The holidays are over and everything is getting back to normal – except, in the back of your mind, linger some nagging worries concerning one of the elderly relatives you visited. You wonder if this loved one could be in the early stages of Alzheimer’s disease. Maybe you’ve shared your concerns with other family members, but no one’s quite sure what to do. They don’t want to offend the relative – and memory changes are normal as we age, aren’t they?
The Alzheimer’s Association (www.alz.org) offered this list of signs that might be of concern, and how to tell them from memory changes that are considered normal:
Memory loss. Forgetting recently learned information is one of the most common early signs of dementia. A person begins to forget more often and is unable to recall the information later. What’s normal: Forgetting names or appointments occasionally.
Difficulty performing familiar tasks. People with dementia often find it hard to plan or complete everyday tasks. They may lose track of the steps involved in preparing a meal, placing a telephone call or playing a game. What’s normal: Occasionally forgetting why you came into a room or what you planned to say.
Problems with language. People with Alzheimer’s disease often forget simple words or substitute unusual words, making their speech or writing hard to understand. For example, they may be unable to find the toothbrush and instead ask for “that thing for my mouth.” What’s normal: Sometimes having trouble finding the right word.
Disorientation to time and place. People with Alzheimer’s disease can become lost in their own neighborhood, forget where they are and how they got there, and not know how to get back home. What’s normal: Forgetting the day of the week, or walking into another room and forgetting why you went there.
Poor or decreased judgment. Those with Alzheimer’s may dress inappropriately, wearing several layers on a warm day or little clothing in the cold. They may show poor judgment, like giving away large sums of money. What’s normal: Making a questionable or debatable decision from time to time.
Problems with abstract thinking. Someone with Alzheimer’s disease may have unusual difficulty performing complex mental tasks; for example, they might forget what numbers are for or how they should be used. What’s normal: Finding it challenging to balance a checkbook.
Misplacing things. A person with Alzheimer’s disease may put things in unusual places, such as an iron in the freezer or wristwatch in the sugar bowl. What’s normal: Misplacing keys or a wallet temporarily.
Changes in mood or behavior. Someone with Alzheimer’s disease may show rapid mood swings—from calm to tears to anger—for no apparent reason. What’s normal: Occasionally feeling sad or moody.
Changes in personality. The personalities of people with dementia can change dramatically. They may become extremely confused, suspicious, fearful or dependent on a family member. What’s normal: People’s personalities do change somewhat with age. They may become less flexible or reluctant to try new things; however, normal changes are not generally dramatic.
Loss of initiative. A person with Alzheimer’s may become very passive, sitting in front of the TV for hours, sleeping more than usual or not wanting to do usual activities. What’s normal: Sometimes feeling weary of work or social obligations.
If your loved one exhibited any of the above warning signs, it may be time to step in. Early diagnosis of Alzheimer’s disease or other disorders causing dementia is an important step to getting appropriate treatment, care and support services.