Dementia Expert

Changes Experienced in Stage 2


 
In Stage 2, your parent’s memory and cognitive ability will deteriorate further, and supervision and assistance will become a primary need. Your preparations for this stage will require you to think about 24-hour assistance, transportation, housing, financial and legal matters, and long-term care.
 
Medical assistance and caregiver respite – keeping yourself fit and able to continue to give care – are mandatory for your parent’s safety and your own, and to control your quality of life.
 
 
 

Stage 2 Checklist

 
Increased Confusion:
 
/_/ My parent has difficulty remembering to lock the door.
 
/_/ My parent cannot remember how to call me if she needs help.
 
/_/ My parent cannot formulate complete thoughts and sentences.
 
/_/ My parent cannot read.
 
/_/ My parent may mix up identities or forget names and identities (daughter, son, grandchild, friends, and deceased relatives).
 
/_/ My parent doesn’t recognize or remember the use of objects like a chair or bed.
 
/_/ My parent shows frustration at not being able to understand or at not being understood.
 
 
Speech/Actions
 
/_/ My parent repeats questions or statements many times.
 
/_/ My parent makes repetitive motions.
 
/_/ My parent paces in circles or wanders from room to room.
 
/_/ My parent often becomes unmanageable in the afternoons or evenings with verbal outbursts or physical activities such as masturbating or disrobing in public or running away.
 
/_/ My parent makes up stories to fill in memory gaps.
 
 
Hygiene Changes
 
/_/ My parent refuses to bathe or becomes fearful and agitated when we bathe her.
 
/_/ My parent wants to wear the same pieces of clothing for extended periods of time without washing them.
 
/_/ My parent is incontinent.
 
 
Sleep/Paranoia/Fear
 
/_/ My parent sometimes or always sleeps during the day and stays awake at night.
 
/_/ My parent has accused us of trying to kill her or stealing her money.
 
/_/ My parent is sometimes aggressive or combative and has tried to kick, hit, scratch, or bite other people.
 
 
Safety Risks
 
/_/ My parent lives alone and gets lost when he goes outside his home.
 
/_/ My parent no longer understands what poison is or does.
 
/_/ My parent is unsure of himself on stairs or balconies.
 
/_/ My parent’s balance is off and he is at risk for a trip or fall.
 
/_/ My parent can no longer dial my number on the phone. (Try this test: hand your parent the telephone and say, “Dial my number, Mom.”)
 
/_/ My parent could no longer evacuate in a fire.
 
/_/ My parent could no longer remember how to call 911 in an emergency.
 
As the illness progresses, your parent may not remember you, your siblings, or a spouse. It will no longer be safe to leave your parent alone. Your parent will require 24-hour supervision and total assistance with all activities of daily living such as eating, bathing, dressing, and toileting.

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