Marion Ritchie's life was altered for ever when her husband Dave was diagnosed with dementia at 65. A former Navy pilot, his unrelenting decline over nine years turned their lives into a nightmare. Marion and her daughters were left to cope with the emotional toll of Dave's transformation and grieving for lost futures. In Scotland, about 90,000 people live with dementia, experiencing similar challenges. Despite the need for emotional support, healthcare services offered little assistance. Recognising this gap, Healthcare Improvement Scotland has introduced new guidelines for healthcare professionals, focusing on 'pre-death grief' in dementia patients and their families. These guidelines, the first in nearly two decades, aim to address such emotional impacts, including better training for healthcare staff. Marion welcomes these guidelines, hoping they provide accessible support and information for caregivers facing similar struggles.