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Would you share your experiences…?

If your LO is in this stage or you’ve passed it, please share your experiences, struggles, how things have progressed and tips! I’m especially interested in hearing how long your LO has been in this phase and what happened next for you.

MY DH is stage 6 ALZ. Totally dependent but feeds and toilets himself. No incontenence. Yesterday we saw the doctor & DH could not complete the clock or remember any of the words. At home, it’s clear he has close to zero short term memory….moment to moment and recent events are totally lost. He’s been like this or nearly like this for four years.

Comments

  • Sunfish47
    Sunfish47 Member Posts: 142
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    I don’t know how long stage 6 is supposed to last. The DBAT chart says usually 1-3 years. I hadn’t looked at the chart for a while but I did just now when I saw your post, and now realize my DH is also stage 6. He has about 13 of the behavioral characteristics. Have to say this progression came on pretty gradually for him, guessing he’s been stage 6 for at least six months now. Like your husband, he feeds and toilets himself but I have to make sure he gets to the bathroom at least every couple hours so he doesn’t have an accident. Wet sheets and wet pants about once or twice a week so far. Haven’t gotten to diapers yet. No short term memory and they don’t bother giving him the clock test or any other cognition test anymore at the doctor. I just don’t know how long he will be in this stage. Managing okay so far, not looking forward to next stage.

  • AlzWife2023
    AlzWife2023 Member Posts: 431
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    Hi @Sunfish47! thanks for sharing. How old is your DH? How long since diagnosis. What little things make your days better. For me, it's having my own hobbies but not forcing too much or any deadlines and making sure to keep everything slow with him and just relax into his groove for part of the day, then set him up and do my stuff in the next room part of the day.

  • exhausted2026
    exhausted2026 Member Posts: 3
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    It’s strange that the timing is so all over the place. My DH is 83 and thinking back I feel like he has symptoms for at least 10 years so I think his progress is very slow. I’ve learned what works and what doesn’t regarding communication. Patience is essential!

  • Sunfish47
    Sunfish47 Member Posts: 142
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    Hi AlzWife: my DH is 84 and except for the cognitive issues, is in excellent physical health. I am 77. We were actually enjoying life & still working parttime up til 5 years ago, operating a home based business together. Previously highly intelligent, thats when DH started showing signs of cognitive impairment. I guess he was stage 3 or 4 at that point, forgetting words & getting lost driving.
    Nowadays, he can’t remember most things I tell him 10 seconds later, doesnt know our daughters or grandchildren anymore (they are close by & we see them all the time), has the executive decision-making of a 3 year old, sees people in the house that aren’t there, always tells me he needs “to go home, wears the same clothes day after day unless I can get him to shower (“today is shower day, dear”), can never find his wallet (cuz he can’t remember where he hid it the night before), has aphasia that gets pretty bad as the day goes on, is still pleasant but also very anxious, shadows me constantly (which is annoying but at least I know where he is and what he’s doing), beginning urinary incontinence so has to be reminded every few hours, or before we leave the house, to use the bathroom (and I now keep a urinal in the car).
    He always wants to go somewhere, anywhere, everyday - so most days we either drive to grocery store for a small food shopping or else go sit in a fast food restaurant for a snack or go walk for a bit in a nearby shopping mall.
    At home he is content to watch tv: music videos or old cowboy shows like Gunsmoke, The Rifleman, etc that he remembers from his youth.
    Since we are mostly home, I like to spend my free time online at my computer, and I have his computer set up right next to mine and I put on YouTube videos for him to scroll thru (except I have to do the scrolling for him). Or I put TikTok on his phone so he can watch videos (and I have to scroll those for him too).
    We have 3 chickens in a small coop in the backyard and every day I give him chicken feed in a bowl to take to them. Many times he’ll scatter the chicken feed and bring me back the empty bowl and tell me they need food.
    Me: “you just brought them food”.
    DH: “no I didn’t.”
    Me: “well here’s the empty bowl so yes you did just bring them food”.
    DH: “no I didn’t. They haven’t had any food for two days.” 😂🤣

  • exhausted2026
    exhausted2026 Member Posts: 3
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    It sounds like you’ve got a lot figured out! I’m sorry he’s lost so much. It seems like you’re managing his day and yours very well! I’m starting to get a good flow too. My DH still remembers our kids and no incontinence. Was the forgetting people sudden or gradual?

