It Is You Who Has To Make Decisions at The End

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Contents

35 Inspirational Quotes On Decisions

Decisions shape our destiny. The wrong decisions can lead you down the wrong path, whereas the right decisions can lead you down the right path. Learn from your bad decisions and improve upon them, as your daily decisions determine the life that you will live. May these quotes inspire you to make the right decisions in life so that you live a life of greatness.

1. “Unsuccessful people make decisions based on their current situation; successful people make decisions based on where they want to be.” Anonymous

2. “Don’t base your decisions on the advice of those who don’t have to deal with the results.” Anonymous

3. “Good decisions come from experience, and experience comes from bad decisions.” Anonymous

4. “You are only one decision from a totally different life.” Anonymous

5. “Always go with the choice that scares you the most, because that’s the one that is going to help you grow.” Caroline Myss

6. “In the end, we only regret the chances we didn’t take and the decisions we waited to make.” Anonymous

7. “Sometimes the hardest thing and the right thing are the same.” Anonymous

8. “A major life decision is never a choice but rather a realization that the decision has already been made.” Doug Cooper

9. “Sometimes it’s the smallest decisions that can change your life forever.” Anonymous

10. “Make and be confident in your own decisions. Stop looking for people’s approval for everything. Live your life and do what you want.” Anonymous

11. “You don’t have to defend or explain your decisions to anyone. It’s your life. Live it without apologies.” Anonymous

12. “When someone makes a decision, he is really diving into a strong current that will carry him to places he had never dreamed of when he first made the decision.” Paulo Coelho

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13. “Every decision brings with it some good, some bad, some lessons, and some luck. The only thing that’s for sure is that indecision steals many years from many people who wind up wishing they’d just had the courage to leap.” Doe Zantamata

14. “A wise man makes his own decisions. An ignorant man follows public opinion.” Chinese Proverb

15. “You and only you are responsible for your life choices and decisions.” Robert T. Kiyosaki

16. “Stay committed to your decisions, but stay flexible in your approach.” Tony Robbins

17. “It is very important to know who you are. To make decisions. To show who you are.” Malala Yousafzai

18. “It is not hard to make decisions when you know what your values are.” Roy Disney

19. “Every positive change in your life begins with a clear, unequivocal decision that you are going to either do something or stop doing something.” Anonymous

20. “Once the decision is made, do not look back, do not second guess your decisions.” Muhammad Ali

21. “We are the creative force of our life, and through our own decisions rather than our conditions, if we carefully learn to do things, we can accomplish those goals.” Stephen Covey

22. “You cannot change your destination overnight, but you can change direction overnight.” Jim Rohn

23. “Indecision is a decision.” Anonymous

24. “The key to making healthy decisions is to respect your future self. Honor him or her, treat him or her like you would treat a friend or a loved one. A Stanford study showed that those who saw a photo of their future self made smarter financial decisions.” A.J. Jacobs

25. “Sometimes in life, you have to make decisions that are best for you, not for everyone else.” Anonymous

26. “You cannot make progress without making decisions.” Jim Rohn

27. “Unnecessary fear of a bad decision is a major stumbling block to good decisions.” Jun Camp

28. “When faced with a decision, choose the path that feeds your soul.” Dorothy Mendoza Row

29. “Life is filled with difficult decisions, and winners are those who make them.” Dan Brown

30. “It takes a level of self-love, of dedication and determination to live your greatest life. So, look within. Look at every area of your life and ask yourself these questions: Am I on course? Am I growing mentally, emotionally and spiritually? Anything that is blocking that, anything that is preventing you from living your greatest life, make the tough decision to let it go.” Anonymous

31. “Nothing happens until you decide. Make a decision and watch your life move forward.” Oprah Winfrey

32. “You are the CEO of your own life, start making executive decisions today.” Stephen Luke

33. “Whatever you decide to do, make sure it makes you happy.” Anonymous

34. “Whenever you’re making an important decision, first ask if it gets you closer to your goals or farther away. If the answer is closer, pull the trigger. If it’s farther away, make a different choice. Conscious choice making is a critical step in making your dreams a reality.” Jillian Michaels

It Is You Who Has To Make Decisions at The End

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Mental capacity and making decisions

Mental capacity relates to someone’s ability to make a particular decision or take a particular action for themselves. Someone may lack mental capacity because of their health or a disability.

