When a person is diagnosed with dementia, they and/or their relatives may wish to know how progressed their dementia is. Questions about the stages of dementia may be asked during a person’s diagnosis, or be explored through post-diagnostic support groups offered via Memory Clinics or through other providers such as charities.
When thinking about dementia dementia-care.php, it’s important to remember that ‘dementia’ is an umbrella term for the numerous different types of dementia. Each type of dementia presents differently and no two people will experience their type of dementia in the same way, therefore accuracy around defining the stage of a person’s dementia can be really difficult.
In the US, the 7-stages of dementia are often referred to. In this model, preclinical stages and MCI (Mild Cognitive Impairment) are included, but crucially it really only describes the progression of very typical Alzheimer’s disease. It isn’t applicable for any other type of dementia.
The 7-stages of dementia model also doesn’t allow for the individual variation that we know happens for every person living with Alzheimer’s disease, and it is especially unreliable when thinking about progression in a person with younger onset Alzheimer’s disease or an older person with multiple long-term conditions alongside their Alzheimer’s.
In the UK, the 3-stages of dementia model is more commonly referred to for reasons that include:
The language used to describe the 3-stages of dementia varies. You may see or hear terms that include:
In the early/mild stage of dementia a person may have:
In the middle/moderate stage of dementia a person may find that:
In the late/severe/palliative stage of dementia a person may:
First and foremost, stages of dementia are just a guide. Stages can overlap, and symptoms can appear (and disappear) in a different order. It’s possible that a person may appear to be in one stage, then appear to progress into another, and then appear to be back to an earlier stage. This is because a characteristic of most types of dementia is good days and bad days, and many factors can influence how cognitively alert a person is and how able they are to participate in daily life at any given time.
If a person has an infection, a mental health problem like depression (this may be linked to changes in the weather and the seasons), a lack of sleep, a change in their environment, an inpatient hospital stay, a change of care provider, or another health problem/accident (for example a stroke, fall etc) their dementia may appear to have progressed or have permanently progressed.
Conversely, if a person has appropriate stimulation/occupation and activity during the day, is well-rested /news-detail.php?id=44, has good physical and mental health, is in a settled/familiar/dementia friendly environment /news-detail.php?id=53, is taking medication to improve their dementia symptoms (if this is appropriate for their type of dementia), and has familiar and continuous care provision the progression of their dementia may stabilise or slow down temporarily.
Ultimately, for a person with dementia and their family, it’s important to live in the moment rather than focusing too heavily on the stage of the person’s dementia.
Our live-in dementia care is the ideal way to provide appropriate support for a person throughout their life with dementia /news-detail.php?id=58. We can provide everything from companionship companionship-care.php and low-level support in the earlier stages of a person’s dementia, through to more comprehensive care as a person’s dementia progresses, include support with personal care, medication, mobility, continence /news-detail.php?id=48, nutrition and hydration /news-detail.php?id=34, communication /news-detail.php?id=46 and social engagement. In the latter stages of a person’s dementia, we can provide more intensive support, including complex care complex-care.php and end-of-life care end-of-life-care.php.
We focus on supporting a person’s independence, choice and control /news-detail.php?id=52, and work side-by-side with the person to help them achieve their maximum.
Find out more about how ENA Care Group could support you or your family by calling 0800 4334 413
or emailing care@ena.co.uk.
To talk about your care needs, contact one of our friendly team members