Many older adults worry about dementia. The aging process normally includes some forgetfulness, but dementia is quite different.
Normal forgetfulness
reduced ability to multitask. The aging brain simply needs to slow down and do one thing at a time. It may take longer to do things, but they do get done.
slower recall. An older adult might not remember a word or event right away, but will eventually. It might take a few minutes, or hours, but the memory will surface.
Dementia is more disorienting
It involves the inability to make new memories. It’s like a blank slate. The memory just isn’t there. The event didn’t stick. Dementia also involves losing the ability to do even common activities, such as use a phone or make change. Tasks that require multiple steps will become increasingly difficult.
The early stage of dementia can be one of confusion, fear, and depression. Even if there is no formal diagnosis, the person with the memory issue often senses that something is wrong. And he or she may still have enough self-awareness to understand the consequences of a disease such as Alzheimer’s. It’s equally likely that the person may not recognize their own decline. They just don’t recall recent events. It’s nothing they are doing on purpose. It’s not like they can “try harder.” They can’t. The memories simply don’t form.
Below are some common signs of the early stage of dementia. (Most people at this stage show at least some of these symptoms.)*
Memory and thinking skills
Problems with numbers (adding, subtracting, paying bills on time, balancing the checkbook)
Problems with planning and organizing
Forgets recent events
Loses things
Easily distracted
Communication
Trouble finding words or names
Repeats questions or stories soon after saying them
Behavior and mood
May become depressed, withdrawn, or irritable
Daily self-care
Eventually needs help with household affairs, such as cooking and cleaning (signs of a possible problem: scorched pots or moldy food in the refrigerator)
May have trouble taking medications as directed
May get lost or confused when driving or walking, even in familiar areas
Trouble managing money (signs of a possible problem: shut off notices from the utility company. Also very susceptible to scams and con artists)
In the early stages, you may not even know there is a problem. Your family member may just seem a little less “with it.” People are very adept at compensating. And if your relative is married, a spouse may naturally take up the slack. But if you suspect something is not right, get a full medical assessment just to be sure.
Early diagnosis is important. Medications are available that can slow the progression of the symptoms. And it may be that your loved one’s confusion is caused by something such as depression, which can be cured. The sooner your family member gets tested, the sooner treatment can begin.
Deciding who to tell and when. Many people feel ashamed of a diagnosis of dementia. And some people or situations may become uncomfortable once a diagnosis is disclosed. This is a very personal decision.
Concern about driving. Driving requires thinking and good spatial skills. Dementia impairs both of these. The person with dementia is not likely to even recognize they have a problem. Everyone will eventually need to retire from driving. Knowing exactly when to stop is complicated. Read our article about driving safely and talk with the doctor.
Depression is big. Depression can cause many of the same symptoms as dementia. And, a person with memory problems can get very frustrated and feel very blue. Especially after a formal diagnosis, it is not uncommon for the patient to become depressed. The good news is that depression can be treated. Staying on top of the depression can at least lessen the number of factors contributing to your relative’s confusion or distress.
Join a support group. People in the early stages of dementia have special problems and needs. So do their family members. Gathering with others can provide a tremendous amount of comfort for you both. You are also likely to learn valuable tips for handling common situations.
Important legal and financial decisions. This is the time to make decisions about financial and medical matters. Now, when your loved one is still able to assess options, he or she should complete an advance directive. Your relative should also arrange for a will or living trust. He or she should assign a person to handle finances when managing money becomes too difficult. See our article about proxy decision makers in Your Changing Role.
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Becky and Inspire care has been an absolute blessing with our Mother who is suffering from dementia. Not only the in home care provided but the guidance given helped us to navigate the process to move her to into a long term care facility where she is now thriving. We absolutely could not have done this without the care, help, and guidance from Inspire.
Provided an immediate, and long term, in-home care solution for our beloved relative—and eventually spearheaded the skilled nursing facility admission process. Provided highly professional and compassionate service and advice from start to finish.
Inspire Care was so wonderful to work with in my mother's final years. Becky was with us from the early days when we were looking for someone to share a few meals and leave a few in the fridge for our Mom who lived alone but was showing early signs of dementia, through a broken hip and eventual 24x7 care.Having an experienced team in Inspire Care to help us navigate was SO helpful during stressful times. They helped us find and work with agencies and businesses that we would have struggled to navigate without their experienced guidance.
We have cultivated such a wonderful partnership with Inspire Care. Becky, is extremely thorough with much attention to detail thatperhaps one thought wouldn't matter. The Inspire care Team leads with such professionalism and have such compassion for their clients. We value & embrace the partnership we have created the entire team .
I have known Becky Auyer and Inspire Care for over 10 years. I have recommended her to many friends and families.About 7 years ago, I hired her to help me with my parents. (I recall thinking I was a super hero, and I could do this well all by myself!)Early on, she helped me to navigate both of my parents getting off the road. That was a tremendous hurdle for our family and much needed for everyones safety.She helped us in the house with safety measures, meds, doctor appointments and check ins when I was away on travel.In 2017, my parents moved to senior apartment living. She helped us with that process, as well as helping us with mobility issues that both parents now had.Over the last 5 years, with COVID, my mother suffering numerous falls, rehab, and several hospitalization, Becky and her staff were always a phone call away. Becky, Gwen, Sharon, Deborah and Cheryl, all pitched in with daily treatments, showers, physical therapy, and sometimes taking turns at the hospital. This gave me so much comfort knowing they could help me in so many ways.During the 1st 6 months of 2022, both of my parents died at home with hospice, family, and the Inspire Care team helping us every step of the way.In a lot of ways, these last 12 years was the toughest job I ever had. I don't regret it, but I know I couldn't have done as well as I did without Inspire Care by my side until the end.
Inspire Care of CNY cared for both of my aging parents in the final stages of their lives. Becky and her team were FANTASTIC. We faced many challenges--moving my parents out of their house and into a retirement community, and then confronting various issues as their health failed. I don't know how we would have survived that phase of life without their patient, kind, and knowledgeable support. The support was for my parents, but also for us, their adult children. I wish I could give more than five stars!
Many older adults worry about dementia. The aging process normally includes some forgetfulness, but dementia is quite different.
