In the middle stage of dementia, symptoms become more noticeable and the person will need more support in managing daily life. The person may now need frequent reminders and some help to wash and dress (for example, having their clothes laid out for them).
The person with dementia may not recognise that new clothes belong to them. If they have no memory of buying them, they may not want to wear them.
People with Alzheimer's disease often need more time to dress. It can be hard for them to choose their clothes. They might wear the wrong clothing for the season. They also might wear colors that don't go together or forget to put on a piece of clothing.
Too many distractions such as noise, people, or clutter in the room. Lack of privacy (especially in institutional settings). Room temperature too cold. Task too complicated.
Buy clothes that are simple to put on/take off and are soft and stretchable, i.e. pants with elastic waistbands, shoes that close with Velcro or slip on shoes, or a camisole instead of a bra. A skirt or loose fitting dress can be easier for a woman to put on and pull up when using the bathroom.
While everyone loses some neurons as they age, people with dementia experience far greater loss. The signs and symptoms can vary depending on the type and may include: Experiencing memory loss, poor judgment, and confusion. Difficulty speaking, understanding and expressing thoughts, or reading and writing.
People with dementia may say or ask things repeatedly. They may also become very clinging and shadow the person caring for them, even following them to the toilet. These behaviours can be very upsetting and irritating for families and carers.
Bathing can be a challenge because people living with Alzheimer's may be uncomfortable receiving assistance with such an intimate activity. They may also have depth perception problems that make it scary to step into water. They may not perceive a need to bathe or may find it a cold, uncomfortable experience.
Memory and time-lapses
It's possible that someone with dementia can slip into another time from their past, and become worried about events that are no longer happening. Or, they may become suspicious and fearful of people they don't recognise.
Supporting in the later stages of dementia
Often, a change in behaviour is a form of communication. It can be a result of the person feeling a certain way (for example scared, anxious, confused or upset). This could be because they need something but are not able to tell anyone about it.
These include problems with memory, thinking, problem-solving or language, and often changes in emotions, perception or behaviour. As dementia progresses, a person will need more help and, at some point, will need a lot of support with daily living.
I'm going to discuss five of the most basic ones here: 1) Don't tell them they are wrong about something, 2) Don't argue with them, 3) Don't ask if they remember something, 4) Don't remind them that their spouse, parent or other loved one is dead, and 5) Don't bring up topics that may upset them.
Introduction: The five-word test (5WT) is a serial verbal memory test with semantic cuing. It is proposed to rapidly evaluate memory of aging people and has previously shown its sensitivity and its specificity in identifying patients with AD.
One of the most common causes of death for people with dementia is pneumonia caused by an infection. A person in the later stages of dementia may have symptoms that suggest that they are close to death, but can sometimes live with these symptoms for many months.
forgetting names of people and objects. losing or misplacing items (such as keys or glasses) getting lost in familiar surroundings or on familiar journeys. forgetting how to carry out familiar tasks (such as making a cup of tea)
In the later stages, memory loss becomes far more severe. A person may not recognize family members, may forget relationships, call family members by other names, or become confused about the location of home or the passage of time. He or she may forget the purpose of common items, such as a pen or a fork.
People with dementia think about the same things that any human thinks about — emotions, relationships, daily life, tasks to accomplish, and more. However, dementia can change how you interact with the world because of its physical, mental, and emotional effects.
Color preferences for individuals with dementia are red, blue and green.
Avoid asking too many open-ended questions about the past, as it could be stressful for a person with dementia if they can't remember the answer. While it might seem polite to ask somebody about their day, it's better to focus on what's happening in the present.