She was a woman who occupied the Paramount stool as Okyenhene, as well as the Queenmother. She was a woman like her counterpart, Nana Yaa Asantewaa of the same Asona clan of Ejisu, Ashanti. Both were warlike and heroines. Nana Dokua fought the Ashantis 99 times, warding them off anytime they attacked the Akyems. Her outstanding and renowned feats are still remembered in songs in her praise.

Nana Dokua was not only a warrior, but also a first class administrator. She set up Akyem Abuakwa towns and villages into the present divisions for the purposes of war and administration, as well as preventing break-ups or revolts in her kingdom. She married Barima Twum Ampofo of the Oyoko clan of Barekeseso in Ashanti, whom she made the Asiakwahene and the Nifahene of Akyem Abuakwa; the only "foreigner" holding the title of a Divisional Wing Chief in Akyem Abuakwa. The rest of the five Divisional Wing Chiefs are: Kukurantumihene (Adonten), Begorohene (Benkum), Wankyihene (Oseawuo), and Kwabehene, (Gyase), who are all Asonas.

There are also the Akyeasehene (Tarkwa) of the Oyoko clan; and Otwereasehene (Odau) of the Aduana clan; both of whom rank as equals to the five Divisional Wing Chiefs. She also organized the surrounding villages of Apapam, Apedwa, Tetteh (Asikam), Adadientam, Ahwenease, Affiasa, Pano, and Wirenkyiren-Amanfrom into "Amantomiensa" (soldiers and guardians of the Paramount Stool). This group became members of the Kyebi Executive Council, including Ankobea, Pesemaka and Kyidom, with the Okyenhene as the head. This body always acted in the place or in the absence of the Okyeman Council in all matters affecting Akyem Abuakwa.

Nana Dokua had two male twins, who successively became kings of Akyem Abuakwa after her death. The birth of the royal male twins by Nana Dokua and Barima Twum Ampofo led to the institution and the recognition by the Akyem Abuakwa State of what is termed "ABAM" (The Twins Day), which is celebrated each year on the first Friday after the celebration of the "Odwira" festival by the Paramount stool at Kyebi. The "Abam" festival is performed at all times by the Nifahene of Akyem Abuakwa, at the Okyeman Queenmother's residence at Kyebi, as the "father" who brought forth the royal twins. This festival is always attended by all the twins in Akyem Abuakwa and by the occupant of the Paramount stool, the Okyenhene.
From 1733 AD - Present