Paul has Alzheimers disease, the most common form of dementia. Paul decides that he does not want to live this way. He finds it unbearable that he is going to lose his personality, skills and ability to function, and that this will only worsen, resulting in profound dependence and total loss of self.
Before I forget shows the complex situation of Marjan, Paul, their two children and their aim to fulfill Paul’s wish to a dignified end-of-life.
In the Netherlands, patients with dementia can request for euthanasia. In some circumstances, such a request may be granted, for instance, in the case of a patient in the early stages of dementia who is able to understand his illness and the symptoms of disorientation and personality change. If the patient is able to understand the consequences of a request for his life to be terminated he can, in certain circumstances, be considered competent to make a reasonable appraisal of his own interests. If the patient can no longer fully grasp the implications of his request, he may be considered decisionally incompetent. The doctor will in such cases refuse a request for euthanasia.