Alzheimer’s disease is a progressive neurodegenerative disorder that affects memory, thinking, and behavior. Understanding the symptoms associated with each stage of the disease can help patients, caregivers, and families navigate the challenges of this condition.
Alzheimer’s typically progresses through three main stages: early (mild), middle (moderate), and late (severe). Each stage presents distinct symptoms and challenges. If you or a senior in your life has recently received a diagnosis of Alzheimer’s, it might be helpful to learn more about what to expect at each stage of the disease.
Signs of Early Stage (Mild) Alzheimer’s
In the early stage of Alzheimer’s, people may still maintain their independence. But subtle changes in cognitive function usually become apparent. Common symptoms include:
- Memory loss: The symptom most often associated with Alzheimer’s or other types of dementia is memory loss. A person with the disease may have difficulty recalling recent events or learning new information. Individuals might also forget names or appointments but still manage to retain long-held memories.
- Difficulty performing familiar tasks: People may struggle with tasks they have done for years, such as managing finances, following a recipe, or keeping track of a monthly budget.
- Declining verbal skills: Individuals might have trouble finding the right words, leading to hesitant speech or a noticeable decrease in their vocabulary.
- Confusion and disorientation: People may become confused about the time or place, losing track of the day of the week or getting lost in familiar environments.
- Changes in disposition: Subtle shifts in mood can occur, including increased anxiety, irritability, or depression. Individuals may withdraw from social activities they once enjoyed.
Middle Stage (Moderate) Disease Symptoms
As Alzheimer’s progresses to the middle stage, changes become more pronounced. Some of these symptoms can make daily life increasingly challenging. This stage is often characterized by:
- Increased memory loss: Individuals may forget important personal information, such as their address or phone number, and have greater difficulty remembering recent conversations.
- Confusion about time and place: Disorientation becomes more severe and frequent. Individuals are often unable to recognize familiar surroundings or recognize where they are. They may also have difficulty distinguishing between night and day.
- Communication difficulties: Language skills decline further, making it harder to hold conversations. Individuals may resort to using simple phrases or repeating themselves.
- Changes in behavior: Behavioral issues can become more pronounced. Individuals might experience mood swings, aggression, or exhibit unusual behaviors, such as wandering or becoming restless.
- Impaired judgment: There may be a decline in decision-making abilities, leading to poor choices regarding finances, personal care, or safety.
- Difficulty recognizing loved ones: As the disease progresses, individuals may struggle to recognize family and friends, which can lead to feelings of frustration and sadness for both the patient and caregivers.
- Changes in sleep patterns: Sleep disturbances are common, with individuals experiencing changes in their sleep-wake cycle. They may sleep excessively during the day and be awake at night.
Understanding the Challenges of Late Stage (Severe) Alzheimer’s
In the final stages of Alzheimer’s, individuals require extensive assistance with daily activities, and the cognitive decline becomes profound. Symptoms during this stage include:
- Severe memory loss: Many individuals lose the ability to recognize close family members and may not remember their own past.
- Loss of ability to communicate: Verbal communication becomes extremely limited. Individuals may only be able to say a few words or none at all. Non-verbal communication through gestures may still be present.
- Loss of motor skills: Physical abilities decline significantly. Individuals may have trouble walking, sitting up, or even swallowing, which can lead to complications such as aspiration pneumonia.
- Increased vulnerability to infections: As the immune system weakens, individuals in this stage are more susceptible to infections, particularly pneumonia and urinary tract infections.
- Inability to perform personal care: Most individuals will require full-time assistance with personal care tasks, including bathing, dressing, using the bathroom, and eating.
Specialized Care for Adults with Alzheimer’s
Alzheimer’s is a complex condition that affects individuals in unique ways. Many of these challenges make it very difficult for loved ones to care for a family member with the disease at home. This is where the support of a specialized dementia care program, such as those offered at Heritage, can help.
From experienced caregivers and a thoughtfully designed environment to a dedicated dining program and life enrichment activities, Heritage is a leading provider of care for people with Alzheimer’s across Michigan. Call us today to schedule a personal tour.