THE MOMENT

Something feels "off." Memory lapses. Subtle changes in judgment. The doctor says "let's monitor it" or "that's normal aging" or “dementia.” But you see more and a different future.

WHY THIS MATTERS

Early detection creates the longest intervention window. Biomarkers can detect Alzheimer's pathology 10-20 years before symptoms. But accessing proper testing is nearly impossible without expert navigation.

HOW STEWARDSHIP HELPS

✓ Navigate testing barriers and access blood-based biomarkers

✓ Expert interpretation of what results actually mean

✓ Right-sized response—neither dismiss nor catastrophize

✓ Clear roadmap for exactly what to do next

THE MOMENT

You have test results or a diagnosis. Now what? What does this mean for the next 1, 5, 10 years? What can you change? What can't you? How fast will this progress?

WHY THIS MATTERS

Understanding your individual trajectory shapes every decision to come.

HOW STEWARDSHIP HELPS

✓ Personalized assessment based on your life

✓ Projection of your key decisions points in time by likely cognitive status

✓ Evidence-based prioritization of what matters most

✓ Family education so everyone understands what to expect

THE MOMENT

You want to DO something. But what actually works? The internet offers a thousand solutions. Your doctor says "diet, exercise, sleep, and meds." What has real evidence?

WHY THIS MATTERS

You need a personalized, evidence-based plan you can actually follow.

HOW STEWARDSHIP HELPS

✓ Evidence-based intervention plan—only strategies with research support

✓ Personalized to your specific situation and preferences

✓ Implementation support—not just "what" but "how" to make it sustainable

✓ Ongoing optimization as needs change

THE MOMENT

You still have cognitive capacity. You can still make complex decisions and express your values. But for how much longer? When do you have the conversations about future medical and financial decisions, end-of-life wishes, and legacy?

WHY THIS MATTERS

THIS IS THE MOST CRITICAL INFLECTION POINT. Once capacity is significantly impaired, legal documents may not be valid. Wishes can't be clearly expressed. Families must guess. Court involvement becomes necessary.

HOW STEWARDSHIP HELPS

✓ Facilitated conversations through difficult discussions

✓ Consultation throughout planning

✓ Family alignment—everyone understands and agrees

⚠️ Most families wait too long. Don't be one of them.

THE MOMENT

Is driving and the home still safe? Can aging in place work with modifications? When is it time to consider assisted living or memory care? How do you balance safety with independence and dignity?

WHY THIS MATTERS

Driving and living arrangement decisions profoundly impact quality of life, family dynamics, and costs. The right choice at the right time preserves independence safely. Crisis-driven placement can cause extreme distress and higher costs.

HOW STEWARDSHIP HELPS

✓ Facilitated conversations through difficult discussions

✓ Consultation throughout planning

✓ Family alignment—everyone understands and agrees

THE MOMENT

You're now seeing multiple specialists: primary care, neurologist, sleep doctor, cardiologist. Each focuses on their piece. No one coordinates. Medications conflict. Tests get repeated. Critical issues fall through cracks.

WHY THIS MATTERS

Fragmented care leads to missing, confusing, and conflicting information, medication errors, duplicated testing, and preventable hospitalizations.

HOW STEWARDSHIP HELPS

✓ Care coordination—single point of contact across all providers

✓ Medication management—review for interactions and cognitive risks

✓ Appointment facilitation—prepare questions, attend key visits

✓ Medical records organization—all providers have complete picture

✓ Advocacy to ensure concerns are heard and addressed

THE MOMENT

Cognitive changes affect judgment and decision-making. When should financial safeguards be implemented? How do you protect assets from exploitation? When should Power of Attorney be activated?

WHY THIS MATTERS

Financial exploitation of older adults can cost $120,000 per incident. Impaired judgment leads to poor financial decisions. But removing control too early robs dignity. This is a delicate, high-stakes balance.

HOW STEWARDSHIP HELPS

✓ Consult with estate planning financial advisors

✓ Family communication facilitation about difficult money topics

✓ Fraud prevention strategies to reduce vulnerability

THE MOMENT

Who will be the primary caregiver? How are responsibilities divided among siblings? What happens when family members disagree? How do caregivers avoid burnout?

WHY THIS MATTERS

Family caregivers provide unpaid care—and often suffer health consequences, job loss, and relationship strain. Without clear roles and support, caregiver burnout leads to poor outcomes for everyone.

HOW STEWARDSHIP HELPS

✓ Facilitated family meetings to align on approach

✓ Clear role clarification to reduce conflict

✓ Caregiver education on disease progression and behavior management

✓ Respite planning to prevent burnout before it happens

✓ Professional resource connection when family care isn't enough

THE MOMENT

A fall. Getting lost. A medication error. Aggressive behavior. When do you call 911? When do you manage at home? How do you prevent crises before they happen?

WHY THIS MATTERS

Each hospitalization accelerates cognitive decline. Hospital-acquired delirium affects 50% of older adults with dementia and often leads to permanent worsening. Yet some situations require emergency care. Knowing the difference is critical.

HOW STEWARDSHIP HELPS

✓ Crisis prevention planning—identify and address risks proactively

✓ Decision protocols—when to call doctor vs. when to call 911

✓ Environmental safety assessment and home modifications

✓ Behavior management using non-pharmacological approaches

✓ Expert guidance available when crisis happens

THE MOMENT

Serious infection. Feeding tube decision. Hospice consideration. How aggressive should treatment be? What does comfort care mean? How do you honor wishes when the person can no longer participate?

WHY THIS MATTERS

These are the most emotionally fraught decisions families face. Without clear advance planning and expert guidance, families often choose aggressive interventions the person wouldn't have wanted—or feel guilty about comfort-focused care.

HOW STEWARDSHIP HELPS

✓ Advance planning completed early while capacity intact

✓ Ongoing values discussions as understanding evolves

✓ Decision support through specific choices as they arise

✓ Family facilitation to unite around person's wishes