  • rplynch
    rplynch Member Posts: 2
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    I'm new at this and have so many questions I'd spend the rest of the month - OK, so it's June 29th so only one more day - but still - to start, is anyone familiar with the P TAU 217 blood test? Reliable? What does it mean? Value = 1.4. When did you start thinking about the future with your LO in a care facility? My LO had several brain surgeries last year due to Epilepsy. The doctors put everything down to that. I always believed it was also in large part to neurodegenerative. HELP! Communicating with LO is about 20 - 30%. LO is most likely mid-stage 5
  • JPJardinel
    JPJardinel Member Posts: 67
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    Reading this, what strikes me most is the four years part, because that kind of sustained stage 6 caregiving without the finish line ever becoming clear is an exhaustion that's almost impossible to describe to someone who hasn't lived it. There's something quietly remarkable about the fact that he can still feed himself and manage the bathroom on his own, and I imagine that's both a relief and its own kind of emotional complexity, since it means this middle place stretches on longer than it might otherwise. The clock test and the word recall failing completely at the appointment sounds like one of those clinical moments that confirms what you already knew at home but makes it feel more real and more final at the same time. I really hope people in this thread who've been through this stage share what the timeline looked like for them, because four years in with no clear sense of what comes next or when is such a specific kind of hard, and I think you deserve to hear from people who actually understand what this stretch feels like from the inside.


    I based it on these references:
    https://hopebridge.care/late-stage-alzheimers-progression-no-clear-timeline/
    https://en.wikipedia.org/wiki/Alzheimer%27s_disease
    https://www.aarp.org/health/conditions-treatments/alzheimers-treatments/

  • Answers needed
    Answers needed Member Posts: 20
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    My DH has had very little in the way of diagnosis testing. The Dr who diagnosed him with "early stage dementia, probably AD" about 5 yrs ago did not think that extensive tests really made any difference in the long run and did not prescribe any. Since being here on ALZ connected, I've wished many times that I knew more about his dementia, but I think he is in stage 6. I also feel as you do that this mid stage is extending for a long time. I began noticing symptoms about 8 or 9 years ago. My DH has had no other medical/physical issues until the past few months when his O2 levels dropped below acceptable levels. He has been using O2 supplement day and night. It has caused his depression to worsen as his self esteem has taken a big hit. Now he wants to stay in bed all day. I try to get him up and interested in something (usually to no avail), but there are times when I just give up and let him lie in bed. He is independent with personal care and has no incontinence issues except with occasional diarrhea but has basically no short term memory left. I can relate to your description of the varying degree of competence. It can be quite frustrating, and yes, exhausting. There really is no timeline to rely on.

  • Sunfish47
    Sunfish47 Member Posts: 142
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    Hi exhausted: My DH forgetting who we are (myself, daughters, grandkids) came on gradually. It started infrequently in 2021, along with aphasia and seeing non-existent people in the house - and has worsened so that now he just doesn’t know us. He shadows me constantly cuz he knows I’m “his person” but doesnt really know my name or who I am. Last night sitting on the couch watching tv, he asked me “are you married?” He frequently asks this, along with “do you have any children?” At first these type of questions really hurt me (this September will be our 50th anniversary) but Ive learned a lot and understand now that he can’t help it. He was a wonderful guy and great father in our former life.
    I have to say that I am SO grateful that - so far - he exhibits very little of the nastiness and aggression that too many spouses are dealing with. Thank God for small mercies.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more