By: Callie Estes
What is dementia?
Common Terms related to dementia
happening or developing gradually or in stages; proceeding step by step.
haracterized by progressive, often irreversible deterioration, and loss of function in the organs or tissues.
the beginning of something, especially something unpleasant.
What are the stages of Alzheimer's and associated symptoms?
Stage 1- no impairment:During this stage, Alzheimer’s disease is not detectable and no memory problems or other symptoms of dementia are evident.
Stage 2- very mild decline:The senior may notice minor memory problems or lose things around the house, although not to the point where the memory loss can easily be distinguished from normal age related memory loss. The person will still do well on memory tests and the disease is unlikely to be detected by physicians or loved ones.
Stage 3-mild decline:At this stage, the friends and family members of the senior may begin to notice memory and cognitive problems. Performance on memory and cognitive tests are affected and physicians will be able to detect impaired cognitive function.Patients in stage 3 will have difficulty in many areas including:
- finding the right word during conversations
- remembering names of new acquaintances
- planning and organizing
Stage 4- moderate decline:In stage four of Alzheimer’s disease clear cut symptoms of Alzheimer’s disease are apparent. Patients with stage four Alzheimer’s disease:
- Have difficulty with simple arithmetic
- May forget details about their life histories
- Have poor short term memory (may not recall what they ate for breakfast, for example)
- Inability to manage finance and pay bills
Stage 5- moderately severe decline:During the fifth stage of Alzheimer’s, patients begin to need help with many day to day activities. People in stage five of the disease may experience:
- Significant confusion
- Inability to recall simple details about themselves such as their own phone number
- Difficulty dressing appropriately
Stage 6- severe decline: Patients with the sixth stage of Alzheimer’s disease need constant supervision and frequently require professional care. Symptoms include:
- Confusion or unawareness of environment and surroundings
- Major personality changes and potential behavior problems
- The need for assistance with activities of daily living such as toileting and bathing
- Inability to recognize faces except closest friends and relatives
- Inability to remember most details of personal history
- Loss of bowel and bladder control
- Stage 7- very severe decline:Stage seven is the final stage of Alzheimer’s disease. Because Alzheimer’s disease is a terminal illness, patients in stage seven are nearing death. In stage seven of the disease, patients lose ability to respond to their environment or communicate. While they may still be able to utter words and phrases, they have no insight into their condition and need assistance with all activities of daily living. In the final stages of the illness, patients may lose their ability to swallow.
What strategies can you use to effectively communicate with a patient with Alzheimer's?
Always approaches from the front and does not startle the resident
Determine how close the resident wants her to be
Communicates in a calm area w little background noise and distraction
Interventions the NA can do to help with ADLs
Problem with bathing
Problems with grooming and dressing
Problems with toileting
The NA has to be respectful of what the patient/resident wants. The NA also has to be patient and just help the resident when needing help.
Common behaviors associated with Alzheimer's disease and what are suggestions for the family?
Pacing and wandering
Hallucinations or delusions
Perseveration or repetitive phrasing
- All family's cope in different ways. They have to learn to be patient and realize that not everything their family member with Alzheimer disease says is what they actually mean. It is just the disease talking.
is all about presenting information about time, place or person in order to help a person understand their surroundings and situation
involves the discussion of past activities, events and experiences with another person or group of people, usually with the aid of tangible prompts such as photographs, household and other familiar items from the past, music and archive sound recordings.
means giving value or approving