What is mental capacity?

Mental capacity is the ability to make a decision. Someone lacks mental capacity when they’re unable to make a particular decision at the time it needs to be made. In Scotland, people who lack capacity are sometimes called adults with incapacity. Someone may lack capacity to make a decision about some things, for example financial issues, but can still have the capacity to make other decisions, for example day-to-day things like what to wear. Examples of people who may lack capacity include those with:

  • dementia
  • a condition that affects their memory or thinking
  • a learning disability
  • severe mental health illness
  • frailty
  • delirium or confusion
  • memory or thinking problems caused by medication
  • a terminal illness who are approaching the end of their life.

Just because someone has one of these health conditions it doesn’t always mean they are unable to make a specific decision.

What is the Mental Capacity Act (England and Wales)?

The Mental Capacity Act (MCA) helps to make sure that people who may lack capacity get the support they need to make decisions for themselves where possible. It sets out how to decide whether someone is able to make a decision. And how to make a decision on someone’s behalf. The MCA also allows people to appoint a trusted person to make a decision on their behalf should they lack capacity in the future. It applies to people aged 16 and over who live in England and Wales.

The Mental Capacity Act doesn’t apply to people living in Northern Ireland and Scotland, though each has equivalent legislation in place, although some of the practical steps are similar.

What are my rights under the Mental Capacity Act?

  • People should assume you’re able to make a decision, unless an assessment shows you can’t.
  • People should give you support to help you make your own decisions wherever possible.
  • People shouldn’t assume you’re unable to make a decision just because they think it’s unwise.
  • If someone makes a decision for you, they should consider what’s best for you (what’s in your best interests).
  • If someone makes a decision for you, they should consider what will be the least restrictive on your freedom and choices.

Understanding mental capacity can be complicated, however there is a helpful guide called the Code of Practice on the GOV.UK website that you might find useful.

How can I plan ahead?

It can be useful to plan what you want to happen if you lose capacity to make your own decisions in the future. You might want to consider:

  • Setting up a lasting Power of Attorney (LPA) – this is someone who you chose to make decisions about finance, property or care on your behalf. This could be a friend, relative or a professional.
  • Making an advance care plan – this allows you to tell people how you want to be cared for in the future. It’s a good idea to discuss your plans with your family, friends, and doctor or nurse.

How it’s decided whether someone has mental capacity

Lack of capacity may not be a permanent condition. A person’s mental capacity may vary over time or may depend on the type of decision that needs to be made. To determine if a person lacks capacity to make particular decisions, there are two questions to find out if their ability to make decisions is affected:

1) Does the person have a condition that affects their mind or brain?

2) Does the condition mean that the person is unable to make a specific decision when they need to? A person is unable to make a decision if they can’t:

  • understand information about the decision
  • remember that information long enough to make a decision
  • use or consider that information when they make a decision
  • communicate their decision.

If relevant, family members and close friends can provide background information as part of the assessment.

Who assesses mental capacity?

Different people may be involved in deciding whether someone’s able to make a decision at different times. It could be family and friends, care workers or health and social care professionals.

For most day-to-day decisions, such as when to get up or what to wear, carers don’t usually need to follow a formal process when assessing a person’s capacity. But they should be able to explain how they made this assessment if someone asks them.

For complex decisions, such as whether to have surgery or how to manage finances or property, a professional opinion is needed. This could be from a doctor, psychologist or solicitor. In these circumstances, it’s good practice for the person making the decision to keep a written record of how they assessed the person.

