In-Home Care Guides

Legal & Financial Planning with a Trust or POA for Peace of Mind

Secure in-home dementia care with smart legal tools like trusts and POAs to protect your loved ones and simplify future healthcare and financial decisions.

Estimated Reading Time

15 minutes


Last Updated

Apr 12, 2025

Tendly Home Key Takeaways

Legal and financial planning with trusts and POAs offers peace of mind for families navigating dementia care:

  • 🧠 Establishing a durable Power of Attorney (POA) ensures trusted individuals can make financial and healthcare decisions when your loved one can’t, avoiding court delays.  
  • 🏠 Trusts help manage assets, ensure privacy, and simplify the transfer of property and finances—especially beneficial for in-home dementia care needs.  
  • 📜 Designating decision-makers through legal tools minimizes family conflicts and provides clarity during emotional, high-stakes situations.  
  • 💰 Early financial planning helps protect assets from being exhausted by care costs, while trusts may assist in qualifying for benefits like Medicaid.  
  • 🔒 Proactive legal steps offer security and dignity for individuals with dementia, giving families confidence their loved one’s wishes will be honored.
Contributors
Alan Lee
Geriatric Specialist
Emily Sanders
Dementia & Chronic Illness Navigator
Maria Torres
Clinical Social Work

Life has an uncanny way of throwing curveballs when we least expect them. Whether it's an unexpected illness, a decline in mental faculties, or even just natural aging, the need to be prepared for the unforeseen becomes not just practical, but deeply personal. For families and caregivers, having a clear legal and financial roadmap can be the difference between chaos and calm during a crisis. That’s where tools like trusts and powers of attorney (POA) step in. These aren’t just legal documents—they're gifts of peace of mind. They ensure your wishes are honored, your loved ones are protected, and your legacy is preserved. If you've ever wondered what would happen if you couldn’t make decisions for yourself, you’re not alone. Thankfully, creating a trust or POA can offer the clarity and security you need to navigate life’s uncertainties with confidence and control.

Before diving deeper, it’s crucial to understand what trusts and powers of attorney (POAs) actually are—and how they differ.

trust is a legal entity you create to hold and manage your assets for the benefit of someone else—often your family, or even yourself. Trusts allow you to determine exactly how and when your assets will be distributed, either while you’re alive or after your passing. For example, a revocable living trust allows you to maintain control over your assets while you’re alive but designates how they should be managed or distributed if you become incapacitated or pass away.

power of attorney (POA), on the other hand, authorizes someone you trust—known as your agent or attorney-in-fact—to act on your behalf in legal, financial, or medical matters. This authority can be general or specific, temporary or long-term. Importantly, a durable POA remains in effect even if you become mentally incapacitated, which makes it especially valuable for long-term planning.

Together, trusts and POAs create a legal safety net. They help families avoid court proceedings like conservatorships or probate, reduce family tensions, and ensure continuity in decision-making. For example, without a durable POA, your family may have to go to court to gain the legal right to pay your bills or make healthcare decisions—at a time that’s already emotionally stressful.

Though these documents sound complex, they reflect deeply human concerns: protecting loved ones, safeguarding dignity, and securing peace of mind in uncertain times. Understanding these tools is your first step toward taking control of the future.

Making a plan for what might happen in the future isn’t just a financial strategy—it’s also an act of love. It shows your family you’ve thought ahead, that you care enough to make difficult decisions a little easier for them when the time comes.

Emotionally, families who have a POA and trust in place often avoid the painful conflicts that can arise when there’s no clear directive. Imagine siblings arguing over who should manage mom’s bank accounts or make decisions if dad is hospitalized. Without clear legal guidance, emotions run high and relationships strain. When you have a plan, there’s far less guesswork and far more peace.

Financially speaking, planning ahead can save thousands of dollars. Probate, the court process used to distribute assets when there's no trust, can take months—or even years—and legal fees can eat away at an estate’s value. A trust can help avoid probate entirely, speeding up the asset transfer process and keeping your financial affairs private.

