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ASOCIACION DE ALZHEIMER DE
PUERTO RICO
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Edif. Santurce Medical Mall
1801 Ave. Ponce de León
P.O. Box 362026
San Juan, PR 00936-2026
Tel: (787) 727-4151 (787) 268-6818
Fax: (787) 727-4890
E-Mail: alzheimerpr@alzheimerpr.org |

Alzheimer's Disease
International |
CHARACTERISTICS OF A PATIENT
WITH ALZHEIMER'S DISEASE IN EACH STAGE
First
Stage
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Less energy, drive and initiative.
- Reaction time is slower.
- Greater difficulty learning new things.
- Desire to maintain close to familiar
people, places and things.
- Catastrophic reactions.
- Can have easy moments of anger or intranquility.
- Realize that they have problems with their
memory, but often deny it or try to cover it up.
- Depression and affliction.
Second
Stage
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Talks slower.
- Misinterprets what is heard.
- Difficulty in following the flow of
conversations, TV, jokes or stories that have been read to them.
- Problems doing calculations (example:
balancing the checkbook).
- Difficulty in making decisions.
- Difficulty in planning for the future.
- Introverted.
- Insensitivity to others.
- Avoids situations in which they can fail.
- Suspects jealousy.
- Needs supervision in order to function normally.
- Feelings of guilt, sadness and depression.
Third
Stage
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Obvious incapacity.
- Disoriented in time and place.
- Cannot recognize familiar people and events.
- Lethargic.
- Needs instructions repeated to them and
constant supervision.
- Not very cordial with close relatives.
- Cannot remember words, invents new ones.
- Unexpected conduct - sometimes exaggerated, eccentric.
- On occasion remembers clearly things from
the past.
- Paranoid.
- Sad, depressed, retreated.
Fourth Stage
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Extreme apathy.
- Feels lost around family members.
- Wanders.
- Needs help in all the daily normal
activities and personal care.
- Continues the memory loss of recent events
and of the past.
- Repeats a lot (syllables, words or phrases).
- Cannot recognize themselves when they look
in the mirror.
- Illusions, depression, delirium.
- Loss of personal dignity and self-confidence.
- Possible Incontinence.
- Helplessness, confusion, panic.
- Feels like as if they are another person.

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