If you’re unsure and need help to decide whether or not a person lacks mental capacity, you can ask the person’s health or social care professionals to assess their mental capacity.

Health and social care staff and family carers should follow the Mental Capacity Act Code of Practice when assessing someone’s mental capacity. This includes professional guidance about confidentiality. This is available on the GOV.UK website.

Supporting someone to make a decision

It’s important to support someone to make the decision themselves wherever possible. To do this you can:

  • provide all the relevant information they need
  • present all options to them
  • explain and present the information in a way that’s easier for them to understand, for example using simple language or visual examples
  • explore different methods of communication, such as non-verbal communication
  • ask a family member, carer or speech and language therapist to help with communication
  • check if there are certain locations, times of day or circumstances where they might be better able to make a decision.

Making a decision for someone who lacks capacity

If you’ve tried to support someone to make a decision themselves, and you’ve assessed that the person isn’t able to make a decision, someone may need to make a decision for them (the ‘decision-maker’).

A decision must be made in the person’s best interests. This means thinking about what the person would want and what is best for them as an individual. The person making the decision should take into account anything they’ve previously said that they want, and any beliefs or values they have. And they should ask other people who care for the person what they think.

Who makes the decision?

The person who makes the decision on someone’s behalf is called the ‘decision-maker’.

  • a family member or carer for day-to-day things like what to wear
  • a health or social care professional or someone legally appointed to make decisions (see below) for decisions about treatment, care and accommodation
  • someone legally appointed to make decisions for decisions about finances and property (see below).

There are three ways to legally appoint someone to make decisions for someone who lacks mental capacity:

Lasting Power of Attorney – You can make decisions on someone’s behalf if they have appointed you using a lasting Power of Attorney (LPA). An LPA must be made while the person has mental capacity and is used when they lack capacity. A person can make an LPA for their property and financial affairs or for their health and welfare. Personal welfare LPA’s might include healthcare and medical treatment decisions.

Court appointed deputy – this is someone appointed by the Court of Protection to make decisions about finances, property, health or welfare (see below). Deputies are usually close relatives or friends of the person who needs help making decisions. You’ll need to pay a fee to apply to be a deputy. Find out more on the GOV.UK website.

Independent mental capacity advocate (IMCA) – this is someone who is appointed by the NHS or local authority to support and represent the person who lacks capacity and to audit the way the decision is being made. The IMCA service is for people who have no-one else (other than paid staff) to support or represent them.

Even if someone else is making decisions for you, you should still be involved as much as possible when decisions are being made.

Being a deputy

You can apply to become someone’s deputy if they lack mental capacity. A deputy is usually a family member or someone who knows the person well. As a deputy, any decision made on their behalf must be authorised by the Court of Protection in one or both of these areas:

  • property and financial affairs, for example paying bills or organising a pension
  • health and welfare, for example making decisions about medical treatment and how someone is looked after.

You can apply to be just one type of deputy or both. Welfare deputyships are not as common as property and financial deputyships, and the Court of Protection usually only grant these in exceptional circumstances. If there’s no one who is suitable or willing to act as a deputy, the Court can appoint a deputy from an approved panel of professionals .

Independent Mental Capacity Advocate

An Independent Mental Capacity Advocate (IMCA) is someone appointed to act on your behalf when there are no family or friends available and supports you to make decisions about serious medical treatment or changes of accommodation.

The IMCA service is only available in England and Wales. Referrals can only be made by the decision-maker. This is usually staff in the NHS or a Local Authority, for example, doctors, care managers or social workers.

An IMCA cannot start working with the person lacking capacity until they have met the IMCA criteria and have been instructed by an appropriate person (for example, a doctor). They must also be trained to do so and have all the necessary checks completed.

You can view a list of independent mental capacity advocate (IMCA) providers across England and Wales on the Social Care and Institute for Excellence website.

