STAGES OF ALZHEIMER’S
FIRST STAGE
One or more present

1. Continual decline of short-term memory
2. Poor judgment
3. Disoriented
4. Speech problems
5. Declining concentration
6. Problems with spatial relations
7. Changes in personality
8. Diminishing coordination
9. Diminishing sense of smell
10. Delusional thinking
11. Reasoning difficulties
12. Diminishing ability to read
13. Losing or misplacing objects
14. Diminishing ability to plan or organize
15. Performance issues in work or social situations

SECOND STAGE
One or more present

1. Increased memory loss
2. Shortened attention span
3. Reduced impulse control (vulgar language, bad manners)
4. Hallucinations
5. Delusions
6. Suspiciousness
7. Repetitive movements
8. Repetitive language
9. Paranoia
10. Restlessness
11. Anxiety
12. Wandering
13. Agitation
14. Tearfulness
15. Problems with reading and writing
16. Problems with speech
17. Difficulty recognizing friends, family and loved ones
18. Trouble coping with unexpected situations
19. Trouble learning new things
20. Difficulty organizing thoughts
21. Repetitive behaviors such as hand wringing,hand washing or scrubbing, or tissue shredding
22. Need help dressing
23. Need help toileting (wiping, disposing of tissue properly, flushing toilet)

THIRD STAGE
One or more present

1. Complete loss of memory
2. Complete loss of language, although words or
phrases may occasionally be uttered
3. Making noises or muttering
4. Decreased sleeping
5. Increased sleeping
6. Making continuous repetitive sounds
7. Seizures
8. Skin infections
9. Weight loss
10. Lack of bowel and bladder control
11. Loss of physical coordination
12. No interest in food
13. Difficulty swallowing
14. Difficulty chewing
15. Not understanding what food is or what to do with it
16. Reflexes become abnormal
17. Muscles grow rigid
18. Loss of ability to walk without assistance
19. Loss of ability to sit without assistance
20. Loss of ability to smile
21. Loss of ability to hold their head up