Structured decision support for complex dementia and end-of-life transitions in Portland.
A diagnosis of dementia or serious illness creates a cascade of decisions—medical, legal, and deeply personal. Most families are forced to navigate fragmented information, conflicting opinions, and emotional pressure without a clear plan.
The Legacy Framework™ exists to bring structure, alignment, and leadership to moments when clarity matters most.
We assess the current situation, identify immediate risks, and clarify what decisions are settled versus unresolved. Families leave with a prioritized action plan for the next 7–14 days.

We document the individual’s values, preferences, and identity markers to ensure decisions reflect who they are, not just what is convenient or urgent.
We translate family priorities into a clear, actionable plan that supports smoother transitions across home care, facilities, hospice, or palliative services.
The Legacy Framework™ was founded by JamiQuan Rudd, MSW, LMSW, a master’s-level professional with extensive experience navigating complex healthcare and family systems.Through work within hospital environments and county-based care coordination, JamiQuan repeatedly observed the same problem: families were being asked to make irreversible decisions while overwhelmed, under-informed, and under-supported.The Legacy Framework™ was created to address that gap.Rather than adding another layer of emotional labor, this work provides structured decision support, clear prioritization, and steady leadership, so families can move forward with intention, dignity, and clarity during high-stakes transitions.
JamiQuan Rudd, MSW, LMSWI bring years of experience working within hospital systems, community centered work, and county care coordination environments. I’ve seen where families become overwhelmed, and where decisions stall.The Legacy Framework™ was created to provide calm leadership, structured planning, and decision support when families need it most.
The Legacy Clarity Session™ is a 90-minute intensive designed to stabilize your situation, clarify priorities, and create a short-term action roadmap.This session is the required first step before any ongoing support or implementation services.
