Brooklyn Heights Blog

What Are the Stages of Dementia? A Guide for Families

Written by Brooklyn Heights | Feb 27, 2025 5:00:00 AM

Alzheimer's Association reported that about 1 in 9 U.S. citizens aged over 65 years old had Alzheimer's disease in 2024. This highlights the growing impact of dementia on American families.

Navigating the challenges of dementia can feel like an emotional rollercoaster. What makes it more challenging is its progression. With every Alzheimer's progression, unique signs and hurdles arise.

Perhaps you've been asking yourself, "what are the stages of dementia?" This blog will help you unravel this question.

Explore different dementia stages, from mild cognitive impairment to advanced memory loss, and how to provide the best care at each stage.

Understanding Dementia in Older Seniors

Dementia is a collective term for a disorder that impairs cognitive abilities, including:

  • Memory
  • Communication
  • Emotions
  • Thinking
  • Attention

Cognitive decline begins when amyloid and tau proteins abnormally accumulate between brain cells. These protein clumps hinder the brain's neurons from functioning effectively. Over time, the neurons die, leading to severe dementia symptoms.

Dementia in elderly adults comes in various forms, including:

  • Alzheimer's disease
  • Vascular dementia
  • Lewy body dementia
  • Frontotemporal dementia
  • Mixed dementia
  • Parkinson's disease dementia

Underlying factors that increase the risk of these forms of cognitive impairment include:

  • A history of physical inactivity
  • Cardiovascular problems like abnormal heart rhythms
  • Large stroke or multiple mild strokes
  • Diabetes
  • Blood vessel disease
  • Smoking

Dementia or Memory Loss Stages

By understanding dementia stages, you become more compassionate in helping your loved one manage the various symptoms. You also help them get comprehensive memory care early, preventing potential progression. Below are the stages of dementia in older adults.

Early or Mild Stage

In this stage, there aren't many protein clumps accumulated in the brain. The brain neurons are slightly affected, making it hard to notice any signs of memory loss.

However, some adults may show some early dementia symptoms, such as partial mood changes. They may also begin to show signs of forgetfulness.

Seniors with mild dementia can still retain their independence. This means they can still perform most of their daily activities like bathing and dressing. They can also engage in conversations without speech challenges.

Over time, the symptoms become more noticeable. For instance, your elderly loved one may be unable to find the right words or names in a conversation.

Seniors in this stage of dementia struggle with planning and organizing. This makes them miss important events or make sound decisions.

If you notice these signs in your aged parent or family member, start engaging them. Create an environment where they can feel free to open up.

Don't forget to foster open communication while interacting with them. This encourages them to tell you about their emotional problems, like anxiety and stress.

Also, encourage your elderly loved one to participate in:

  • Reading and puzzles
  • Hands-on activities like painting, drawing, and cake decorating
  • Music and dancing
  • Art and craft activities
  • Group games

These activities promote cognitive engagement, relieving early dementia symptoms in seniors. You can create a routine for your loved one to give them a sense of predictability.

Middle or Moderate Stage

In this stage, the brain neurons have sustained some damage but aren't yet severely damaged. Seniors experience more intense emotions like irritability and agitation.

Forgetfulness and orientation become a concern in this stage. Your loved one may easily get lost even in environments they're familiar with.

Difficulties in thinking become more noticeable in moderate-stage dementia. This challenge makes it almost impossible for seniors to remain attentive.

Because of memory impairment, seniors in this stage easily wander and get lost. They also incorrectly judge distances, making it risky to drive.

Social isolation is common in this dementia stage. Also, pay attention to your loved one's feelings of loneliness.

Seniors in the moderate stage of dementia lose their independence. This prompts family members to help them with most of their daily activities.

Other symptoms that signify middle-stage dementia in elderly adults include:

  • Hallucinations
  • Delusions
  • Speech problems
  • Lack of motivation or interest - apathy
  • Repetitive behavior
  • Disturbed sleep patterns

If you notice these signs in your loved one, focus on improving their sense of familiarity. Surround them with keepsakes, such as:

  • Their favorite clothing, duvet, or pillow
  • Photo albums
  • Memory boxes with their past mementos or letters
  • Sentimental objects like jewelry
  • Favorite songs or playlists
  • Familiar scents like perfumes

You can also recreate their familiar spaces and develop a predictable routine. These strategies evoke memories and a better mood, slowing down cognitive decline.

Creating a safe environment for your loved one is also important. By doing this, you give them a sense of comfort, alleviating their emotional problems.

Take time to help your elderly parent reconnect with their friends. You can foster their social interactions through:

  • Phone calls
  • Emails
  • Video chats
  • Planned home visits

Late or Severe Stage

This stage comes after the brain neurons die and the brain shrinks. Seniors completely lose their independence, prompting the need for 24/7 comprehensive care.

Older adults in this stage require assistance with almost every activity, including:

  • Toileting
  • Dressing
  • Bathing
  • Eating
  • Walking

Seniors with severe dementia completely lose awareness. They can't remember their surroundings or even the faces of their loved ones.

Severe dementia can make your loved one vulnerable to other health issues, like pneumonia. Consider taking them to an assisted senior living community.

Senior living communities offer full-time, personalized, and compassionate care to residents with dementia. They also foster socialization by engaging them in:

  • Events like shared dining
  • Creative cooking
  • Book clubs
  • Gardening
  • Wellness activities like chair aerobics

The communities also have quality amenities and services to enhance residents' comfort. These include:

  • Movie theater
  • Rooftop terrace garden
  • Resident wine cellar
  • Spa and salon services
  • Indoor pool
  • Resident call response system

What Are the Stages of Dementia? Recognizing and Preventing Memory Loss

What are the stages of dementia - you've got the right answer. While navigating these stages can feel overwhelming, a senior living community can make everything easier.

The Watermark at Brooklyn Heights is a community that guarantees advanced dementia care. We've got unique, vibrant, and unmistakable energy that you or your loved one can only find in New York. This is where the best resident lifestyle comes into play.

Contact us today to schedule a tour.