First Stages Of Alzheimer’s

As The Disease Gets Worse

Alzheimers progresses over time, but the speed of change varies between people. As Alzheimers progresses, symptoms may include:

• Memory and thinking skills. People will find that their ability to remember, think and make decisions gets worse.
• Communication. Speaking and understanding people becomes more difficult.
• Recognition. People may have difficulty recognising household objects or familiar faces.
• Day-to-day tasks. Such as using a TV remote control, phone or using the kettle become harder.
• Sleeping. Changes to sleep patterns often occur, such as waking frequently during the night.
• Behaviour. Some people become sad, depressed, or frustrated about the challenges they face. Anxiety is also common, and people may become fearful or suspicious.
• Physical changes. People may have problems walking, be unsteady on their feet, find swallowing food more difficult or have seizures.
• Hallucinations and delusions. People may experience hallucinations, where they see or hear things that arent there. Others may believe things to be true that havent actually happened, known as delusions.
• Care. People gradually require more help with daily activities like dressing, eating, and using the toilet.
• Sundowning. People with Alzheimers can experience increased confusion and anxiety during the evening and at night. This is called sundowning.

What Are The Signs Of Alzheimer’s Disease

Scientists continue to unravel the complex brain changes involved in the onset and progression of Alzheimers disease. It seems likely that damage to the brain starts a decade or more before memory and other cognitive problems appear. During this preclinical stage of Alzheimers disease, people seem to be symptom-free, but toxic changes are taking place in the brain.

Damage occurring in the brain of someone with Alzheimers disease begins to show itself in very early clinical signs and symptoms. For most people with Alzheimersthose who have the late-onset varietysymptoms first appear in their mid-60s. Signs of early-onset Alzheimers begin between a persons 30s and mid-60s.

The first symptoms of Alzheimers vary from person to person. Memory problems are typically one of the first signs of cognitive impairment related to Alzheimers disease. Decline in non-memory aspects of cognition, such as word-finding, vision/spatial issues, and impaired reasoning or judgment, may also signal the very early stages of Alzheimers disease. And some people may be diagnosed with mild cognitive impairment. As the disease progresses, people experience greater memory loss and other cognitive difficulties.

Alzheimers disease progresses in several stages: preclinical, mild , moderate, and severe .

Struggling To Adapt To Change

For someone in the early stages of dementia, the experience can cause fear. Suddenly, they cant remember people they know or follow what others are saying. They cant remember why they went to the store, and they get lost on the way home.

Because of this, they might crave routine and be afraid to try new experiences. Difficulty adapting to change is also a typical symptom of early dementia.

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Early Symptoms Of Dementia

Although the early signs vary, common early symptoms of dementia include:

• memory problems, particularly remembering recent events
• increasing confusion
• apathy and withdrawal or depression
• loss of ability to do everyday tasks.

Sometimes, people fail to recognise that these symptoms indicate that something is wrong. They may mistakenly assume that such behaviour is a normal part of the ageing process. Symptoms may also develop gradually and go unnoticed for a long time. Also, some people may refuse to act, even when they know something is wrong.

How Alzheimers Disease Progresses

An individuals abilities deteriorate over time, although the progression varies from person to person.

As Alzheimers disease affects different areas of the brain, specific functions or abilities are lost. Short-term memory is often the first to be affected, but as the disease progresses, long-term memory is also lost. The disease also affects many of the brains other functions and consequently language, attention, judgement and many other aspects of behaviour are affected.

Some abilities remain, although these lessen as Alzheimers disease progresses. People living with advancing dementia may keep their senses of touch and hearing, and also respond to emotion even in the advanced stages of the condition.

At the end stages of Alzheimers disease many people become immobile and dependent, requiring extensive care.

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Stage : Severe Decline

People with the sixth stage of Alzheimers need constant supervision and frequently require professional care. Symptoms include:

• Confusion or unawareness of environment and surroundings
• Inability to recognize faces except for the closest friends and relatives
• Inability to remember most details of personal history
• Loss of bladder and bowel control
• Major personality changes and potential behavior problems
• The need for assistance with activities of daily living such as toileting and bathing

Stage : Moderate Decline

During this period, the problems in thinking and reasoning that you noticed in stage 3 get more obvious, and new issues appear. Your friend or family member might:

• Forget details about themselves
• Have trouble putting the right date and amount on a check
• Forget what month or season it is
• Have trouble cooking meals or even ordering from a menu
• Struggle to use the telephone
• Not understand what is said to them
• Struggle to do tasks with multiple steps like cleaning the house.

You can help with everyday chores and their safety. Make sure they aren’t driving anymore, and that no one tries to take advantage of them financially.

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What Are The Symptoms Of Early

For most people with early-onset Alzheimer disease, the symptoms closely mirror those of other forms of Alzheimer disease.

