Nancy, try this site. Not sure if is lists the 7 stages but it has bunches
of info re AD.
http://www.muggsmulcher.com/kstuff/a.s.a/intro.htm
It was fashioned and set up by a former AD group member.
Gwen

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| How do you know what stage a LO is in? My dad thinks mom is in the
| middle stages but everything I read, she is farther advanced than that.
[quoted text clipped - 14 lines]
| Thanks
| Nancy Zink
Tumbleweed - 07 May 2004 06:22 GMT
but bear in mind the stages are a rough guide, and a person can be in one
stage in one aspect of behaviour and another stage in a different one.

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Tumbleweed
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> Nancy, try this site. Not sure if is lists the 7 stages but it has bunches
> of info re AD.
[quoted text clipped - 27 lines]
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.677 / Virus Database: 439 - Release Date: 5/4/2004
Here are the most commonly used set of definitions of the stages. Keep
in mind, the disease is actually a continuem, so not everyone is going
to fit neatly into a stage at any one time (i.e. your loved one may
have characteristics that span several stages at once - i.e. a bit of
stage 4, a lot of stage 5 and a few in stage 6). Stages are just a
helpful way of "binning" symptoms to get a feel for where a person is
in the disease based on the preponderance of their issues, and for
anticipating what might come next.
Mary G.
Stages of Alzheimers
In 1982 Dr. Barry Reisberg published what was to become the best and
most widely accepted description of the stages of Alzheimer's disease.
Even today, 222 years later, when experts refers to a person being in
stage 5 or stage 6, they are referring to Dr. Reisberg's scale of
seven stages.
Adapted from Reisberg, B., Ferris, S.H., Leon, J.J. & Crook, T. The
global deterioration scale for the assessment of primary degenerative
dementia. American Journal of Psychiatry, 1982
Level 1
No cognitive decline - (or Normal Adult). No subjective complaints of
memory deficit. No memory deficit evident on clinical interviews.
Level 2
Very mild cognitive decline (forgetfulness or normal older adult).
Subjective complaints of memory deficit, most frequently in the
following area:
(a) forgetting where one has placed familiar objects;
(b) forgetting names on formerly knew well. No objective evidence of
memory deficit on clinical interview. No objective deficits in
employment or social situations. Appropriate concern regarding
symptoms.
Level 3
Mild cognitive decline (early confusional or Early AD). Earliest
clear-cut deficits. Manifestations in more than one of the following
areas:
(a) patient may have gotten lost when traveling to an unfamiliar
location;
(b) co-workers become aware of patient's relatively low performance;
(c) word and name finding deficit becomes evident to intimates;
(d) patient may read a passage of a book and retain relatively little
material;
(e) patient may demonstrate decreased facility in remembering names
upon introduction to new people;
(f) patient may have lost or misplaced an object of value;
(g) concentration deficit may be evident on clinical testing.
Objective evidence of memory deficit obtained only with an intensive
interview. Denial begins to become manifest in patient. Mild to
moderate anxiety accompanies symptoms.Deficits noticed in demanding
employment situations.
Level 4
Moderate cognitive decline (Late Confusional or Mild AD). Clear-cut
deficit on careful clinical interview. Deficit manifest in following
areas:
(a) decreased knowledge of current and recent events;
(b) may exhibit some deficit in memory of one's personal history;
(c) concentration deficit elicited on serial subtractions;
(d) decreased ability to travel, handle finances, etc.
Frequently no deficit in the following areas:
(a) orientation to time and person;
(b) recognition of familiar persons and faces;
(c) ability to travel to familiar locations. Inability to perform
complex tasks. Denial is dominant defense mechanism. Flattening of
affect and withdrawl from challenging situations occur.
Level 5
Moderately severe cognitive decline (Early Dementia or moderate AD).
Patient can no longer survive without some assistance. Patient is
unable during interview to recall a major relevant aspect of their
current lives, e.g., an address or telephone number of many years, the
names of close family members (such as grandchildren), the name of the
high school or college from which they graduated. Frequently some
disorientation to time (date, day of week, season, etc.) or to place.
An educated person may have difficulty counting back from 40 by 4s or
from 20 by 2s. Persons at this stage retain knowledge of many major
facts regarding themselves and others. They invariably know
their own names and generally know their spouse's and children's
names. They require no assistance with toileting and eating, but may
have some difficulty choosing the proper clothing to wear.
Level 6
Severe cognitive decline (Middle Dementia or Moderately Severe AD).
May occasionally forget the name of the spouse upon whom they are
entirely dependent for survival. Will be largely unaware of all recent
events and experiences in their lives. Retain some knowledge of their
past lives but this is very sketchy. Generally unaware of their
surroundings, the year, the season, etc. May have difficulty counting
from 10, both backward and sometimes forward. Will require some
assistance with activities of daily living, e.g., may become
incontinent, will require travel assistance but occasionally will
display ability to familiar locations. Diurnal rhythm frequently
disturbed. Almost always recall
their own name. Frequently continue to be able to distinguish familiar
from unfamiliar persons in their environment. Personality and
emotional changes occur. These are quite variable and include
(a) delusional behavior, e.g., paatients may accuse their spouse of
being an impostor, may talk to imaginary figures in the environment,
or to their own reflection in the mirror;
(b) obsessive symptoms, e.g., person may continually repeat simple
cleaning activities;
(c) anxiety symptoms, agitation, and even previously nonexistent
violent behavior may occur;
(d) cognitive abulla, i.e., loss of willpower because an individual
cannot carry a thought long enough to determine a purposeful course of
action.
6a - Requires Assistance dressing
6b - Requires Assistance bathing properly
6c - Requires Assistance with mechanics of toileting
6d - Urinary incontinence
6e - Fecal incontinence
Level 7
Very severe cognitive decline (Late Dementia or Severe AD). All verbal
abilities are lost. Frequently there is no speech at all - only
grunting. Incontinent of urine, requires assistance toileting and
feeding. Lose basic psychomotor skills, e.g., ability to walk, sitting
and head control.
The brain appears to no longer be able to tell the body what to do.
Generalized and cortical neurologic signs and symptoms are frequently
present.
7a - Speech ability limited to about a half-dozen intelligible words
7b - Intelligible vocabulary limited to a single word
7c - Ambulatory ability lost
7d - Ability to sit up lost
7e - Ability to smile lost
7f - Ability to hold up head lost