The Clinical Stages of Alzheimer’s Disease · The Clinical Stages of Alzheimer’s Disease By...

The Clinical Stages of Alzheimer’s DiseaseBy Lynne GripThe number of stages assigned to Alzheimer’s disease varies depending on the

source. TheAlzheimer’s Association designates three broad categories that include early-stage, middle-stage,and late-stage. Other resources such as the Mayo Clinic include a pre-clinical category, whichdevelops long before any symptoms are apparent. This stage can be identified only in researchsettings and can last for years and possibly even decades.

The early or mild stage of Alzheimer’s is one where people still live normally and independently butmay experience memory lapses beyond what is considered “normal aging.” We’ve all blanked onsomeone’s name, misplaced our keys or phone, or walked into a room and forgotten why we wentthere. Usually we laugh it off as having a “senior moment,” and that is essentially what it is. As wegrow older, most of us notice we’re just not as quick as we used to be and that it may take longerto learn and recall information, which is why it’s important to keep our brains active and maintaingood health.

With early-stage Alzheimer’s, memory deficits are more noticeable and include forgetting the rightname or word for something familiar, having difficulty performing usual tasks, forgetting what wasjust read, and having trouble with planning and organizing. People may also experience moodchanges and become more easily upset or frustrated. During this time, it’s important to seekmedical advice and continue to live well by taking control of overall health and wellness. It’s time tofocus on what’s important and make plans for the future to address legal, financial, and socialneeds. Though the rate of progression varies, it is estimated this stage can last anywhere from twoto four years.

With middle-stage or moderate Alzheimer’s, the symptoms of dementia are more pronounced.Words may be confused, and thoughts expressed with increased difficulty. The performance ofusual tasks and routines may require some level of assistance. There may be confusion about timeand place and increased difficulty controlling bowel or bladder functions. This stage is estimated tolast anywhere from two to 10 years.

In late-stage Alzheimer’s, symptoms are severe. The ability to engage and respond to theenvironment is essentially lost. Loved ones may not be recognized, and communication becomesmuch more difficult. At this point, around-the-clock personal care is generally required. It’simportant to maintain interaction through such things as family visits, gentle touch, and the playingof relaxing music. It is estimated this stage can last from one to three years.

It is important to remember that people may not fit neatly into specific stages and that stages canoverlap. People need to be assessed individually, and their care should be tailored to who they areand what they need at any given point in time.

Carlton Senior Living

Management Team

Stop the spread of germs that can make you and others sick!

You may be asked to put ona facemask to protect others.

If you don’t have a tissue, cough orsneeze into your upper sleeve orelbow, not your hands.

Wash hands often with soap andwarm water for 20 seconds.If soap and water are notavailable, use an alcohol-basedhand rub.

Cover your mouth and nose with atissue when you cough or sneeze.Put your used tissue in thewaste basket.

CS208322

A message from your local health officer andthe California Department of Public Health, Division of Communicable Disease Control IMM-825(7/19)

Wash Your

Protect yourself. Prevent20

Residents!Mija Kim October 9th

Virginia Thrupp October 11th

Dora Rawlinson October 30th

Employees! Paula Castaneda October 2nd

Selena Gallo October 5th

Josie Tarango October 10th

Sonia Flores October 12th

Audrey Caldwell October 17th

Marilyn Edwards

Marilyn Edwards is our Resident Spotlight! Marilyn lights up theroom here at Carlton. We love hergreat sense of humor, love forthe dogs, and love for music.Marilyn is known for her hugeheart and we could be more happy to have her here.

“Hello Everyone! I just wanted to thank everyone for the huge impactYou all have had on my heart. I loveevery single one of you and I will miss you all so much! It has been anhonor to be apart of this communityand I will cherish these memories always. I have met some Amazing,Hilarious, Kind people here and I can’twait to see you all again soon!Love Always,Audrey”Audrey Caldwell

Thursday, October 1

Sensory - Feel the Fabrics10:15 Morning Cafe Social

12:45 SingFit 1:45 Creative Creation

3:45 Stretching Circle 6:00 M*A*S*H 7:00 Fluff and Fold

Friday, October 2

Sensory - Aroma Therapy10:15 Morning Cafe Social10:30 SingFit12:45 Nail Salon Social 1:45 Sweet Treats 2:30 Puppy Play

3:45 Stretching Circle 6:30 Residents Choice Movie Night!

