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What Are Signs That Dementia Is Getting Worse?

Recognizing the Warning Signs of Advancing Dementia for Better Care and Support.

By Jame RoarkPublished about a year ago 3 min read

Dementia is a neurodegenerative condition affecting cognitive, behavioral, and physical abilities progressively. Key signs indicating the advancement of the condition can be detected and the appropriate care and support offered by families and caregivers. Here are some key indicators of advancing dementia, with all details so that you have an all-inclusive guideline.

Behavioral and Emotional Changes

Increased agitation and irritation

As dementia progresses, individuals often become more agitated or irritable. This can include restlessness, pacing, or repetitive movements. These behaviors may be triggered by confusion, frustration, or an inability to express their needs effectively.

Intensified Mood Swings

Mood swings could continue to escalate with the progression of dementia. Varying from irritability and depression to unpredictable mania, these emotions may not always be provoked. The caregiver needs to be even more patient and hold on while this occurs.

Cognitive Deterioration and Memory Loss

Serious Short- and Long-term Memory Loss

Memory impairment increases with time. The ability to:

  • Identify immediate relatives.
  • Recall important personal occasions.
  • Retain simple day-to-day habits.

This cognitive impairment is often associated with the later stages of the FAST scale dementia, a meter by which the course of dementia is measured.

Decision-Making Ability

Loss of decision-making and problem-solving is another characteristic of worsening dementia. Individuals are unable to perform ordinary tasks like deciding what to wear or how to prepare a meal step by step.

Physical Decline

Loss of Physical Mobility

As the disorder progresses, patients generally suffer a marked decline in their physical mobility. This can take the forms of failure to walk well, repeated falls, or an inability to sit or rise without support.

Eating and Swallowing Difficulties

Advanced stages of the disease may result in dysphagia, which is an inability to swallow properly. This creates a risk of choking and malnutrition if not managed with proper care.

Social and Communication Problems

Lack of Social Interaction

Individuals with deteriorating dementia may become withdrawn from social activities most of the time due to shame about their condition or inability to hold discussions.

Loss of Language

As the disease advances, individuals may lose their ability to effectively communicate. They may become dependent on gestures, repeat certain phrases, or lose words.

Health Complications

Incontinence

Inability to control the bladder and bowel is one of the symptoms of advanced dementia. Such a change usually indicates that the condition has progressed to an advanced stage and needs more caregiving.

Increased Vulnerability to Infections

Severe dementia deteriorates the resistance of the body, making the person vulnerable to infections such as pneumonia and urinary tract infections.

Knowledge of Fast Scale Dementia

The FAST scale dementia classification helps explain and guide the caregiver and healthcare provider about the stages of progression with dementia. Indentifying where a person falls on this scale would appropriate care plans be implemented to address specific needs as the condition worsens.

How to Support Someone with Progressing Dementia

Have a Pattern of Routine

Routine often reduces confusion and anxiety for someone with dementia. A regular pattern of daily activities can be comforting and stable for the individual.

A Safe Environment

Analyze dwelling spaces to eliminate hazards. Get rid of sharp objects. A brighter room will help reduce accidents from falling. Add handrails.

Activities to Cause Significant Involvement

Dementia can progress, but the person's well-being can be improved by merely listening to music, looking at photo albums, or gentle exercises.

Conclusion

Being able to identify signs of worsening dementia is essential in providing timely interventions and improving the quality of care delivered. Starting with behavioral changes to physical decline, families and caregivers are helped navigate this difficult journey upon awareness of such symptoms of the worsening condition. In addition, the dementia framework of FAST scale can be useful for planning care and ensuring that the required support is provided for every stage of the condition.

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About the Creator

Jame Roark

Jame Roark is a versatile and passionate writer with a keen interest in exploring a diverse range of topics.

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