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Self-Transition
Choosing between Dementia-Transition or Self-Transition

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Dementia develops from diagnosis to death through a seven-stage dementia-transition.  This dementia-transition has three pre-dementia stages from No cognitive decline (a person is fully functional) through Mild cognitive decline, followed by four dementia stages from Mild Dementia through Severe Dementia (a person is completely non-functional) and death.  There is no standard duration for any stage, and dementia-transition through the seven stages of this process may continue over several weeks or over many years.

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A person with the horrible condition of dementia may choose to follow dementia-transition through the seven stages described above, or to self-transition from one of the three pre-dementia stages directly to the end of this process which is death.  This terrible decision involves many factors.  This page does not advocate self-transition in any way, but rather is meant to raise Awareness and Conversation about these options.  The author's position related to his own dementia is provided in the video below, and his position for himself related to choosing between dementia-transition or self-transition is discussed at 8:35-12:15 of the video.  His position is to have his life and his death on his terms as much as he can, rather than on dementia's terms.  This is a very hard choice but every choice in this condition is very hard.

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Interview about facing dementia
Orit Navon, Kan Makshivim (subtitles)
15:15

The author does not advocate self-transition / suicide, has no immediate thoughts or intention of suicide, and urges anyone considering suicide to get help immediately from available resources, from the local emergency number 911, or from the national suicide hotline 988.

For someone who is considering self-transition, when is the "right" time for self-transition?  This is impossible to know, and this decision is based on the feelings and the views of the patient and those around the patient.  Two risks of self-transition​ are to take action too early, in which case the patient loses a period of life that otherwise could have been lived, and to take action too late, in which case the patient becomes incapable of carrying out self-transition because he/she has reached a dementia stage.  These and many other aspects of ​the situation are taken into consideration in making the decision against or for self-transition.

TheAlzheimersConversation.com

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