The 3 Stages of Dementia

‘Dementia Aware: What you need to know’ about the 3 Stages of Dementia

Dementia will affect each person differently. Its impact can depend on the type of dementia the person has and what the person was like before the diagnosis: personality, lifestyle, relationships, physical health, mental health and health history. The changes a person with dementia will usually experience are best understood in 3 stages: Stage 1 – the Early Stage, Stage 2 – the Middle Stage, and Stage 3 – the Late Stage. It is important to remember, that not all people with dementia will display all the symptoms listed below. These are merely guidelines to help caregivers to be aware of potential problems and to allow them to think about the person with dementia’s future care needs.

 

What you need to know…

Stage 1 – Early Stage

In the early stage of dementia, the changes a person may experience can be gradual and subtle, and it is not uncommon for come on may be dismissed as a senior moment, or old age.

The person may experience:

  • Memory loss – particularly for things that have just happened
  • Difficulty making decisions, handling money, paying bills
  • Not know the time of day or day of the week
  • Become lost in familiar places
  • Have unusual reactions – anger, aggression
  • Loss of interest in hobbies, social activities
  • Problems talking properly – repetition, mixing up words or forgetting words, stammering or stuttering

 

What you need to know…

Stage 2 – Middle Stage

As the dementia progresses, the person with dementia will have trouble with day to day living and:

  • Is unable to cook, clean or shop
  • Need help with personal hygiene – washing, dressing, using toilet
  • May start falling
  • Easily misplace items (purse in microwave) or hide items (soiled incontinence pads)
  • Has increased difficulty with speech
  • May become lost in the home and outside the home
  • Has difficulty driving
  • May see or hear things which aren’t there (hallucinations)
  • May become very forgetful of recent events, people names
  • Show problems such as repeated questioning and calling out, clinging, repeated telephone calls to family, disturbed sleep, inappropriate behaviour, anxiety, paranoia
  • May start wandering and/or sundowning (late day confusion)
  • May become very dependent on caregiver or family/friends
  • Can no longer manage to live alone safely

 

What you need to know…

Stage 3 – Late Stage

At this stage, the person with dementia is almost totally dependent, memory problems are very serious and the physical side of dementia becomes more obvious. The person may:

  • Have difficulty eating
  • Be unable to recognise family, friends and even familiar objects e.g. chair, table
  • Have great difficulty understanding what is going on around them
  • Have difficulty walking or be confined to a wheelchair or bed
  • Have bowel and bladder incontinence
  • Be unable to communicate or make self understood

May display inappropriate behaviour at home and in public

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