The Progression of Alzheimer’s – Early to Late

How to Spot Alzheimer’s Disease: Signs of Progression

Alzheimer’s starts off as a slow developing disease. Many individuals and their loved ones do not recognize the symptoms initially until the disease has progressed to a mid-level stage, though if one is true to themself, they intuitively know something is not right. It is always important to be on the lookout for signs of Alzheimer’s. Spotting the disease early can significantly benefit you and your loved ones.

The Progression of Alzheimer’s

Signs and Symptoms of Early-Stage Alzheimer’s

  • Increasing Forgetfulness
  • Difficulty Concentrating
  • Problems with Communicating
  • Repetition of prior questions
  • Depression
  • Changes in mood and behavior with or without cause
  • Difficulty working and performing work functions the way they used to
  • Diminishing coordination and agility
  • Driving difficulties, especially with navigation and instructions
  • Declines in hearing others and environmental sounds

The signs and symptoms of Alzheimer’s and proposing changes in lifestyle can be the most difficult area of discussion. Restricting driving privileges that takes away one’s independence will likely be met with resistance.

It is important to remember that a doctor must diagnose Alzheimer’s. Don’t automatically assume someone has the disease simply because they manifest one or more of these signs. Always consult your physician. However, spotting the symptoms of the disease at its early stages is important, as the earlier the diagnosis is made, the earlier treatment can begin.

Signs and Symptoms of Mid-Stage Alzheimer’s

As Alzheimer’s progresses, you will find the early-stage signs will become more obvious and more challenging for the individual with the disease. Some new signs and symptoms will also arise.

  • Increasingly severe memory loss

As individuals sense losing their memory, they often feel threatened and as a result, their “fight or flight” response is activated.

The impact Alzheimer’s disease has on short-term memory is unfortunately significant. Individuals with the disease often have trouble remembering things that just happened. They may also begin is forget what purpose certain objects are used for, such as keys to open doors and placing shoes on their feet.

  • Concentration problems

Individuals often have increasingly significant problems concentrating. One of the most common displays of declining concentration is the repetition of words and sentences.

  • Anxiety, paranoia, and hallucination will become more pronounced and acted upon

As mentioned in the early stages, depression often occurs as Alzheimer’s develops. As the individual realizes the disease is becoming more and more prevalent, they often develop even more significant mood and behavioral changes.

  • Wandering

One of the scariest symptoms of Alzheimer’s, individuals often forget where they are going or wander off, confused or unsure as to their destination.

  • Delusional thoughts and communication will exhibit themselves.  Delusions of their past may come to their mind and they may be unable to distinguish some events from the past and present.

Not only does the individual lose their short-term memory, but some of their long-term memory as well.

  • Aggressive Behavior

Signs and Symptoms of Late-Stage Alzheimer’s

The late stages of Alzheimer’s are usually the most difficult. If your loved one isn’t already in long-term care, now is likely the time. As a caregiver, taking care of a loved one in the late stages of Alzheimer’s disease can be one of the most significant burdens one will ever face. Here are some of the signs and symptoms:

  • Loss of self direction and understanding of what to do
  • Loss of speaking abilities
  • Inability to use the bathroom
  • Trouble swallowing

Along with swallowing comes a loss of other general motor skills.

  • Bodily discomfort
  • Prolonged sleep followed by periods of restlessness and agitation

Fredrick P. Niemann Esq.

Always remember that your loved one’s ability to communicate through their emotions typically continues throughout the entirety of Alzheimer’s. Regardless of how significant the disease is, your loved one can still feel loved, special, cared for, etc. As a caregiver, you are often in the best position to give them peace of mind. Simple actions like reading to them, telling them stories, holding their hand, and others can help them maintain that feeling of being loved.

Please contact Fredrick P. Niemann, Esq. with any questions you have concerning Alzheimer’s Disease, Dementia, or Elder Care in general.

He can be reached toll-free at (855) 376-5291 or

by email at

He welcomes all your inquiries.

Written by Fredrick P. Niemann, Esq. of Hanlon Niemann & Wright,  A New Jersey Alzheimer’s and Dementia Attorney