Professional Documents
Culture Documents
Gradual onset
& Progressive
Hallucinations
Memory loss
Causes of Dementia that MAY be reversible
Delirium Sudden Onset
Infections
Hospitalization and/or surgery
Dehydration
Medication reaction
B12 Deficiency
Thyroid Disease
Depression
What is the Diagnosis
Alzheimers
Dementia with
Lewy Bodies Disease
https://www.nia.nih.gov/alzheimer
s/publication/lewy-body-
dementia/introduction
https://www.lbda.org/
https://www.nia.nih.gov/alzheimer
s/publication/frontotemporal-
disorders/introduction
http://www.theaftd.org/
Stages of Memory Loss
Difficulty balancing checkbook Long term memory declines Frequently do not recognize their
Difficulty paying bills appropriately Medication must be managed for them spouse
Daycare Programs
In home Respite
Asking for help from family & friends
Contact the Alzheimers Association
1 800-272-3900
www.alz.org
www.alz.org/georgia
Middle Stage AD Cognitive Changes
Short term memory is significantly impaired
Long term memory also impaired
Visual Spatial challenges increase
Executive Function has declined no longer able to make
decisions
Orientation - Unable to keep track of time, day, date or year
Middle Stage AD Functional Activities
Develop routine & structure to the day
Prompting and/or assistance as needed for bathing, dressing
& personal hygiene
Medication must be managed & dispensed
Meals must be provided
Provide activities
Middle Stage AD Behavioral Changes
Behavioral Challenges may appear
Agitation and/or irritability
Anxiety
Apathy
Depression
Sleep Challenges
Middle AD
Caregivers are learning how to manage difficult behavior
Repeating the same story over and over
Refusing to bathe
Wearing the same clothes day after day
Accusing the caregiver of stealing
Refusing to take medication
Plan for Middle Stage AD
Find & utilize respite services
Daycare programs
Hire caregivers in the home
Utilize assisted living
Learn about SOURCE and Community Care Services Program (CCSP)
Its never to early to be on waiting lists for these programs
Plan for Middle Stage AD
Take a class that teaches strategies for caregivers:
Savvy Caregiver Class
Emory Integrated Memory Care Clinic
TeleSavvy - Emory School of Nursing Research Project
Powerful Tools for Caregivers
Agewise Connection
Now in its 6th Edition
The Classic Family Guide to
Caring for People with
Alzheimers & other Dementias
By Nancy Mace, MA &
Peter Rabins, MD, PhD
Challenge for Caregivers
Accept that the person with AD can not change their behavior
Adult Daycare
Emergency Response Systems
Personal Support Service, which includes assistance with bathing,
light housekeeping, laundry, shopping, meal preparation and respite
Home Delivered Meals
Skilled Nursing Service
Out of Home Respite Care
Alternative Living Services, which provides meals, personal care and
supervision in an approved personal care home.
How Do We Pay for Services?
Medicare is Health Insurance - www.medicare.gov
Covers Hospital care
Home Health Care
after a 3 day hospital stay may cover up to 21 days in a Skilled Nursing Home
for Rehab services or partial payment for 100 days there are restrictions
Medicaid For Low Income people financial eligibility criteria
CCSP & Source
Nursing Home Care
Hospice Care
How Do We Pay for Services?
Home Care, Day Care, Assisted Living & Person Care Homes
Private Pay
Long Term Care Insurance
CCSP & Source
https://www.nia.nih.gov/alzh
eimers/publication/caring-
person-alzheimers-
disease/about-guide
https://www.nia.nih.gov/alzh
eimers
Throughout the Disease Course
alz.org/Georgia
1-800-272-3900
Some of their services are:
Early Stage Memory Loss Groups
A Time To Talk
Forget-Me-Nots/Carpe Diem
Caregiver Support Groups
Care Counseling
24 hour helpline
Advocacy
Emory Alzheimers Disease Center Research
www.alzheimers.emory.edu