Some families begin exploring options early, soon after a diagnosis. Others arrive here more urgently, when a situation changes quickly and decisions are needed right away.

Through years of walking alongside people and families, we’ve found that most journeys include five stages. Every situation is different—but this framework can help bring some clarity to what can feel overwhelming. 

As the number of people living with dementia in Canada continues to grow, more families are facing complex and emotional decisions about care. 

Leslie’s mom was clear about one thing: 

She would only leave her apartment “feet first.” 

She lived independently in London, Ontario well into her nineties. But over time, things began to change. 

As dementia progresses, there often comes a point when families begin asking a difficult question: When is it time to make a change?