Symptoms of Alzheimer's
Disease
Memory loss is usually the first symptom
of Alzheimer's disease. Most commonly it takes the form of a failure to remember new
information or recent events. For example, persons may repeat themselves, forgetting that
they already said the same thing earlier. Or, they may fail to remember information or
instructions they were given a short time before. As the illness progresses they begin to
misplace objects or fail to remember where they are usually located. They often do not
realize that this is happening and deny that the problem is do to a failure of their
memory. People who suffer from Alzheimer's disease may deny that they were ever given the
information they are accused of forgetting, or complain that the item they cannot find has
been stolen. Initially, family members often dismiss the changes as age related or as the
beginning of senility. It is only after the problem progresses to the point where it can
no longer be ignored that they seek medical attention for their loved one. Rarely will the
patient initiate the evaluation.
The following is a modified list of some warning signs:
Recent memory loss that affects job
skills
It is normal to occasionally forget assignments, colleagues' names, or a business
associate's telephone number and then remember them later. Those with a dementia, such as
Alzheimer's disease, forget things with greater frequency and often fail to remember them
even when reminded.
Difficulty performing familiar tasks
Busy people can be so distracted from time to time that they may leave the carrots on the
stove and only remember to serve them at the end of the meal. People with Alzheimer's
disease may have difficulty going through the proper steps to prepare the carrots.
Problems with language
Everyone has trouble finding the right words sometimes, but people with Alzheimer's
disease may forget simple words or substitute inappropriate words, making their sentences
difficult to understand.
Disorientation to time and place
It is normal to occasionally forget the day of the week or how to get where you are going.
However, people with Alzheimer's disease may become lost in familiar surroundings, not
knowing where they are, how they got there, or how to get back home.
Poor or decreased judgment
People can become so immersed in an activity that they temporarily forget about something
else that they are supposed to be doing at the same time, such as watching a child. People
with Alzheimer's disease may entirely forget about the child under their care. They may
also dress inappropriately for the weather or put on several shirts or blouses.
Problems with abstract thinking
Balancing a checkbook may be disconcerting when the task is more complicated than usual.
Someone with Alzheimer's disease may completely forget what the numbers are and what needs
to be done with them.
Misplacing things
Anyone can temporarily misplace a wallet or keys. A person with Alzheimer's disease may
put things in inappropriate places: the ice cream in a kitchen cabinet or the milk in the
freezer.
Changes in mood and behavior
Everyone becomes sad or moody from time to time. Someone with Alzheimer's disease can
exhibit rapid mood swings - from calm to tears to anger, for no apparent reason.
Changes in personality
People's personalities may change slightly with age; however, a person with Alzheimer's
disease can change drastically, becoming extremely confused, suspicious, or fearful.
Loss of initiative
It is normal to tire of housework, business activities, or social obligations, but most
people regain their initiative. People with Alzheimer's disease may become very passive
and require cues and prompting to become involved.
As the disease progresses, patients become increasingly confused and disorientated. They
may have difficulty expressing what they want to say. The progressive brain failure alters
their personality and behavior. They may have periods of agitation, depression, or
paranoia. They lose the ability to exercise good judgment and use common sense. All the
while, they may deny that they have any problems and refuse to believe they need help.