Alzheimer’s Disease:
What You Need to Know

Alzheimer’s disease is a progressive neurological disorder and the most common cause of dementia, affecting millions of individuals across the globe. It not only impacts those diagnosed but also profoundly touches the lives of their families, caregivers, and communities. Characterized by gradual deterioration in memory, thinking, and behaviour, Alzheimer’s can lead to significant challenges in daily life and emotional well-being.

What is Alzheimer’s Disease?

Alzheimer’s disease is a condition that damages brain cells, leading to a decline in cognitive and functional abilities. It is characterized by the accumulation of abnormal proteins in the brain, such as amyloid plaques and tau tangles, which disrupt communication between neurons. Over time, this damage spreads, affecting various brain regions responsible for memory, reasoning, and daily functioning. While most commonly diagnosed in individuals over 65, early-onset Alzheimer’s can occur in those as young as their 30s or 40s. The average lifespan after symptom onset is approximately eight years, though this can vary significantly, with some individuals living for 20 years or more.

Stages of Alzheimer’s Disease

Alzheimer’s disease has different stages, and everyone experiences them uniquely. Knowing these stages helps doctors and families provide better care.

 

  • Preclinical stage
    Changes in the brain begin years before a person shows any signs of the disease. This time period is called preclinical Alzheimer disease, and it can last for years.
  • Early stage (Mild Alzheimer’s)
    Individuals may experience subtle memory lapses, such as forgetting recent events or misplacing items. They may struggle to find the right words or have difficulty planning and organizing tasks. Despite these challenges, they can often function independently with minimal support.
  • Middle stage (Moderate Alzheimer’s)
    Memory loss becomes more pronounced, and individuals may forget personal details or important events. They may have trouble recognizing familiar faces or navigating familiar places. Behavioural changes, such as mood swings, confusion, and agitation, are common. Assistance with daily activities, such as dressing and cooking, becomes necessary.
  • Late stage (Severe Alzheimer’s)
    Cognitive abilities decline significantly, and individuals may lose the ability to communicate coherently. They may require full-time care as they become unable to perform basic tasks like eating or bathing. Physical health deteriorates, and complications such as infections or difficulty swallowing may arise.

Symptoms and Progression

The symptoms of Alzheimer’s disease vary from person to person but generally worsen over time. Early signs include memory problems, difficulty concentrating, and challenges with problem-solving. As the disease progresses, individuals may experience disorientation, impaired judgment, and changes in personality. In the advanced stages, they may lose the ability to recognize loved ones, communicate, or care for themselves.

The progression of Alzheimer’s disease is gradual, typically spanning several years. While there is no cure, treatments and interventions can help manage symptoms and improve quality of life. Early diagnosis and support are crucial for planning care and accessing resources.

Normal Aging versus Dementia

It is important to distinguish between normal aging and dementia. Normal aging involves occasional forgetfulness, such as misplacing keys or forgetting names, but these lapses do not interfere with daily life. In contrast, dementia, including Alzheimer’s disease, involves persistent and progressive cognitive decline that affects the ability to function independently.

For example, a person experiencing normal aging may forget an appointment but remember it later. Someone with dementia may repeatedly forget the same appointment and struggle to recall it even with reminders. Understanding this difference can help families recognize when to seek medical advice.

Early detection ensures better care

Alzheimer’s disease is a challenging condition that affects not only individuals but also their families and caregivers. By understanding its stages, symptoms, and progression, families can better navigate the journey ahead. Distinguishing between normal aging and dementia is essential for early detection and intervention. With the right support and resources, individuals with Alzheimer’s can maintain dignity and quality of life.

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References

  1. Alzheimer’s Association. 2025.
  2. Alzheimer’s Stages by Amanda Gardner and Frances Gatta. WebMed. 2024.
  3. Stages of Alzheimer’s Disease. The Johns Hopkins Medicine. 2025.
  4. The differences between normal aging and dementia. Alzheimer Society of Canada. 2025.

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This document does not constitute the practice of medical consultation nor medical advice.
Always seek the advice of your treating physician and/or specialist.
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