The 7 Stages of Dementia: What To Expect at Each Stage

Dementia is a progressive brain disorder that affects memory, thinking and behavior. Understanding the stages of dementia is crucial for providing effective care and support to individuals diagnosed with the condition.

Each stage presents unique challenges, and the care needs of individuals evolve as the condition progresses. Early recognition and planning can help improve the quality of life for both

the person with dementia and their caregivers. This blog outlines the seven stages of dementia, including what to expect at each stage and the importance of tailored care.

Dementia Defined

Dementia is an umbrella term for various brain disorders that impair cognitive functions, including memory, reasoning, and the ability to perform daily tasks. Alzheimer’s disease and vascular dementia are two of the most common types of dementia, but there are many other forms, including Lewy body dementia.

Dementia progresses through several stages, each characterized by worsening symptoms and increasing dependence on caregivers. These stages are often categorized using the Global Deterioration Scale (GDS) (also known as Reisberg Scale), which helps track cognitive decline.

Stage 1: No Cognitive Decline

At this stage, there’s often no impairment with noticeable symptoms. Individuals are fully functional and show no signs of memory loss or confusion. Even though dementia may be present in the brain, it has not yet impacted daily activities.

This is the ideal time for proactive planning, as seniors can still participate in discussions about future care, including exploring Life Plan Communities like The Highlands at Lake Forest Place. Engaging in future care discussions early ensures that both the individual and their family are prepared for the challenges ahead.

Stage 2: Very Mild Cognitive Decline

In Stage 2, individuals may experience slight forgetfulness or very mild cognitive symptoms, such as occasionally misplacing objects or forgetting names. These signs are often mistaken for normal aging, but they can be an early indicator of dementia.

Despite these symptoms, individuals can still handle daily tasks and maintain their social and work life. However, it is important to begin monitoring any changes in memory and cognitive function, as early detection allows for more effective management of the condition.

Stage 3: Mild Cognitive Decline

Stage 3 marks the point where cognitive decline becomes more apparent, and diagnosis often occurs. Common symptoms include:

• Increased forgetfulness
• Difficulty with planning and organizing
• Trouble remembering recently learned information
• Confusion in social settings
• Difficulty performing complex tasks, such as managing finances

At this stage, dementia-related anxiety may start to affect both the individual and their family. It is crucial to establish a care plan to slow the progression of dementia and provide support for daily tasks. Assisted Living with Memory Support, like the services offered at The Highlands at Lake Forest Place, can help seniors maintain some autonomy while receiving the care they need.

Stage 4: Moderate Cognitive Decline

Stage 4 involves moderate cognitive decline, where the effects of dementia extend beyond memory loss. Individuals may have difficulty with language, organization and problem-solving. They may struggle with daily activities such as managing finances, cooking or making decisions. Other common symptoms include:

• Wandering and getting lost
• Changes in sleep patterns
• Confusion about time or place
• Increased moodiness, depression, or withdrawal from social activities

Families often notice significant changes in their loved one’s behavior during this stage. While seniors can still perform some daily tasks, it may be time to consider professional Memory Care to ensure their safety and well-being.

Stage 5: Moderately Severe Cognitive Decline

In Stage 5, individuals begin to require more assistance with daily tasks. At this stage, they experience moderately severe dementia. There is a noticeable decline in cognitive abilities, including difficulty recognizing close family members or friends. Some key changes include:

• Inability to dress or groom themselves
• Confusion about time, place or current events
• Paranoia or delusional thinking, believing that others are plotting against them
• Hallucinations or vivid false memories

Due to this decline, expert Memory Care becomes essential. The highly trained staff at The Highlands Memory Support at Lake Forest Place provides compassionate, round-the-clock care tailored to the unique needs of each resident at this stage.

Stage 6: Severe Cognitive Decline

Stage 6 brings significant cognitive and physical challenges. The individual may lose the ability to communicate effectively, struggle to use the bathroom, and require assistance with eating. Additional symptoms include:

• Difficulty understanding or expressing thoughts
• Frequent delusions or hallucinations
• Difficulty recognizing family members
• Increased agitation or frustration with surroundings

Caregivers at this stage must provide more hands-on support, often requiring full-time Memory Care in a dedicated community like The Highlands at Lake Forest Place, where residents receive expert care with compassion and dignity as they navigate late-stage dementia.

Stage 7: Very Severe Cognitive Decline

The final stage of dementia, Stage 7, results in a loss of the ability to respond to their environment. As the brain’s connection to the body deteriorates, individuals may lose mobility and require assistance with all daily activities. At this stage, individuals may:

• Be unable to speak or communicate
• Need help with walking or be bedridden
• Require 24-hour care for all needs, including feeding and hygiene

The goal at this stage is to ensure comfort and quality of life. At The Highlands at Lake Forest Place, families can trust that their loved ones are receiving compassionate, skilled care tailored to their needs.

Compassionate Care at Every Stage

At The Highlands Memory Support at Lake Forest Place, we follow the GuidePoint Memory Method to offer personalized, compassionate care through every stage of dementia. We understand the unique challenges that dementia presents and are committed to helping residents maintain their dignity and comfort.

Our approach focuses on truly knowing each resident, providing tailored support, and creating meaningful moments with family involvement.

With a dedicated team of Certified Dementia Practitioners® and an on-site nurse, we provide expert care in a warm, inviting community where residents can thrive. Whether enjoying cozy gathering spaces, beautiful gardens, or engaging programs like painting, our residents feel at home and well supported.

Contact us today at 847-423-6679 to learn how Lake Forest Place can help you and your loved ones navigate the journey through dementia with care, compassion and support.