Dementia is a general term for symptoms of cognitive decline leading to impaired memory or reasoning that interferes with day-to-day living. Many types of dementia exist, and many conditions cause it. Alzheimer’s disease is the most common type of dementia, accounting for between 60 to 80% of dementia diagnoses
The stages of dementia
If you have a loved one living with dementia, one of the most difficult things to hear is that, in most cases, dementia is incurable and irreversible. Each person will experience dementia differently, but their symptoms will become more pronounced as the disease advances. Of all types of dementia, Alzheimer’s seems to have the slowest progression and can last more than a decade.
According to the Mayo Clinic
The early stage: Invisible changes.
It’s rare that you’ll notice any changes in your loved one’s behavior in this pre-dementia stage. Your loved one will function normally, and he or she may still be driving, working, and partaking in normal social activities. However, the diseases that cause dementia are already having an effect on the brain. The plaque that is a hallmark of Alzheimer’s disease is deposited in the brain long before symptoms surface.
The mild stage: Beginning signs.
At this stage, it’s clear that your loved one is not themself. They may feel like they’re having memory lapses, forgetting familiar names or words, or losing track of the location of everyday objects. These symptoms aren’t widely apparent, but may have an impact on their daily life.
This mild impairment in cognitive function may not be a sign of Alzheimer’s disease. For many people these symptoms are simply part of the normal forgetfulness that comes with age. If you’re concerned that they’re signs of early dementia, seek a doctor’s evaluation. A qualified doctor can recommend genetic tests and biomarker measures to see if there’s a higher risk of Alzheimer’s.
Through the different stages of dementia, you may notice that your loved one is having significant trouble with memory and thinking. They may forget information they usually easily remembered, such as a recent conversation or an appointment. Familiar names of friends and family members escape them. They might have trouble with the time needed for a particular task, or with the sequence of steps to complete it. They may not remember newly learned information and ask the same question again and again.
Everyday tasks that require problem-solving feel harder to someone with dementia. These could include familiar activities such as planning a family event, balancing their checkbook or arranging travel. Because they feel overwhelmed, they may lose the motivation to complete what they’ve started. Many people with dementia have lapses in judgment, especially when it comes to their finances.
You’ll notice your loved one’s frustration at not being able to organize or express their thoughts. They’ll be anxious about what’s happening and concerned that others notice. Often, people with dementia will deny or attempt to hide what’s happening. They may become subdued or withdrawn in social situations, so they don’t draw attention to themselves. You should be on the lookout for uncharacteristic changes in personality — anger, irritability, anxiety, confusion.
The middle stage: Deepening changes.
As dementia takes hold, your loved one will likely become more confused and forgetful. You’ll need to take extra care
As the disease progresses, your loved one may forget that they’ve told you something and repeat it over and over. Be aware that they may make up stories to fill gaps in their memory — other family members can react strongly to this, but it’s merely a symptom of their dementia. It’s not unusual for a loved one’s personality to undergo a dramatic change. For example, they may become aggressive, quiet or tearful. Some individuals develop unfounded suspicions of people they’ve trusted, believing that a family member is stealing from them or a spouse is having an affair. Others may see or hear things that aren’t really there.
Your loved one will also need help with self-care and other activities of daily living. This could include assistance with getting appropriately dressed for the occasion or the weather, grooming, eating, or using the bathroom. Because dementia throws off our internal circadian rhythms, they may have difficulty sleeping or grow restless and agitated at dusk, a behavior called sundown syndrome
The later stage: What to expect.
When your loved one is in the later stages of dementia, they’re likely to be frail. As their memory problems become more severe, they’ll find it harder to communicate and will experience greater changes in behavior and more physical problems than before. If you’re the family caregiver, they’ll rely on you for full-time care. They may need total assistance with eating, dressing and using the bathroom. They’ll need your help to walk or hold their head up. Speaking and swallowing will become difficult as well.
Coping with caregiving.
The speed at which dementia progresses will vary widely with each person. Many families feel that home is the best place for a loved one with dementia; however, as their condition changes, home often isn’t the safest place. Caring for a loved one through different stages of dementia can be rewarding, but the later stages often take a toll on family caregivers. Apart from being physically and emotionally exhausted, caregivers are also coping with feelings of loss. They wish to regain some of the relationship they once shared with their loved one — whether they’re a spouse, life partner, child, sibling or friend.
At Village on the Green, our memory care
