Care: In this stage the Alzheimer’s patient can generally take care of their daily needs. They are independent with dressing, feeding (although they may forget to eat), and using the toilet. Care involves close supervision and direction. Many Alzheimer’s patients are aware of their confusion or get frustrated easily because they are unable to do the things they have done for years. Try to keep them connected by going for walks, listening to music or doing small tasks they have the ability to do.

Stage Four: Moderate Cognitive Decline

Clear deficiencies mark this stage. Decreased ability to perform challenging cognitive functions and to perform complex tasks is common in this stage. The person with Alzheimer’s disease has difficulty paying bills and balancing their checkbook. Decreased memory of their personal history and recent events is common. They may seem withdrawn or subdued and have difficulty expressing themselves.

Care: Increased supervision and assistance with dressing, bathing and daily activities will be needed. Communication may be frustrating for the Alzheimer’s patient. Tell them you understand that it is difficult for them to verbalize their feelings. Touch is important in any stage, and should be used frequently.  

Stage Five: Moderately Severe Cognitive Decline

A person with Alzheimer’s disease has more difficulty taking care of themselves and may need assistance with day to day living in this stage. They have major memory gaps. They know their own name and usually the names of their children and spouse, but have poor recall for remembering their address, phone number or friend’s names. Assistance with choosing appropriate clothing is needed. They do not need assistance with eating or toileting in this stage.

Care: Sometimes it is impossible for family members to provide full time care to the Alzheimer’s patient. Long term placement may be necessary. The patient will need direction and assistance with dressing and all daily activities. They can usually still feed and toilet themselves. Caregivers should plan and schedule time off. Full time care of an Alzheimer’s patient in this stage is stressful and requires a lot of energy.