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Stages of Dementia

Learn how dementia causes changes in memory, thinking and function.

Memory and Thinking
Mild
  • Difficulty with short-term memory
  • Poor concentration
  • Poor decision-making
Moderate
  • Difficulty with short- and long-term memory
  • Forgets own personal history
  • Poor decision-making
Advanced
  • Severely impaired memory for recent and past events
Language
Mild
  • Problems remembering the right word or name
Moderate
  • May or may not understand what is being said
  • Losing ability to express self and make needs known
Advanced
  • Unable to carry on a meaningful conversation
Mood
Mild
  • May become depressed or socially withdrawn
Moderate
  • More easily upset and frustrated
  • May appear to lack emotion
Advanced
  • Appears withdrawn
  • Difficult to engage
Function
Mild
  • Difficulty organizing and managing household affairs, such as cleaning, cooking, and yard work
  • Trouble handling finances
  • Difficulty initiating activities
  • Gets lost/mixed-up when driving in familiar places
  • May be involved in “fender benders”
Moderate
  • Forgets to eat/drink or use silverware and may lack table manners
  • Has trouble selecting, sequencing and putting on clothing
  • Needs reminders for shaving & tooth brushing
  • Unable to apply make-up
  • Forgets to bathe & may fear water in bath/shower
  • Has problems with bladder & bowel
    • Difficulty finding toilet
    • Forgets to wipe or flush
    • Incontinent episodes
Advanced
  • May forget to chew food or swallow
  • Has difficulty interacting/responding to surroundings
  • Forgets how to walk without help; may lead to eventual loss of body movement
  • Relies totally on caregivers for:
    • Dressing
    • Grooming
    • Bathing
    • Feeding
    • Bladder/bowel
  • May lose ability to sit up, hold head up and/or smile