What Is Stage 6 Dementia

What Are The Symptoms Of Dementia

Each person is unique and will experience dementia in their own way. The different types of dementia tend to affect people differently, especially in the early stages.

A person with dementia will often have cognitive symptoms . They will often have problems with some of the following:

• Day-to-day memory difficulty recalling events that happened recently.
• Repetition repeating the same question or conversation frequently in a short space of time.
• Concentrating, planning or organising difficulties making decisions, solving problems or carrying out a sequence of tasks .
• Language difficulties following a conversation or finding the right word for something.
• Visuospatial skills problems judging distances and seeing objects in three dimensions.
• Orientation losing track of the day or date, or becoming confused about where they are.

Some people have other symptoms including movement problems, hallucinations or behaviour changes.

The 7 Stages Of Dementia: Early Middle Late Dementia Symptoms

Understand the 7 stages of dementia in the Reisberg scale and find out what to expect at each stage to better care for your loved one with dementia.

Medically Reviewed by M Thiviya, R.N.

With Singapores ageing population, an increasing number of older adults are at risk of dementia. However, this is not a problem thats exclusive to Singapore, but a global phenomenon affecting countries around the world including Australia, Japan and Germany.

Using The Gds To Measure Dementia Progression

As the disease progresses, different signs and symptoms will become increasingly obvious. While there are several scales to measure the progression of dementia, the most common scale is the Global Deterioration Scale for Assessment of Primary Degenerative Dementia . The scale is also known as the Reisberg Scale. According to the GDS, there are seven different stages of Alzheimers disease correlating with four distinct categories: no Alzheimers, mild Alzheimers , moderate Alzheimers , and severe Alzheimers .

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What Are The Average Life Expectancy Figures For The Most Common Types Of Dementia

The average life expectancy figures for the most common types of dementia are as follows:

• Alzheimers disease around eight to 10 years. Life expectancy is less if the person is diagnosed in their 80s or 90s. A few people with Alzheimers live for longer, sometimes for 15 or even 20 years.
• Vascular dementia around five years. This is lower than the average for Alzheimers mostly because someone with vascular dementia is more likely to die from a stroke or heart attack than from the dementia itself.
• Dementia with Lewy bodies about six years. This is slightly less than the average for Alzheimers disease. The physical symptoms of DLB increase a persons risk of falls and infections.
• Frontotemporal dementia about six to eight years. If a person has FTD mixed with motor neurone disease a movement disorder, their dementia tends to progress much quicker. Life expectancy for people who have both conditions is on average about two to three years after diagnosis.

To find out about the support available to someone at the end of their life, and to their carers, family and friends, see our End of life care information.

You can also call Alzheimers Society on 0333 150 3456 for personalised advice and support on living well with dementia, at any stage.

Dementia Connect support lineDementia Connect support line.

Stage : Severe Cognitive Decline

This stage is also referred to as middle dementia, and a person in this stage needs significant support for daily life tasks. In stage 6, a person cannot perform basic tasks such as eating and personal hygiene without help, and they have difficulty speaking and communicating due to loss of words and inability to organise sentences. They experience significant changes in personality and behavior, which could include delusions and severe anxiety.

In addition to losing memories of recent events, in this stage a person begins to forget long-term memory, including important and meaningful events. They might not recognize even their closest loved ones such as immediate family members. Its common for people in this stage to experience physical challenges as well such as incontinence and difficulty sleeping. They may confuse day and night, and wandering at night is common.

Heres how to support a loved one with stage 6 dementia:

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Where To Live With Dementia

Eventually, caregiving for someone with dementia wont be appropriate anymore. The needs of a person with progressive dementia become overwhelming, and moving into a full-time residence with trained staff becomes necessary. You should plan for this well before it becomes necessary, by visiting communities and asking the right questions.

Depending on your loved ones stage of illness, different living options are available:

Assisted Living in Early StagesAssisted living residences combine room and board with medical and personal care, and are often sufficient for someone in the early stages of Alzheimers disease or related dementia. Full-time supervision means residents are safe, with living units like private studios or apartments so someone with mild dementia can still feel a sense of independence.

Services offered in assisted living include meals, help with activities of daily living , social activities, and transportation to and from doctors appointments. Before moving in, the residence will assess your loved one to make sure its a good fit.

Memory care residences have physical designs that are appropriate for people with dementia. Someone with Alzheimers, for instance, may become upset when encountering a wall, so memory care buildings have circular hallways. Because people with dementia are prone to wander, memory care residences have increased security and supervision, and special locks on doors.

Did You Know?

