stages of alzheimer'sAlzheimer’s is a progressive disease that starts with few, if any, symptoms and works its way towards severe impairment of cognitive, and even physical abilities before the patient dies of the disease. Although it’s important to remember that Alzheimer’s affects everyone differently, it can be helpful to understand the five main stages of Alzheimer’s disease if you or someone you love has been diagnosed, so you can have an idea of what to expect.

Preclinical Alzheimer’s Disease

The first stage of Alzheimer’s is called “preclinical” because the disease starts to affect the brain long before any symptoms appear. In some cases, it can go on for years, or even decades, before the patient starts to show symptoms.

This stage of the disease is characterized by deposits in the brain of amyloid-beta, a protein that has been linked to Alzheimer’s disease. Thanks to new imaging technology, we can now see deposits of amyloid-beta building up in the brain before symptoms appear or parts of the brain start to decay. Because patients in this stage of the disease do not have symptoms, this phase can be identified only in research trials, but it might become key to diagnosing the disease in patients before they show symptoms.

Genetic testing can also be done to give patients an estimate of their likelihood of developing Alzheimer’s disease.

Mild Cognitive Impairment (MCI) Due to Alzheimer’s Disease

The second stage of Alzheimer’s disease also tends to go undiagnosed because the symptoms are usually mild enough to either go unnoticed or they get attributed to something else. At this point, the symptoms are not severe enough to affect the patient’s work or interpersonal relationships, which makes it less likely that someone will report them to a doctor.

People with MCI tend to have trouble remembering appointments or pieces of conversation. Their judgment might also be impaired, making it harder for them to judge how long it will take to complete a task, or to remember the necessary steps to complete a task and the order in which those steps need to be taken.

Even when MCI becomes noticeable, patients with Alzheimer’s disease often go undiagnosed during this stage because MCI can be caused by other things. If the symptoms do warrant medical attention, a diagnosis is dependent on a doctor’s judgment based on their professional review. But, if necessary, the same imaging technology used to diagnose Alzheimer’s in the preclinical stage can be used to identify it in the MCI stage.

Mild Dementia Due to Alzheimer’s Disease

The symptoms in this stage tend to be severe enough to alert friends and family to the fact that something is wrong, so this is the stage when most patients are diagnosed with Alzheimer’s disease. People with mild dementia might experience one or more of the symptoms below:

  • Memory loss of recent events – this is when people can’t remember something that just happened, or they ask the same question over and over.
  • Impaired judgment, impaired problem-solving abilities, and difficulty performing complex tasks – this is when certain tasks that used to be routine, such as balancing a checkbook or planning an event, suddenly become overwhelming.
  • Personality changes – People who were formerly outgoing might suddenly become withdrawn or subdued. Mild-mannered people might show uncharacteristic flares of anger or irritability. Less motivation to complete tasks is also typical in this stage.
  • Organizing and expressing thoughts becomes more difficult – People often have trouble finding the right words to express their ideas, or even to identify or describe objects.
  • Getting lost or misplacing things – People might start having more trouble finding their way around, even in familiar surroundings. It’s also common for them to lose or misplace items, even valuable ones.

Moderate Dementia Due to Alzheimer’s Disease

People in this stage of the disease usually begin to need help with daily tasks and self-care as they become more confused and forgetful.

This is also when significant changes in personality and behavior tend to appear, and it’s common for people in this stage of the disease to become suspicious. They might become convinced that family members or caregivers are stealing from them, or that a spouse is having an affair.

Hallucinations have also been known to happen in this stage of the disease.

Severe Dementia Due to Alzheimer’s Disease

In the last stage of the disease, the brain has degenerated to the point of impairing physical abilities, including the ability to communicate coherently. People in this stage of the disease need help with self-care, including eating, dressing, and bathing. They may even need help walking, sitting up, and/or holding their head up. In the final stages of the disease, they lose the ability to swallow or control their own bladder or bowel movements.