Early symptoms:

• Withdrawal from work and social situations

• Changes in mood and personality

Later symptoms:

• Severe mood swings and behavior changes

• Deepening confusion about time, place, and life events

• Suspicions about friends, family, or caregivers

• Trouble speaking, swallowing, or walking

• Severe memory loss

Talking With A Doctor

After considering the persons symptoms and ordering screening tests, the doctor may offer a preliminary diagnosis or refer the person to a Cognitive Dementia and Memory Service clinic, neurologist, geriatrician or psychiatrist.Some people may be resistant to the idea of visiting a doctor. In some cases, people do not realise, or else they deny, that there is anything wrong with them. This can be due to the brain changes of dementia that interfere with the ability to recognise or appreciate the changes occurring. Others have an insight of the changes, but may be afraid of having their fears confirmed.One of the most effective ways to overcome this problem is to find another reason for a visit to the doctor. Perhaps suggest a check-up for a symptom that the person is willing to acknowledge, such as blood pressure, or suggest a review of a long-term condition or medication.Another way is to suggest that it is time for both of you to have a physical check-up. Any expressed anxiety by the person is an excellent opportunity to suggest a visit to the doctor. Be sure to provide a lot of reassurance. A calm, caring attitude at this time can help overcome the person’s very real worries and fears.Sometimes, your friend or family member may refuse to visit the doctor to ask about their symptoms. You can take a number of actions to get support including:

• talking with other carers who may have had to deal with similar situations

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Duration Of Stages: How Long Do The Stage Of Alzheimers / Dementia Last

No two people with dementia experience the disease exactly the same way, and the rate of progression will vary by person and type of dementia. In addition, it is not uncommon for individuals to have mixed dementia, meaning they have more than one type. That said, there is a natural course of the disease, and over time the capabilities of all persons with dementia will worsen. Eventually, the ability to function goes away. Keep in mind that changes in the brain from dementia begin years before diagnosis, when there are no outward symptoms. This makes it difficult to know how much time a person has left, though there are ways to come close to knowing life expectancy.

Mild DementiaIn this early stage of dementia, an individual can function rather independently, and often is still able to drive and maintain a social life. Symptoms may be attributed to the normal process of aging. There might be slight lapses in memory, such as misplacing eyeglasses or having difficulty finding the right word. Other difficulties may include issues with planning, organizing, concentrating on tasks, or accomplishing tasks at work. This early stage of dementia, on average, lasts between 2 and 4 years.

How Quickly Does Dementia Progress

The speed at which dementia progresses varies a lot from person to person because of factors such as:

• the type of dementia for example, Alzheimers disease tends to progress more slowly than the other types
• a persons age for example, Alzheimers disease generally progresses more slowly in older people than in younger people
• other long-term health problems dementia tends to progress more quickly if the person is living with other conditions, such as heart disease, diabetes or high blood pressure, particularly if these are not well-managed
• delirium a medical condition that starts suddenly .

There is no way to be sure how quickly a persons dementia will progress. Some people with dementia will need support very soon after their diagnosis. In contrast, others will stay independent for several years.

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Stage : Subjective Memory Lossage Related Forgetfulness

Many people over the age of 65 complain of cognitive and/or functional difficulties. Elderly persons with these symptoms report that they can no longer remember names as easily as they could 5 or 10 years previously they can also have trouble recalling where they have recently placed things.

Various terms have been suggested for this condition, but subjective cognitive decline is presently the widely accepted terminology. These symptoms by definition, are not notable to intimates or other external observers of the person with subjective cognitive decline. Persons with these symptoms decline at higher rates than similarly aged persons and similarly healthy persons who are free of subjective complaints. Research has shown that this stage of subjective cognitive decline lasts 15 years in otherwise healthy persons.

Trouble Understanding Visual Images And Spatial Relationships

Vision problems can be a sign of Alzheimer’s, including difficulty reading, judging distances, and determining color or contrast.

For instance, your loved one falls down the stairs or off of a curb because they misjudge the height of the step-down. Some people with Alzheimer’s also don’t recognize their own reflections.

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What Are The Benefits Of An Early Alzheimer’s Diagnosis

Alzheimers disease slowly worsens over time. People living with this disease progress at different rates, from mild Alzheimers, when they first notice symptoms, to severe, when they are completely dependent on others for care.

Early, accurate diagnosis is beneficial for several reasons. While there is no cure, there are several medicines available to treat Alzheimers, along with coping strategies to manage behavioral symptoms. Beginning treatment early in the disease process may help preserve daily functioning for some time. Most medicines work best for people in the early or middle stages of the disease. Learn more about Alzheimers medications.

In addition, having an early diagnosis helps people with Alzheimers and their families:

Changes In Mood Or Emotion

The person may be more anxious, frightened or sad, and so at risk of depression. It is also common to become more irritable perhaps in frustration at lost abilities or easily upset. A person can often be more withdrawn, lack self-confidence and lose interest in hobbies or people.

Changes in behaviour are not common in early-stage dementia, other than in FTD. A person with behavioural variant FTD may lose their inhibitions and behave in socially inappropriate ways. They may also act impulsively and lose empathy for others.