Mental capacity in Northern Ireland

In Northern Ireland, most of the same principles from the Mental Capacity Act (England and Wales) apply.

For decisions about your health and welfare, Northern Ireland are gradually introducing a lasting Power of Attorney which enables you to choose someone to make these decisions for you. Speak to a solicitor or contact the Office of Care and Protection (OCP) – Northern Ireland Courts and Tribunals Service for more information.

There are different ways that someone can make decisions about your financial affairs (see below).

Enduring Power of Attorney (EPA)

An enduring Power of Attorney for financial affairs allows someone to make decisions about your financial affairs and property for you. It must be made while you have mental capacity and can be used by your attorney after you have lost mental capacity. If you have lost capacity, your EPA must first be registered with the Office of Care and Protection before it can be used by your attorney.

You might want to make an EPA if you have been diagnosed with, or think you might develop, an illness which might prevent you from making decisions for yourself at some time in the future. You can give someone enduring Power of Attorney to deal with all of your financial affairs or to deal with only certain matters, for example, to manage a bank account or to buy and sell property on your behalf.

If you want to set up an Enduring power of attorney, you might want to contact a solicitor or another legal adviser, for advice. The Northern Ireland Courts and Tribunals website has more information about the Office of Care and Protection and Powers of Attorney. Read more about setting up a Power of Attorney.

Controller

If you haven’t set up an enduring Power of Attorney and you lose your mental capacity, someone can apply to become a controller. A controller can manage your finances, including paying for bills and shopping. A controller is usually a family member or someone who knows you well, but it can be a solicitor.

A controller will need the permission of the Office of Care and Protection (OCP) before making any decisions on your behalf (for example, selling your house). And they need to present information about your finances to the OCP every year.

The Department of Justice has more information on how to apply to become a Controller .

Find out more about managing someone else’s affairs in Northern Ireland on the Citizens Advice website.

Adults with Incapacity in Scotland

Scotland has its own mental capacity legislation called the Adults with Incapacity (Scotland) Act 2000. If you need to make a decision for someone who lacks capacity in Scotland, there are different options:

An attorney can make a decision if a Power of Attorney has been set up (see below).

  • If it’s a one-off decision (about financial or welfare matters), you’ll need to apply for an Intervention Order
  • If you need to make simple financial decisions on an on-going basis (for example to meet his/her living costs), you could apply for authority to access and manage their funds. This is called the Access to Funds scheme
  • To make on-going decisions about the person’s finances and welfare, you can apply for a Guardianship Order . There are two types of guardianship order. Guardianship order for financial affairs – such as managing bank accounts, paying bills, collecting benefits and pensions and selling a home or, guardianship order for welfare – such as making decisions about medical care and social care.

You can apply to be just one type of guardian, or both types of guardian. For more information on guardianship orders you can visit the Office of the Public Guardian (Scotland) website.

For medical treatment decisions when there is no welfare guardianship or Power of Attorney, a doctor would need to make an assessment of capacity to consent to treatment.

Planning ahead

Having a Power of Attorney (POA) lets you plan what you want another person to do for you in the future should you become incapable of making your own decisions. A person can only make a Power of Attorney when they have capacity do so. In Scotland, there are three types of Power Attorney:

  • Continuing Power of Attorney, this is someone who makes decisions about finances and property
  • Welfare Power of Attorney, this is someone who makes decisions about health and welfare matters
  • Combined Power of Attorney, this is someone who makes decisions about financial and welfare matters.

All Power of Attorneys must be registered with the Office of the Public Guardian in Scotland before they can act on someone else’s behalf. You can find more information on the Office of the Public Guardian (Scotland) website.

If you live in Scotland, and are unsure about the needs of the person you are concerned about, you can contact the local authority social work department in the area where the person lives. You can also visit the Office of the Public Guardian (Scotland) website for more information on financial matters and the Mental Welfare Commission for Scotland website for information on welfare matters.

Read more about Power of Attorney or how to make an advance care plan.

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