In the serene Dutch village of Castricum, 82-year-old Irene Mekel enjoys her garden and the local market. However, a shadow looms over her pleasant life: she was diagnosed with Alzheimer’s disease last year. With her cognitive abilities dwindling, she faces the challenging reality of planning for an eventual death on her own terms.

Irene, a former nurse who has experienced caring for family with dementia, is supported by her three children in navigating her condition. Yet, she is determined never to enter a nursing home, fearing it would strip away her dignity. As a Dutch citizen, she understands that she can legally request medical assistance in dying, but there’s a catch—doctors will not perform euthanasia for those who cannot consent.

In 2023, just before her diagnosis, Irene attended a workshop to create an advance directive outlining when she would choose assisted dying—specifically when she can no longer recognize her loved ones or live independently. Despite her plans, her family doctor expressed support but ultimately refused to provide the procedure, citing legal constraints surrounding consent.

With awareness of her fading future, Irene now faces the urgency of selecting a day to die, wrestling with the pain of losing her autonomy while still striving to enjoy the life she's built.