Medical emergencies also carry unexpected costs. Without a medical POA or healthcare directive in place, the delay in making decisions about treatment can be costly—not just financially, but also in terms of potential outcomes. Plus, long-term care costs can be devastating without adequate planning. According to Genworth’s 2023 Cost of Care Survey, the national median cost of a private room in a nursing home is over $9,000 per month. A trust can help incorporate Medicaid planning or long-term care insurance to anticipate these costs.

By formalizing your wishes through a POA and trust, you’re doing what many families wish their relatives had done. It’s the well-thought-out plan that keeps your life in your hands—even if you can’t advocate for yourself down the line.

It’s important to remember that everyone’s situation is unique. Depending on your age, assets, family dynamics, and health circumstances, the optimal combination of legal tools will vary.

If you’re younger and just starting to build wealth, a durable POA and healthcare directive may be sufficient for now. These documents ensure someone can step in to manage your finances or make critical healthcare decisions if you’re in an accident or temporarily incapacitated. A trust might come later—especially once you purchase a home, have children, or accumulate assets you want to protect.

For retirees, parents of minor children, or individuals managing chronic conditions like Alzheimer’s or Parkinson’s, a comprehensive plan including a revocable living trustPOAs, and advance directives is often recommended. The trust not only manages asset distribution but can also plan for disability, so there’s a seamless transition of financial control if health declines.

Let’s say you’re a caregiver for an aging parent. A POA allows you to legally manage their bank accounts, pay bills, or make medical decisions when necessary. But without a trust, the parent’s estate may still end up in probate, causing delays and additional costs when they pass. Setting up a trust now can prevent those headaches later.

For blended families or complex family structures, both trusts and POAs are critical in clearly defining roles and preventing conflict. For instance, you might want your spouse to handle healthcare decisions but your adult child to manage financial affairs. A tailored legal plan can make that division of responsibilities clear.

In more advanced planning situations—such as special needs trusts for disabled dependents or irrevocable trusts for estate tax purposes—a legal advisor who specializes in elder law or estate planning is invaluable. They can craft a strategy that maximizes benefits and minimizes risks based on your specific needs and values.

Learn more about Tendly Home and our mission to empower families in transition
An illustration of a middle-aged woman providing guidance to an elder man.

Creating a trust or power of attorney may sound daunting, but breaking it into manageable steps makes the process approachable—and empowering.

Start by identifying your goals. Are you concerned about healthcare decisions? Managing finances during illness? Avoiding probate for your heirs? Your priorities will shape the type of documents you need. A conversation with a licensed estate planning attorney can help turn your concerns into a practical plan.

Next, choose your agents or trustees carefully. These individuals will act on your behalf, so select people who are trustworthy, capable, and willing. Think about their geographic proximity, their financial know-how, and their emotional readiness to handle decisions during difficult times.

Then, gather your financial and legal documents. This includes bank account details, real estate deeds, insurance policies, and any existing wills or POAs. This information will help your attorney draft accurate and effective documents tailored to your circumstances.

Once your documents are in place—typically a trust agreement, a durable POA, a healthcare POA, and a HIPAA authorization—you’ll need to sign them according to your state’s laws. Some documents require notarization or witnesses to be legally binding. Don’t forget to inform your chosen agents and provide them with copies or access through a secure digital vault or folder.

Regular review is key. Life changes—such as marriage, divorce, births, deaths, or significant financial shifts—can affect your legal plan. Revisit your documents every few years and update them as needed to ensure they still reflect your intentions.

Remember: waiting too long can complicate or even prevent good planning. If a person becomes mentally incompetent, they can no longer legally sign a POA or create a trust. At that point, families may need to go through court proceedings called guardianship or conservatorship, which can be emotionally and financially draining.

Start now—while you still have the clarity and control—to craft a plan that protects you and the people you love.

