ALZHEIMER’S DISEASE PROGRESSION

TIP N0 1 (4/4/19: Realize that Alzheimer’s Disease (AD) is a result of amyloid plaque that progresses to produce fibrils and tangles in the Tau protein, that initiates an unknown cognitive impairment which later begin to cause simple memory problems as a result of neuron losses.  Then, the disease progresses to a loss of the executive functions of thinking, learning, expression, reading, writing and wandering. 
With continued progression, patients evolve into a dementia stage where they require caregiver support for Activities of Daily Living (ADL), as well as issues of anxiety, confusion, fear, worry, and depression that can become behavior problems

TIP NO, 2 (4/9/19: Realize there is a significant difference between Alzheimer’s Disease (AD) stages and AD Dementia (See Figure).  When a patient reaches the stage where they no longer can independently perform normal “Activities of Daily Living (ADL), they have reached AD Dementia and need constant attention and care.  Caregiving management is different during stages before and after ADL Dependence (see Figure).

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