Your Guide To Understanding The 7 Stages Of Dementia

Dementia is a diagnosis that changes your life forever. Whether it is you or a loved one, its important that you understand the stages of dementia.

Dementia is a series of symptoms that affect memory, thinking, and reasoning. Doctors dont often refer to dementia as a whole. Instead, they talk about the seven stages of dementia.

There is no hard and fast line that signals a transition from one stage to another. Each patient will experience the stages in unique ways. But it is still helpful to know what the 7 stages of dementia are.

You want to guide your expectations and the level of care needed for your loved one. To do that, you must become familiar with the stages of dementia.

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Care In The Later Stages Of Dementia

There are medicines used in the early stages of dementia that manage some of the behavioural symptoms. In the later stages some of these medicines can do more harm than good causing severe side effects that can increase confusion and frailty. It also becomes harder to diagnose and manage some of the normal illnesses that older people get such as Urinary Tract Infections . UTIs can exaggerate some symptoms of dementia and increase confusion sometimes know as delirium.

Pain is also something that can be present in the later stages of dementia, but can be harder to diagnose if the person isnt able to communicate it. For all of these reasons, its important to stay vigilant when looking after someone with dementia, and to talk to the GP if you are worried about anything.

There are dementia living aids and products that can help you to care for someone living with dementia. Something like a simple dementia clock or personal alarm can make the world of difference to your life and the live of the person you care for.

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Stage : Very Mild Decline

The senior may notice minor memory problems or lose things around the house, although not to the point where the memory loss can easily be distinguished from normal age-related memory loss. The person will still do well on memory tests and the disease is unlikely to be detected by loved ones or physicians.

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The 7 Stages Of Dementia

Alzheimers disease and other common forms of dementia including vascular dementia, dementia with Lewy bodies, and frontotemporal dementia are progressive conditions, with symptoms worsening over time as the disease progresses. Learn more about the stages of dementia and what to expect from your loved one as dementia progresses.

Although the two terms are often used interchangeably, Alzheimers disease and dementia are two different terms. Dementia is an umbrella term used to describe several conditions and it includes Alzheimers, as well as other conditions with shared symptoms. More than mere forgetfulness, an individual must have trouble with at least two of the following cognitive areas to be diagnosed with dementia:

• Reasoning and judgment
• Visual perception

The assessment tools used to determine which stage of dementia a person is experiencing are meant to be a guide and a rough outline of what caregivers can expect and when they can expect it. Some symptoms may occur later than others, others may appear in a different order than the scale predicts, and some may not appear at all. Some symptoms may appear and then vanish, while others will continue to worsen over time. Because every person is different and dementia manifests itself uniquely, the speed at which dementia progresses varies widely. On average, a person with Alzheimers disease lives 4 to 8 years after a diagnosis, but some have been seen to live as long as 20 years.

Life Expectancy By Stage Of The Disease

The average number of years a person lives with Alzheimers disease is about 10. Keep in mind, however, that theres a gap between when symptoms begin and when a diagnosis is actually sought. The first symptoms of Alzheimers diseaseforgetting names, misplacing items, difficulty concentrating at work or performing simple tasksarrive an average of almost three years before the diagnosis is made.

The scale most commonly used by health professionals for the stages of dementia is the Global Deterioration Scale , also called the Reisberg Scale. The table below shows a patients average life expectancy by the stage of dementia. These are averages based on studies of large numbers of Alzheimers patients.

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Is There Treatment For Vascular Dementia

There is no cure for vascular dementia, but there are treatment options available that can slow the progression of the condition. This may include making lifestyle changes to improve other areas of the patients health, such as dietary changes and effectively treating conditions like high blood pressure.

Medications may also be used to mitigate the side effects of severe dementia, as well as taking part in occupational therapies and group activities to stimulate the brain and keep it active.

Caregiving In The Early Stages

Although most of your loved ones immediate medical needs can be managed on their own in the early stages, you may need to assist with tasks associated with memory or problem-solving. You may need to remind them of their doctors appointments and to set up the next appointment, along with taking their medications on time and getting refills as needed. You may need to assist them in managing their finances and keeping up with social and work obligations. At times, they may also need help remembering places, people, words, and names. In the early stages, you will want to encourage them to:

• Maintain their independence
• Establish a routine to delay the disease from worsening

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How To Identify The 7 Stages Of Dementia

Dementia is a general term that encompasses different types of disorders, including Alzheimers disease, dementia with Lewy Bodies, frontotemporal dementia and others. While each type of dementia progresses differently, there are two general diagnostic models used to describe the progression of dementia: the three-stage model and the seven-stage model. With the latter, the decline of a patient is separated into more specific stages than the earlier. The seven-stage model is based off of the Global Deterioration Scale, an assessment tool created by Dr. Barry Reisberg to assist friends, family and caregivers with recognizing the clinical signs of the disease.

