MODERATE STAGE ALZHEIMER'S DISEASE
In moderate stage Alzheimer’s disease, symptoms become more severe, and the person becomes more dependent upon a caregiver for assistance with activities of daily living.
Persons with moderate stage Alzheimer’s disease may exhibit the following symptoms:
Impaired memory, which can manifest as...
- Very poor memory for recent events, for example completing a meal and then saying, “When do we eat?”
- Incorrectly remembering events, for example mixing up details of multiple stories or making up the details to fill in the blanks in his or her memory (confabulating)
Disorientation to person, place or time, which can manifest as...
- Not knowing the name or relationship of a close relative, for example, a man calling his wife his mother
- Behaving as if he or she were living in the past, for example:
- Getting ready for work in the morning, even though he or she has been retired for many years
- Looking for young children, even though their children are grown
- Looking for relatives who are deceased
Difficulty performing skilled movements, which can manifest as...
- Difficulty using eating utensils at a meal
- Inability to operate machinery, such as a washing machine or oven
- Inability to tie shoelaces or fasten a bra
Language difficulties, which can manifest as...
- Needing more time and effort to express oneself
- Major word-finding problems/misusing wordsd
- Speech that does not make sense or is difficult for others to understand
Loss of inhibitions, which can manifest as...
- Making inappropriate comments or jokes
- Using swear words or other vulgar language
- Behaving in a sexually provocative way
- Attempting to undress in public
Agitation, which can manifest as...
- Anger or anxiety related to:
- Inability to express needs
- Being faced with an overwhelming or confusing situation
- Verbal outbursts
- Physical outbursts
- Anger or anxiety related to:
Restlessness, fidgeting, pacing or wandering, which can manifest as...
- Being unable to sit still
- Wandering or pacing around the house
- Wandering off and becoming lost
Sleep disturbance, which can manifest as...
- Increase or decrease in sleepiness and amount of sleep
- Mixed up day-night sleep cycle
Social withdrawal, which can manifest as...
- Feeling awkward in group situations, especially when with others who do not have memory impairment
- Becoming increasingly dependent upon the caregiver. The caregiver becomes a “security blanket.”
Need for supervision and assistance, which can manifest as...
- Requiring assistance with day-to-day tasks, such as bathing or dressing
- Needing prompts to perform daily activities
- Requiring supervision much of the time
Sundowning, which can manifest as...
- Increased confusion in the evenings
- Wanting to “Go Home” when in one’s own home
Hallucinations or delusions, which can manifest as...
- Seeing or hearing people or things that are not there
- Mistaken but firmly held beliefs that are not based in reality – may be paranoid in nature
Changes in eating habits, which can manifest as...
- Erratic eating
- Forgetting to eat
- Forgetting one has eaten and eating again
- Weight loss or weight gain