Saturday, October 3

Sensory - Aroma Therapy10:15 Morning Cafe Social12:45 Walking Club / Meditation 1:15 Ice Cream Social

2:45 Would you Rather 3:10 Puppy Play on the Patio 3:45 Stretching Circle 6:00 Game Show Night

Sunday, October 4 Sensory - Aroma Therapy

10:00 Morning Cafe Social10:30 Spa Hour12:30 Afternoon Concert

2:30 Cookies and Trivia 3:00 Puppy Play 3:45 Stretching Circle 6:00 Evening Music Sing-A-Long

OCTOBER

Monday, October 5 Friday, October 9 Sensory - Aroma Therapy

10:00 Morning Cafe Social10:30 SingFit11:00 Puppy Play12:45 Dakim Trivia

2:00 Creative Creation 2:30 Ice Cream Social 3:30 Stretching Circle 5:30 I Love Lucy

Sensory - Aroma Therapy10:15 Morning Cafe Social10:30 SingFit11:00 FETCH with Pups!12:45 Nail Salon Social 1:45 Sweet Treats 2:30 Puppy Play


Tuesday, October 6 Saturday, October 10Sensory - Hand Massage

10:15 Morning Cafe Social10:30 Puppy Play12:00 Afternoon Concert 1:00 Ice Cream Social 1:30 SingFit

3:15 Poetry Corner 3:45 Stretching Circle 6:00 Hot Chocolate Social



Wednesday, October 7 Sunday, October 11

10:15 Morning Snacks10:30 Puppy Play

Sensory - Aroma Therapy12:45 Guess That Sound 1:30 Would you Rather 2:15 Puppy Training Class


Sensory - Aroma Therapy10:00 Morning Cafe Social10:30 Spa Hour11:00 Puppy Play12:30 Afternoon Concert

2:30 Cookies and Hot COCO 3:00 Puppy Play 3:45 Stretching Circle 6:00 Evening Music Sing-A-Long

Thursday, October 8Sensory - Feel the Fabrics

10:15 Morning Cafe Social

11:00 Puppy Play12:45 SingFit 1:45 Creative Creation 2:30 Wine and Cheese Social 3:45 Stretching Circle 6:00 M*A*S*H 7:00 Fluff and Fold

Carlton’s Beauty SalonDon’t forget to take advantage of all of

TheirCall the front desk and ask for

The Beauty Salon to book your appointmentWEDNESDAYS, THURSDAYS, & FRIDAYS













Sensory - Aroma Therapy

1:30 Would you Rather 2:15 Puppy Training Class 3:00 Milkshakes and Music 3:45 Stretching Circle 6:00 Residents Choice Movie Night!

Sensory - Aroma Therapy10:00 Morning Cafe Social10:30 Spa Hour12:30 Afternoon Concert

2:30 Cooking Cookies 3:00 Puppy Play 3:45 Stretching Circle 6:00 Evening Music Sing-A-Long

Thursday, October 15 One of the best ways toshow your appreciation foroutstanding staff member,who has gone above andbeyond, by submitting a

“Best of the Best!”Ask us How!


12:45 SingFit 1:45 Creative Creation 2:30 Wine and Cheese Social 3:45 Stretching Circle 6:00 M*A*S*H 7:00 Fluff and Fold









Sensory - Aroma Therapy10:15 Morning Cafe Social12:45 Walking Club / Meditation 1:15 Wine and Cheese Social



10:30 Puppy Play Sensory - Aroma Therapy

12:45 Guess That Sound 1:30 Would you Rather 2:15 Puppy Training Class 3:00 Milkshakes and Music 3:45 Stretching Circle 6:00 Residents Choice Movie Night!

