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
  • 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

More information: Alzheimer's Disease | FAQs | Early Stage | Later Stage