Planning for the future isn’t about predicting the unknown—it’s about preparing for it. Tools like trusts and powers of attorney aren’t signs of pessimism; they’re declarations of care, foresight, and strength. They speak to your desire to protect those you love, to make your wishes known, and to leave a legacy of order, not confusion.

While conversations about illness, aging, and loss can be difficult, the relief and clarity that come from having a solid legal and financial plan far outweigh the discomfort of discussing them. You’re not just organizing papers—you’re building a safety net that spans generations.

If you’ve been postponing this step, consider today your invitation to act. Talk with an estate planning attorney, gather your documents, and start the journey toward peace of mind. Because planning ahead doesn’t just protect your assets. It protects your values, your voice, and the people who matter most.

Frequently Asked Questions

What is the difference between a trust and a power of attorney?

A trust is a legal arrangement where a trustee manages assets on behalf of beneficiaries, according to terms set out in the trust document. It can take effect during your life or after your death, depending on the type of trust. A Power of Attorney (POA), on the other hand, appoints someone—known as an agent or attorney-in-fact—to handle your legal or financial matters while you're alive, often if you're incapacitated. While both tools assist with managing your affairs, a trust focuses on asset distribution and management, whereas a POA authorizes someone to act on your behalf in a broader legal or financial sense.

How should I choose someone to be my power of attorney?

Choosing a power of attorney agent is a critical decision. Pick someone you trust implicitly to manage your affairs responsibly and in your best interest. This person should be reliable, financially literate, and emotionally capable of handling difficult situations. Many people choose a close family member or friend, but it could also be a professional advisor. Make sure to discuss your preferences and expectations clearly beforehand to avoid conflicts or confusion later.

When is the right time to create a trust for my assets?

It's a good idea to consider setting up a trust when you have substantial assets, minor children, or complex estate planning needs such as blended families or special needs dependents. Trusts can also offer privacy and help avoid probate, which can save time and costs for your heirs. The earlier you start the process, the more control and flexibility you maintain over the management and distribution of your assets.

What powers does someone with a power of attorney have?

A power of attorney can grant broad or limited authority, depending on how the document is written. Common powers include managing bank accounts, paying bills, filing taxes, and making investment decisions. In some cases, it may also include authority to sell property or make legal agreements. However, every POA is unique, and the specific powers depend on state law and what’s written in the agreement. It’s essential to be clear and specific about what your agent can and cannot do.

Can I change or revoke a trust or power of attorney after I create it?

Yes, in most cases you can change or revoke a trust or power of attorney as long as you are mentally competent. Revocable living trusts are designed specifically to allow changes during your lifetime. Likewise, a durable power of attorney can be canceled by creating a written revocation and notifying all relevant parties. It’s wise to review these documents regularly and update them as your life circumstances or relationships change.

About the Contributors
Alan Lee
Geriatric Specialist

Dr. Alan Lee is a board-certified geriatrician specializing in neurodegenerative conditions including Alzheimer’s disease, Parkinson’s, and Lewy Body dementia. With more than two decades in clinical practice and research, Dr. Lee is a trusted authority in personalized care planning for aging adults. He serves as a medical reviewer for several national caregiving organizations and frequently lectures on aging in place and ethical dementia care.

Emily Sanders
Dementia & Chronic Illness Navigator

Emily Sanders is a Dementia Practitioner and educator who trains in-home caregivers and family members in person-centered dementia care. With a background in occupational therapy and caregiver training, Emily creates practical tools and care plans that improve everyday life for people living with Alzheimer’s and related conditions. She is passionate about preserving identity, dignity, and connection in home-based settings.

Maria Torres
Clinical Social Work

Maria Torres is a social worker with a focus on elder care, family systems, and caregiver mental health. She has worked in both hospice and community health settings and currently supports family caregivers navigating long-term care decisions. Maria brings an empathetic lens to her writing and advocates for proactive planning, emotional resilience, and equitable access to home care resources.