The holiday season is traditionally a time to gather with loved ones. These visits with family can raise questions about the cognitive health of aging family members. With Alzheimer’s disease in particular, it is important to know what behavior is and is not typical aging.
Below is a list of warning signs along with examples of typical aging. If you notice any of the warning signs in your aging family members, please make certain he or she sees a doctor.
Alzheimer’s Association 10 Warning Signs of Alzheimer’s Disease
» 1. Memory loss that disrupts daily life. One of the most common signs of Alzheimer’s is memory loss, especially forgetting recently learned information. Others include forgetting important dates or events, asking for the same information over and over, relying on memory aides (reminder notes or electronic devices) or family members for things they used to handle on one’s own.
More typical: Sometimes forgetting names or appointments, but remembering them later.
» 2. Challenges in planning or solving problems. Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before.
More typical: Making occasional errors when balancing a checkbook.
» 3. Difficulty completing familiar tasks at home, at work or at leisure. People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game.
More typical: Occasionally needing help to use the settings on a microwave or to record a television show.
» 4. Confusion with time or place: People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there.
More typical: Getting confused about the day of the week but figuring it out later.
» 5. Trouble understanding visual images and spatial relationships. For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast. In terms of perception, they may pass a mirror and think someone else is in the room. They may not realize they are the person in the mirror.
More typical: Vision changes related to cataracts.
» 6. New problems with words in speaking or writing. People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a “watch” a “hand-clock”).
More typical: Sometimes having trouble finding the right word.
» 7. Misplacing things and losing the ability to retrace steps. A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time.
More typical: Misplacing things from time to time, such as a pair of glasses or the remote control.
» 8. Decreased or poor judgment. People with Alzheimer’s may experience changes in judgment or decision making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean.
More typical: Making a bad decision once in a while.
» 9. Withdrawal from work or social activities. A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced.
More typical: Sometimes feeling weary of work, family and social obligations.
» 10. Changes in mood and personality. The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone.
More typical: Developing very specific ways of doing things and becoming irritable when a routine is disrupted.
Early diagnosis of Alzheimer’s disease or other dementia is an important step in getting appropriate treatment, care and support service. Additional benefits to early diagnosis are as follows.
Benefits of an Early Diagnosis of Alzheimer’s Disease
» Benefit from treatments that may improve symptoms and help maintain a level of independence longer
» Have more time to plan for the future
» Increase chances of successfully finding a clinical drug trial through Alzheimer’s Association TrialMatch, helping to advance research
» Participate in decisions about their care, transportation, living options, financial and legal matters
» Develop a relationship with doctors and care partners
» Benefit from care and support services, making it easier for them and their family to manage the disease
Anyone with questions about Alzheimer’s disease or seeking information should contact the Alzheimer’s Association’s 24/7 toll-free helpline at 800.272.3900. Experts are available to take calls from individuals concerned with their own cognitive health as well as from family members and friends who may be concerned about a loved one and are seeking resources.
— Barbara Lanz-Mateo is the communications director for the Alzheimer’s Association-Central Coast Chapter.