.

But when we were done…

There was a sense of peace.

💬 “Peace of mind doesn’t come from avoiding hard conversations… it comes from having them.”

🧩 How to Create a Dementia Caregiver Backup Plan

You don’t have to figure everything out today.

Just take it one step at a time.

💬“A simple plan today can prevent chaos tomorrow.”

Why Every Dementia Caregiver Needs a Backup Plan

 

Without a plan, a sudden illness, accident, or emergency can quickly turn into chaos.

Decisions have to be made fast.
Family members may not agree.
Important information may be missing.

And your loved one…

👉 may not be able to explain their needs
👉 may feel confused or scared
👉 may end up in a situation you wouldn’t have chosen

Having a plan helps protect them when they are most vulnerable.

caregiver watching elderly parent closely while eating

👥 Step 1: Choose a Backup Caregiver

Ask yourself:

👉 Who could step in if I couldn’t?

This might be:

  • An adult child
  • A family member
  • A close friend

Have the conversation now—not during a crisis.

📄 Step 2: Get Legal Paperwork in Place

 

This step is so important.

Make sure you have:

  • Power of Attorney (POA)
  • Healthcare Power of Attorney
  • Advance directives or living will

Without these, decisions can become complicated and delayed.

📝 Step 3: Write Down Daily Care Information

 

Think about everything you do each day…

Now imagine someone else stepping in.

Would they know:

  • Medications and schedules
  • Daily routines
  • Eating habits
  • Sleep patterns
  • Behaviors and triggers
  • What helps calm your loved one

Writing this down makes all the difference.

👉 You can use simple notes, a binder, or tools like your dementia caregiver forms and resources to keep everything organized.

📞 Step 4: Create an Emergency Contact List

 

Keep this simple and easy to find.

Include:

  • Doctors
  • Pharmacy
  • Family members
  • Neighbors or helpers

This saves valuable time in an emergency.

🏡 Step 5: Think About Care Options Ahead of Time

 

If staying at home isn’t possible, what would you want?

  • In-home help?
  • Assisted living?
  • Memory care?

Even having a general idea can help prevent rushed decisions later.

🖼️ Emergency Dementia Care Plan (Quick Guide)

 

Here’s a simple way to think about your plan:

👥 Choose a Backup Caregiver

Who will step in if you can’t?

📄 Get Legal Paperwork

Power of Attorney & healthcare decisions

📝 Write Down Daily Care

Medications, routines, behaviors

📞 Emergency Contacts

Doctors, family, pharmacy

🏡 Plan Care Options

Home care or memory care

A simple plan today can prevent chaos tomorrow.

The Emotional Side No One Talks About

This part is hard.

Thinking about not being there…
Thinking about someone else stepping into your role…

It can bring up fear, sadness, and even guilt.

But this isn’t about expecting something bad to happen.

It’s about protecting the person you love.

💛“You take care of them every day—this is one more way to protect them.”

Start Small—But Start

You don’t have to do everything today.

Just take one step this week:

👉 Have the conversation
👉 Write one thing down
👉 Look into one piece of paperwork

And as you go through this journey, continuing understanding the stages of dementia can help you better prepare for the changes ahead.

Also, if you’re feeling overwhelmed, it’s important to recognize the signs of caregiver burnout and make sure you’re taking care of yourself too.

💜 If Something Happened Tomorrow…

 

Take a moment and really think about this…

👉 If something happened to you tomorrow…
Would someone know how to step into your role?

Would they know:

  • What medications to give?
  • What your loved one’s routine looks like?
  • What calms them… and what upsets them?
  • Who to call… and what to do next?

For most caregivers, the honest answer is…

👉 No.

And that’s not because you’ve done anything wrong.

It’s because you carry so much of this in your head every single day.

💬 “If you are the one holding everything together, it’s okay to make a plan for when you can’t.”

💜 This Is Where Having Everything in One Place Matters

 

When everything is written down and organized…

👉 Someone can step in with confidence
👉 Your loved one is cared for the way you would want
👉 And you don’t have to worry about things falling apart

That’s exactly why I created the caregiver’s notebook.


📘 A Simple Way to Be Prepared

 

The caregiver’s notebook helps you:

✔ Keep medications, routines, and care details in one place
✔ Track changes so you’re better prepared for doctor visits
✔ Share important information with family or helpers
✔ And now… create a clear backup plan if something happens

It’s not about being perfect.

It’s about being prepared.


💛 Give Yourself (and Them) Peace of Mind

 

You take care of them every day.

This is one more way to protect them… even if you can’t be there.

👉 Take a look at the Caregiver’s Notebook here:

https://alzheimersinyourhome.com/alzlog/

💬 Quick Question

Have you started a backup plan yet?

Even a simple “yes” or “not yet” helps others feel less alone on this journey

❓ Frequently Asked Questions

 

What happens if a dementia caregiver becomes ill?

If a caregiver becomes ill and there is no plan in place, the person with dementia may end up in the hospital or need emergency placement. Having a backup plan helps avoid this.


Do I need power of attorney for dementia care?

Yes. Power of attorney allows someone to make financial and healthcare decisions when your loved one is no longer able to do so safely.


Who should be a backup caregiver?

A trusted family member, friend, or someone who understands your loved one’s needs and is willing to step in.


What should I include in a dementia care plan?

Include medications, routines, behaviors, emergency contacts, and important documents.


When should I create a backup plan?

The earlier, the better. Planning ahead reduces stress and helps you feel more prepared.

🌿 Final Thoughts

If you’ve been putting this off…

You’re not alone.

But having a plan doesn’t just prepare you for the unexpected—

It brings peace.

💛 It protects your loved one
💛 It reduces stress
💛 It helps others step in with confidence

And most importantly…

👉 It makes sure they are cared for in the way you would want

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Larea Mcqueen

Hi, I’m Larea, a Registered Nurse, Faith Community Nurse, and Certified in Dementia Care with 30 years of experience supporting families living with Alzheimer’s and other dementias. Both of my parents have Dementia, so I understand the journey personally as well as professionally. My heart is in helping family caregivers feel supported, prepared, and confident every step of the way.

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