Here at Stillwater Senior Living, we treat our residents like family. Our apartments include studio, one bedroom, and two bedroom suites, and we are pet friendly. They are designed with security features, maximum accessibility, and include walk-out patois with a full range of amenities for the entire family. We are also excited to open our Memory Care Neighborhood in the Spring of 2020.

CONTACT US today for more information and a tour of our beautiful state-of-the-art community.


Alzheimer’s and dementiaMany people talk about Alzheimer’s and dementia interchangeably, so it should come as no surprise that there’s a lot of confusion when it comes to the differences between the two. They both involve a decline in mental faculties, including memory, communication, and the ability to perform daily tasks. That said, Alzheimer’s and dementia are not interchangeable, so we’re going to go over the differences between them.

Syndrome vs Disease

Dementia is a broad term that is used to describe a wide range of diseases and symptoms, and it can be caused by a variety of conditions – Alzheimer’s just happens to be the most common one.

Alzheimer’s is short for Alzheimer’s Disease, and while it is a form of dementia, dementia itself is not a disease – it’s a syndrome. While patients need a diagnosis of Alzheimer’s, there is no diagnosis of dementia. Dementia is defined as a group of symptoms that affect the person’s mental faculties, but there is no definitive diagnosis of dementia.

Age

Although dementia and Alzheimer’s are both associated with old age, young and middle-aged people have been known to show symptoms of both dementia and Alzheimer’s. It’s also important to remember that neither one is considered a normal part of aging.

Mixed Dementia

People can have more than one type of dementia at one time. This is known as mixed dementia, and is usually caused by the person having multiple conditions that contribute to dementia. Unlike Alzheimer’s, mixed dementia can only be diagnosed by autopsy.

Symptoms of Alzheimer’s vs. Dementia

Alzheimer’s and dementia have some symptoms in common, which is the main reason people tend to get them confused. They both involve impaired mental faculties, particularly when it comes to memory and communication, and they can both lead to behavioral changes, often fueled by confusion and frustration.

But Alzheimer’s has some symptoms that dementia does not, mostly pertaining to mood swings and behavioral changes. However, in the most advanced stages of Alzheimer’s, patients can lose the ability to walk, speak, and even swallow as the parts of their brain that control those motions decay, which does not happen with dementia.

Causes of Alzheimer’s vs. Dementia

One of the biggest differences between Alzheimer’s and dementia is their causes. While Alzheimer’s is largely genetic, dementia can be caused by a combination of genetics and/or an infection, such as HIV, metabolic disorders/hypoglycemia/tumors, depression and/or chronic drug use, and vascular disease and/or stroke.

Treatment

Because dementia and Alzheimer’s have different causes, the treatments for each depend on what’s causing the problem. There is some overlap in the way they’re both treated, but there are also some key differences.

There is currently no cure for Alzheimer’s, although there are drugs to treat the symptoms, namely antipsychotics, drugs to help with the memory loss, sleep, and depression and mood swings. Alternative treatments include fish oil or coconut oil, both of which have been shown to boost overall cognitive function.

Some forms of dementia can be cured, depending on the cause. If the cause is genetic, as with Alzheimer’s, then there isn’t much hope (yet). If, on the other hand, the dementia is caused by something else, then treating the root cause often does result in improved symptoms of dementia. Tumors, hypoglycemia, drug use, and metabolic disorders are some of the causes of dementia that respond best to treatment.

If you have any other questions about Alzheimer’s or dementia, we’re happy to help.

Here at Stillwater Senior Living, we treat our residents like family. Our apartments include studio, one bedroom, and two bedroom suites, and we are pet friendly. They are designed with security features, maximum accessibility, and include walk-out patois with a full range of amenities for the entire family. We are also excited to open our Memory Care Neighborhood in the Spring of 2020.

CONTACT US today for more information and a tour of our beautiful state-of-the-art community.