Below, I have listed the Stages of Alzheimer's.  Some reading material may break down AD into 3 stages, while others break it into 4 stages.  Both philosophies are correct.  Please keep in mind that someone may progress at a lower rate while someone else may progress quite rapidly.

The first stage consists of the 2-4 years leading up to and including the
actual diagnosis of Alzheimer's.

Recent Memory Loss begins to affect job performances
Recent Memory: short term memory (who just called?)
Confusion in natural environment- gets lost in a known environment
Mood and personality changes
Poor judgment; makes bad decisions
Daily tasks such as cleaning ,dressing takes longer
Trouble handling money and/or paying bills
Losing items such as keys, purse, wallet in unusual places
Your loved one doesn't seem interested in life anymore

The second stage is approximately 2-10 years after diagnosis.  This is the longest stage.

Memory loss increases
Confusion on a regular basis
Problems recognizing family and/or friends
Repeats statements over and over
Difficult speaking and organizing thoughts- cannot get the words out
Makes up stories; may feel paranoid
Reading and  writing problems
May be suspicious, irritable, teary/sad
Hallucinate
Major or constant weight loss or gain

The third stage is also know as the "Terminal Stage."  This stage lasts approximately 1-3 years.

Cannot recognize family/friends
Weight loss while eating  good, well balanced meals
Cannot communicate with words
Bowl/bladder movement problems
May have seizures
Difficulty swallowing
Little ambition for self care

     *Note* We all lose things, we all forget names, we all become lazy when it comes to self care at one time or another.  As for memory, I often hear "But she remembers dates and things from 50 years ago... She remembers the names of her teachers and her first pet."  With AD, it is not uncommon for the person to have the long term memory... Short term memory is often lost.  You say, "Grandma, who just telephoned?"  And Grandma can't recall the name.  I found that reminiscing is fantastic with an elderly person, even with Dementia.
     People, in general, love to talk about their past.  If you try this, it is not uncommon for names and places to be made up.  I had a talk with a man that kept talking about his dog.  Later, I found out that he never had a dog.  But, he was so happy just talking and in his mind "He really had a dog."  So, you just listen, nod your head, be interested.  The loved one feels happy talking about their past and you feel happy because the loved one is
happy.  This is also known as Validation Therapy. However, if your loved one becomes agitated, change the subject until a later date.  With AD, moods can change like in a blink of the eye.



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