Prior to assessment, caregivers look at different behaviors demonstrated by the individual. Not only is memory assessed, but the persons judgment, sense of direction, personal care and daily activities are considered as well. Based on the severity of the dementia, a care plan can be devised by a physician and the individuals caregivers. In the earlier stages of dementia, an individual will still have independence and be able to perform many activities without assistance. When entering the later stages of dementia, the individual will need around-the-clock assistance for most daily activities.

The following is a summary of the seven stages of dementia, according to the model created by Dr. Reisberg:

Questions To Ask About End

As a caregiver, you will want to understand how the available medical options presented by the health care team fit with the needs of both the family and the person with dementia. You might ask the health care team questions such as:

• Who can help me with end-of-life care for my loved one living with dementia?
• How will your suggested approaches affect their quality of life?
• What are my options if I can no longer manage the care of my loved one at home?
• How can I best decide when a visit to the doctor or hospital is necessary?
• Should I consider hospice at home, and if so, does the hospice team have experience working with people living with dementia?

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How Can I Support Someone With Dementia Towards The End Of Life

Knowing the person will make it easier to provide person-centred care that is focused on what they need and want. It can help to know about their likes, dislikes and their wishes for how they want to be cared for. If the person is not able to tell you about themselves, speak to their family, friends or other people who know them well.

Its a good idea to find out if the person has a copy of This is me , a document that records information about themselves. If you cannot speak to the person, ask those close to them if they have a copy. They may have these details recorded in their care plan.

There are many ways to support someone with dementia at the end of life.

How Dementia Progresses: The 7 Stages Of Dementia

Forgetfulness and memory lapses are part of both normal aging and dementia, but there are key differences between the two, which set them apart.

Dementia is quite different from normal age-related memory loss because it doesnt affect just memory. In fact, dementia can involve many aspects of health and well-being, including communication ability, behavioral changes, and much more. Symptoms of dementia negatively impact a persons everyday life, impairing their ability to live independently. Whereas in the case of normal aging, although one may have bouts of memory loss, they can still live on their own and perform daily tasks.

As a caregiver, its important to understand the different stages of dementia in order to be prepared and make appropriate changes to the patients care, ensuring they are kept safe and healthy.

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Preclinical Alzheimers Or No Impairment

You may only know about your risk of Alzheimers disease due to your family history. Or a doctor may identify biomarkers that indicate your risk.

If youre at risk of Alzheimers, a doctor will interview you about memory difficulties. However, there will be no noticeable symptoms during the first stage, which can last for years or decades.

Abnormal accumulation of a type of protein called tau in the fluid around your brain and spinal cord is associated with the development of Alzheimers disease. Changes in the levels of this protein can occur about 15 years before symptoms start.

Caregiver support: Someone in this stage is fully independent. They may not even know they have the disease.

Supporting Dementia Caregivers At The End Of Life

Caring for people with Alzheimers or another dementia at the end of life can be demanding and stressful for the family caregiver. Depression and fatigue are common problems for caregivers because many feel they are always on call. Family caregivers may have to cut back on work hours or leave work altogether because of their caregiving responsibilities.

It is not uncommon for those who took care of a person with advanced dementia to feel a sense of relief when death happens. It is important to realize such feelings are normal. Hospice care experts can provide support to family caregivers near the end of life as well as help with their grief.

If you are a caregiver, ask for help when you need it and learn about respite care.

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Evidence That Life Expectancy Calculators For Dementia Actually Work

It turns out that the length of time a person has before needing full-time care, before moving into a care community, and before dying can all be predicted somewhat accurately. This information, though not definitive, can help families get a general understanding of how to plan for the future and what to expect as the disease progresses.

In a study conducted at the department of neurology in Columbia University, groups of people with mild Alzheimers were followed for 10 years and assessed semiannually. Data from these assessments were plugged into a complicated algorithm. The people studied were tested for the following:

Mental status score Cognition and function Motor skills Psychology and behavior Basic demographic information

Other experiments have yielded similar results. A University of Kentucky study analyzed the records of more than 1,200 people with dementia and found that it was possible to accurately predict their life expectancy. Researchers looked at many variables including family history and medical problems like high blood pressure and heart disease, and ultimately realized it came down to three things:

age when the first symptoms appeared gender how impaired someone was when diagnosis was first made