A Death Doula's Substack

A Death Doula's Substack

Share this post

A Death Doula's Substack
A Death Doula's Substack
Make Choices Before Cognitive Decline Begins

Make Choices Before Cognitive Decline Begins

Let's face the fact that statistically such a condition can happen to us.

Catherine Durkin Robinson's avatar
Catherine Durkin Robinson
Mar 06, 2025
∙ Paid
15

Share this post

A Death Doula's Substack
A Death Doula's Substack
Make Choices Before Cognitive Decline Begins
6
Share

We’re living longer and longer lives. That means asking ourselves tough questions about the kind of care we want (and don’t want) BEFORE cognitive decline begins.

I have some clients diagnosed with dementia, who will live with this disease for a long time. They chose to move into memory care facilities and “let nature take its course.” I honor and support them.

I also have clients who make different choices, and I honor and support their rights as well.

How Do You Want to Handle Dementia?

Let's talk frankly about this topic. When I search “advanced dementia” online, I see pictures of happy seniors engaged in fun activities.

Unfortunately, I don’t see a lot of that in real life.

Share

I see too many people living with advanced-stage dementia hunched over in wheelchairs. They're being fed by loving caregivers but have little or no awareness themselves. I watch sadly as they slowly forget everyone and everything.

Eventually, their body will forget how to swallow.

When this happens, they typically i…

Keep reading with a 7-day free trial

Subscribe to A Death Doula's Substack to keep reading this post and get 7 days of free access to the full post archives.

Already a paid subscriber? Sign in
© 2025 Catherine Durkin Robinson
Privacy ∙ Terms ∙ Collection notice
Start writingGet the app
Substack is the home for great culture

Share