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Stages of Alzheimer’s

Stages of Alzheimer’s

Know about 7 basic stages of progressive Alzheimer’s dementia Disease

There are basic 7 stages of progressive Alzheimer’s dementia, and the symptoms vary accordingly – but they can be a clue and assist you to prepare for your loved one’s family, friend or relative’s care.


Stage 1

Preclinical Alzheimer’s dementia or no deficit

Some of us may only have heard about the risk for Alzheimer’s disease due to genetic inheritance. Or your GP may find biomarkers that signalize your risk.

Your GP will interrogate you about memory lapse issues, if you are at risk for Alzheimer’s dementia disease. But there will be no apparent signs or symptoms in the initial stage, which can last up to years or decades. In this stage, Alzheimer’s disease is not identifiable and no memory decline, cognitive disability or other symptoms of dementia are noticeable.

The best treatment under this first stage of Alzheimer’s would be the caregivers support. A person under this stage is completely independent. They may not even realize they have the particular disease.
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Stage 2

Very mild decline or ordinary forgetfulness

Alzheimer’s dementia disorder primarily affects older adults, mainly above the age of 65 years. For stage 2 Alzheimer’s, in this age group, it is common to have little intellect operational problems such as forgetfulness.

During stage 2 Alzheimer’s, the impairment will occur at a higher degree than same aged people without Alzheimer’s dementia. For instance, they may have difficulty recalling a family member’s name, known words, or where they placed any item sometime back.

Symptoms in stage 2 will not intervene with practical, financial, or social activities. Memory problems are yet quite moderate and may not be noticeable to family and folks.


Stage 3

Moderate decline or impairment

The signs of Alzheimer’s dementia disease are less evident during stage 3. While the complete stage endures for about 7 years, the signs will gradually become more noticeable over a span of 2 to 4 years. Only individuals sharing close bonds with someone may realize the symptoms of this stage. Work quality will diminish, and they may have difficulty learning and grasping new skills.

Some examples of stage 3 symptoms include:

  • getting lost or strayed even when traveling on an accustomed route
  • finding it difficult to remember the right names and terms
  • occasionally fail to store and recall what you just read in a newspaper, book or magazine
  • unable to remember new people or names
  • losing or misplacing a precious item
  • disturbing focus during testing

Your clinician or GP may also have to establish a more intense inquiry than normal to identify the cases of memory loss. In this stage of Alzheimer’s disease, a person may require counseling, particularly if they have tedious job in charges. They may come across a mild to moderate restlessness and refutation.


Stage 4

Mild Alzheimer’s and moderate decline

Stage 4 lasts about 2 years and hints the commencement of diagnosable Alzheimer’s dementia disease. Anyone under the stage 4 of Alzheimer’s will have more difficulty with typical but routine tasks. Behavioral changes like slow social termination and repudiation are more apparent. Diminished emotional responses keep coming off, particularly in a seemingly complex situation.

Some more new symptoms of decline in stage 4 that appear may include:

  • obliviousness of current events or recent happenings
  • memory loss of personal history
  • problems dealing with numbers, finances and invoices
  • inability to do descending counting

For stage 4 sufferers, it will still be possible for them to remember to-do things, important occasions, and addresses or understand climatic conditions. But they may still seek help with other activities like filling up a cheque, purchasing groceries, ordering food, or tally accounting etc. Your GP will also check for impairments in contexts given in stage 3, but there is usually no change since then.


Stage 5

Moderate dementia or moderately intense decline

Stage 5 lasts about 1-2 years and needs a lot of help support to be rendered to the AD sufferer. People in the 5th stage of Alzheimer’s who do not get sufficient care and support often experience emotions of agitation and distrustfulness. People in the 5th stage will not forget their own names and close mates, but remembering their current address, weather conditions, crucial events, can be a problematic thing to recall. They will also demonstrate some kind of disorientation in regard of place or time and have problem counting backward.

They will need guidelines with routine tasks and would start to get dependant on others. Personal hygiene and eating won’t be an issue yet, but they may have trouble picking the right clothing for the weather or taking care of finances.
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Stage 6

Slightly severe Alzheimer’s

During the stage 6, there are typically few noticeable features that develop over the span of 2 1/2 years. These are as given-

  • Apparels: Besides the increasing inability to select their own clothes or for someone else, an individual with stage 6 Alzheimer’s dementia disease will require help wearing them on appropriately.
  • Cleanliness and Sanitation: A reduction in oral hygiene initiates and they will require assistance adjusting the water temperature before taking shower.
  • Washroom basics: Initially, some people under stage 6 will not remember to flush or dispose of tissue paper away. As the disease takes a head on, they will then start to lose control over their bowels and bladder and would seek help with toilet cleanliness.

By this stage, memory is much worse, especially around current news and life events. Counting backward from 10 will be difficult. Your loved one may also confuse family members with other people and display personality changes. They may experience:

  • Phobia of isolation
  • fussing
  • irritation
  • humiliation
  • apprehensions
  • psychosis and delusions

They may also begin termination and become infuriated with this. It is crucial to continue counseling for psychological and mood modification problems.

Help and support with personal care, from routine tasks to hygiene practices, is much needed by this stage. They may also begin to experience increasing dizziness and take frequent naps throughout the day and also feel night walk.


Stage 7

Severe Alzheimer’s

There are various sequential sub-stages to this 7th final stage, which last approx 1 to 1 1/2 years each.

  • Speech is restricted to 6 words or even lesser. Your clinician will require repeating questions during the inquiry session.
  • Speech reduces to only 1 identifiable word.
  • Pace of speech is lost.
  • The ability to stand or sit on own is lost.
  • Once lively smiles are replaced with gloomy facial movements.
  • They will no more be able to keep their head held high

Body movements will become stiffer and cause unbearable pain. Approximately 40 % of people with Alzheimer’s in this last stage also produce shrinkages, or declining and firming of muscle tissues, ligament, and other tissues. They also tend to form childish reflexes such as thumb sucking.

During this stage, a person’s capacity to retaliate to the environment changes is lost. They will certainly require assistance or a helping hand with almost all their regular day to day work, including eating, drinking or moving. Some people will lose their mobility in this severe stage. Pneumonia is the most frequent cause of death in someone with stage 7 Alzheimer’s dementia disease.

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1, NRI Complex, Mandakini,
Chittaranjan Park, South Delhi,
New Delhi - 110019

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