Stages of Alzheimer's

Alzheimer's disease can be different for each person who has it. Not everyone will have every symptom. The symptoms may occur at various times in different individuals. Since Alzheimer's disease can last as long as 20 years, it can be helpful to look at it in terms of stages. Knowing the stages can help give you a general idea of what to expect and how to provide care.

Alzheimer's disease may bring about changes in your loved one's overall functioning, including behavioral aspects, social and daily functioning, thinking, memory, and attention. You will find that there are many steps you can take to cope with Alzheimer's disease symptoms successfully. Scroll down to find information about the changes you might expect at the mild and moderate stages of Alzheimer's disease and some suggested steps you can take to cope with these changes.

Mild Stage Alzheimer's Disease

Most people at this stage can still manage many of their daily activities themselves, but they may need some assistance or support to stay organized.

Possible Changes

		Having trouble carrying out tasks that require multiple steps, like balancing a checkbook or following a recipe
		Getting lost, even in familiar places
		Having difficulty performing some household chores
		Avoiding social situations
		Having trouble remembering appointments, people's names, or things that happened recently

Steps the Caregiver Can Take:

		Ask a trusted friend or family member to help manage your loved one's money
		Write reminders to your loved one in the same place, such as a calendar or notepad, to look at often
		Keep a list near the telephone of the names and telephone numbers of family and friends, along with their photos
		Put labels or pictures on cabinets, drawers, and closets so that things can be found easily.
		Encourage your loved one to talk about his or her feelings with friends, family, clergy, or other professionals
		Consider enrolling your loved one in adult education, recreation, or fitness classes to stay physically and mentally active

Moderate Stage Alzheimer's Disease

People at this stage may have more trouble taking care of themselves, but they can still be involved in their daily care and follow a comfortable routine.

Possible Changes

		Needing help to take a bath or shower, choose clothing, or get dressed
		Needing help setting a table or getting out of a chair
		Developing sloppy table manners
		Feeling restless or wandering, especially in the late afternoon or evening
		Getting suspicious, angry, or easily upset
		Having trouble recognizing family members
		Having difficulty expressing oneself and understanding others

Steps the Caregiver Can Take:

		Encourage your loved one to stay involved in things he or she enjoys doing, even if for shorter periods of time
		Help your loved one share his or her memories with family members by telling stories or creating a scrapbook
		Speak calmly and clearly — show what you mean as you say it by making sure you have your loved one's attention
		Plan for exercise and other physical activity during the day to promote sleep at night
		Research community resources to provide help, such as home healthcare agencies or adult day centers