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Alzheimer’s Disease

Alzheimers Disease

This chart will review the 7 stages of Alzheimer’s Disease progression, including symptoms, treatment examples, and video.

Stage Symptoms Treatment Examples Video
1 No impairment (normal function) The person does not experience any memory problems. Does not show any evidence of symptoms of dementia. No treatment required Normal function
2 Very mild cognitive decline (may be normal age-related changes or earliest signs of Alzheimer’s disease) The person may feel as if he or she is having memory lapses.
-forgets familiar words
-forgets the location of everyday objects.
-No symptoms of dementia can be detected during a medical examination or by friends, family or co-workers.
-Cognitive evaluation to determine level of functional impairment

-Recommendations for adaptations to compensate for higher level problem solving and organizational skills.
-use of a planner
-digital calendar with electronic signals for reminders
-online banking with automatic payments and deposits
-large digital clock with date
-GPS in primary vehicle if patient drives.

-Evaluation and treatment of physical conditions that may be affecting cognitive status.

A doctor explains the symptoms of mild to moderate Alzheimer’s disease.
3 Mild cognitive decline (early-stage Alzheimer’s can be diagnosed in some, but not all, individuals with these symptoms) -Noticeable word finding problems
-Trouble remembering names when introduced to new people
-Having noticeably greater difficulty performing tasks in social or work settings
-Forgetting material that one has just read
-Losing or misplacing a valuable object
-Increasing trouble with planning or organizing
-Family, friends, or co-workers begin to notice problems
-Doctors may detect problems in memory or concentration during a detailed interview

-Adaptations to compensate for memory loss
-may be electronic if patient used electronic devices prior to onset of cognitive decline
-use manual methods if patient did not use electronics
-electronic planner or wall calendar
-labels on cupboard, drawers and closets
-pill organizers
-wall hooks or basket organizers for commonly used items

-Evaluation of home for safety
-assess walkways and stairs
-remove obstacles
-remove or tape down throw rugs and runners
-insure that smoke detectors are present and operational
-observe patient’s mobility within the home and provide adaptations to compensate for any observed safety concerns

-Family and caregiver education in functional cognitive decline, what to expect, and how to approach the patient.

A woman with early stage Alzheimer’s looks at pictures of her old house during a therapy session.

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