Significant physical changes at this stage tend to be limited to DLB, where problems with movement are similar to Parkinsons disease. If someone with vascular or mixed dementia has a stroke, this can lead to weak limbs on one side.

Need help finding dementia information?Need help finding dementia information? .

Everybody forgets things from time to time. But if you or other people are noticing that memory problems are getting worse, or affecting everyday life, it could be a sign of dementia.

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Very Mild Impairment Or Common Forgetfulness

Alzheimers disease mainly affects older adults over the age of 65. At this age, its common to have slight functional difficulties such as forgetfulness.

But for people with stage 2 Alzheimers, this decline will happen more quickly than it will for similarly aged people without Alzheimers. For example, a person may forget familiar words, a family members name, or where they placed something.

Caregiver support: Symptoms at stage 2 wont interfere with work or social activities. Memory troubles are still very mild and may not be apparent to friends and family.

Conditions With Symptoms Similar To Dementia

Remember that many conditions have symptoms similar to dementia, so it is important not to assume that someone has dementia just because some of the above symptoms are present. Strokes, depression, excessive long-term alcohol consumption, infections, hormonal disorders, nutritional deficiencies and brain tumours can all cause dementia-like symptoms. Many of these conditions can be treated.

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Warning Signs Of Alzheimer’s

Memory often changes as people grow older. Some people notice changes in themselves before anyone else does. For other people, friends and family are the first to see changes in memory, behavior, or abilities. Memory loss that disrupts daily life is not a typical part of aging. People with one or more of these 10 warning signs should see a doctor to find the cause. Early diagnosis gives them a chance to seek treatment and plan for the future.

1. Memory loss that disrupts daily life: forgetting events, repeating yourself or relying on more aids to help you remember .

2.Challenges in planning or solving problems: having trouble paying bills or cooking recipes you have used for years.

3.Difficulty completing familiar tasks at home, at work, or at leisure: having problems with cooking, driving places, using a cell phone, or shopping.

4.Confusion with time or place: having trouble understanding an event that is happening later, or losing track of dates.

5.Trouble understanding visual images and spatial relations: having more difficulty with balance or judging distance, tripping over things at home, or spilling or dropping things more often.

The Centers for Disease Control and Prevention and the Alzheimers Association have created the Healthy Brain Initiatives State and Local Public Health Partnerships to Address Dementia: The 2018-2023 Road Map.

8. being a victim of a scam, not managing money well, paying less attention to hygiene, or having trouble taking care of a pet.

Memory Loss That Disrupts Daily Life

Lots of things can make you occasionally forgetful, including stress, taking certain medications or just having a lot on your plate.

But it should raise a red flag if you or your loved one is frequently doing the following:

• Forgetting recently learned information or important dates or events
• Mixing up family members or friends, or not recognizing them at all
• Repeating the same question or story in a short amount of time
• Relying increasingly or exclusively on reminders or family members to handle tasks that previously were easy to remember to do

“When we talk about memory changes, we’re referring to short-term memory, not long-term memory,” Bednarczyk explains. “Your mom may be able to recall going on a family vacation when she was 12, but she doesn’t remember eating lunch that day, or that she took her medication an hour ago.”

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Key Points About Early

• Alzheimer disease commonly affects older people, but early-onset Alzheimer disease can affect people in their 30s or 40s.

• It affects memory, thinking, and behavior.

• Although there is no known cure, early diagnosis and treatment can lead to better quality of life.

• Stay healthy with a good diet and regular exercise.

• Avoid alcohol and other substances that may affect memory, thinking, and behavior.

A Word About Progression

Alzheimers typically progresses slowly and transitions from mild to severe symptoms. The rate of progression varies widely between people. People with Alzheimers live an average of 4 to 8 years after their diagnosis, but some people live more than 20 years.

The risk of progressing to a higher stage increases with age. For example, in a

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Changes In Decision Making Ability

Errors in executive functiona set of high-level cognitive processes that oversee behaviors and actionscan be indicative of neurological impairment caused by Alzheimers. While making a mistake once in a while is a normal part of the human experience, individuals with Alzheimers may experience more pronounced changes in judgment or decision making ability. For instance, they may become impulsive in how they manage money or pay less attention to grooming or keeping themselves clean.

What Happens In The Early Stage Of Dementia

Dementia affects everyone differently and early symptoms are often relatively mild and not always easy to notice.

Many people at the early stage of dementia stay largely independent and only need a bit of assistance with daily living. It is important to focus on what the person can do and not to take over and do things for them. Instead, try doing things with them, for example helping the person develop a routine, reminder lists and prompts, and use technology.

For more information for people living with dementia, see the ‘Keeping active and involved‘ page.

The early stage of dementia is when many people choose to make plans for the future, while they still have the ability to do so. This includes making a Lasting power of attorney , and advance decisions and advance statements to ensure their wishes and preferences are made clear.

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