Sensory - Aroma Therapy10:00 Morning Cafe Social10:30 Spa Hour12:30 Afternoon Concert

2:30 Decorating Cookies 3:00 Puppy Play 3:45 Stretching Circle 6:00 Evening Music Sing-A-Long

Thursday, October 22 Dakim TriviaWhen you use clinically-proven Dakim Brain

Fitness, the real benefits of increased cognitiveperformance can be yours:- Remember facts, lists, names and more faces-Organize your thoughts more rapidly-Hold more ideas in your head at one time-Find the right word when you need it-Perform complex calculations in your head-Remember more details of what you read-Quickly evaluate information ad makedecisions in less time!











Sensory - Aroma Therapy

12:45 Costume Parade 1:15 Spooky Ice Cream Social

2:35 Would you Rather 3:10 Puppy Play 3:45 Stretching Circle 6:00 Game Show Night

Wednesday, October 28


Sensory - Aroma Therapy12:45 Guess That Sound 1:30 Would you Rather 2:15 Puppy Training Class 3:00 Milkshakes and Music 3:45 Stretching Circle 6:00 Residents Choice Movie Night!

Thursday, October 29Sensory - Feel the Fabrics

10:15 Morning Cafe Social


Dementia SupportGroup

October 27th@ 6:30 PM

Held byVickie Bellingham RN

Ask Questions, get tips,and share the struggles we all face

when a loved-one suffers from dementia.

RSVP(925) 935-1001

How to Safely Transfer from Sitting to Standing in Memory Care

Helping a person living with dementia transfer to or from a bed to a chair safely may seem like a simple task,but the truth is, both people can be injured if you aren’t careful with the procedure. With the right instructionsand the correct aids, you can minimize most problems that may occur when doing a sit to stand transfer.

It is critical to take into consideration each person’s strengths and weaknesses, the proper mobility devicesto use, and the environment. The following are some established recommendations for assisting with a safetransfer from sitting to standing:

● Ask the person for their help: Use simple instructions, even if you think the person will notunderstand you, providing plenty of time to respond. Sometimes, all a person needs in the early stagesof dementia is a hand on the lower back and one on the shoulder to gently guide them forward.

● Use a gait belt or other lift support devices: Support the transfer instead of physically lifting froma sit to stand position to reduce the chance of injuring yourself.

● Position walker or wheelchair nearby: Have the device close to the bed or chair and lock thewheels. Check the area for clutter so you or the resident don’t trip.

● Maintain a “neutral” spine: Anytime that you lose the natural lumbar curve, you’re putting yourback at risk for injury. It’s the small micro traumas that develop into an injury versus just one singleisolated event.

● Determine the best position: For standing transfers, make sure the resident’s feet are positionedslightly under his or her knees. For seated transfers, ensure their head/shoulders are bending awayfrom the surface they are transferring from.

● Know their strengths: If the resident you are assisting has a stronger left or right side, make sureto lead with that side. If they tend to push or grab, lead with the resident’s non-pushing or grabbingside, or position your hands to control the “pushing/grabbing arm(s).

● Communicate: Give simple, step-by-step instructions, especially when you’re ready to transfer.Counting to three can be quite helpful – you can then both move at the same time. Make sure to allowfor greater time if the resident has Parkinson’s disease because initiating movement will be moreDifficult.

● Use momentum: While transferring encourage rocking or count to three.

● Take a break: Give the resident a moment to adjust to each new position.

● Stay aware of changes: From day to day, keep in mind that with individuals with dementia, whatworks today may not be work a month from now.

Now that we know some safe techniques, let’s review what NOT to do when transferring a resident withdementia from a seated position to standing:

● Don’t bend or round out your back. This puts tremendous strain on the joints and will lead to aback injury over time. Keeping your back straight and bending with your knees allows you to lift with thestronger leg muscles, not the weaker back muscles.

● Don’t do all the work. Many residents, even in the late stages, can offer limited assistance if yougive them simple instructions and enough time to respond.

● Don’t lift under the resident’s arms. This can cause damage to the arms and shoulder joint, andit doesn’t allow you adequate control of the person’s body. In addition, it’s painful for the resident if yougrab them here, because this is where a network of nerves and blood vessels run (brachial plexus). Ifyou need to give assistance, assist from the hips.

● Don’t twist your body without moving your feet in the same direction. This is how manyinjuries occur.

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The Clinical Stages of Alzheimer’s Disease · The Clinical Stages of Alzheimer’s Disease By...

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