Decreased or Poor Judgment

One of the 10 Warning Signs of great concern to adult children of those with Alzheimer’s is the decrease in judgment apparent as the disease progresses.

This warning sign is more obvious if someone has always been really frugal and especially careful with their finances. Watch for sudden increases in spending or giving large sums of money away to perfect strangers who call or happen by the house. The key is whether this is unusual behavior and if so the risks should be discussed, not only related to financial issues but the personal risk of inviting a stranger into the house could be of concern as well.

Poor judgment isn’t limited to financial issues however. Decision making in general is affected and may include things like not wearing weather appropriate clothing, the inability to determine when it’s safe to cross a busy street, going for a walk alone or even being unable to choose from a large menu.

While sometimes all of us feel as if we’ve made a bad choice or misplaced trust in someone we shouldn’t, a person experiencing the eighth of the 10 Warning Signs will be unable to make decisions at all and the pattern of using poor judgment will only increase.

Knowing the 10 Warning Signs can help rule out what is typical and what isn’t. If you are worried about more than one change in yourself or someone you know, see your doctor. The Alzheimer’s Association can help. Call 800-272.3900.

Linda Bloom,  MS, MBA has worked as Regional Director for the Southern Colorado office of the Alzheimer’s Association for the past two years serving 18 counties in the southeastern part of the state.

Two of the Most Recognizable Changes in a Person with Dementia

By Teresa Black

As Alzheimer’s progresses two of the most recognizable changes occurring are 1) new problems with words in speaking and writing and, 2) misplacing things and losing the ability to retrace steps.

The first of these two signs exhibits itself as problems with speech which includes talking as well as understanding what’s being said. Initially it may be simply having trouble finding words, especially nouns that identify common objects. For instance friends and family may notice a loved one is unable to ask for more coffee. Instead they point and ask for another cup of “that stuff” (coffee).

Problems with words can also be seen with someone who starts to withdraw from conversations or during social outings. The person with dementia begins to struggle with understanding what is being said. It becomes too hard to follow whatever it is the group is discussing. When asked a question, putting an answer together with words in a way that makes sense is simply too difficult. This might be why a loved one repeats the same questions over and over. They just don’t understand what’s being asked and can’t formulate an answer. As a result, the person gradually goes from being a participant to spectator. The change can be so gradual that it is often missed by the casual observer.

Reading and writing can also be a challenge. Reading the same line over and over again without comprehension, taking all morning to read one story in the newspaper or being unable to finish a novel are all indications of new problems. Leaving sticky note reminders may work for some period of time for the person with the disease but eventually it becomes clear they can no longer read what’s been posted. Additionally handwriting may change and eventually be illegible. It can be startling when even a signature becomes unrecognizable.

Another of the 10 Warning Signs is the inability to retrace your steps when you’ve misplaced something. Many of us walk into a room and say to ourselves “now what did I come in here for?” After a minute or two we’ll remember the reason. Or we’ve put our car keys down and can’t remember where. The difference between us and someone with Alzheimer’s is that ability to think through where we’ve been and what we’ve done allowing us to locate those misplaced keys.

While there are typical changes that occur as we age, knowing the 10 Warning Signs can help rule out what is typical and what isn’t. If you are worried about more than one change in yourself or someone you know, see your doctor. The Alzheimer’s Association can help. Call 800-272.3900.

Teresa Black has served as the Western Colorado Regional Director for the Alzheimer’s Association Colorado Chapter since 2009. The office is in Grand Junction, and supports individuals and families throughout a nine-county area serving Mesa, Montrose, Moffat, Rio Blanco, Delta, Garfield, Gunnison, Pitkin and Lake counties. Teresa holds a Bachelor’s degree from Colorado Christian University and a Master’s from Colorado Mesa University.

Warning Sign of Alzheimer’s: Understanding Spatial Relationships and Visual Images

As the symptoms of Alzheimer’s become more pronounced, friends and family may begin to see a decrease in coordination or what appears to be a problem with vision. The ability to make sense or understand visual images and spatial relationships is the fifth of the 10 Warning Signs of Alzheimer’s. This sign is exhibited by spilling or dropping things more often, having trouble with balance, tripping over curbs, area rugs, or mistaking dark patterns in carpeting or tile floors for holes, and trouble reading.

When someone begins having vision problems, it’s important to get a checkup by a family physician or an optometrist especially as problems with reading, judging distance and determining color or contrast increase. Families in Association education classes and support groups share examples of a loved one who can’t find their coffee cup right in front of them on the breakfast table or a husband who was a scratch golfer and now struggles with following their golf ball on the course. This warning sign also reveals itself in the concept of seeing your own reflection in the mirror. You may think someone else is in the room or even have a conversation with the person you see reflected there.

As we age we may experience typical changes to our vision. Putting the whole picture together is important; however, in order to determine if the changes are more serious and related to Alzheimer’s or another medical condition like cataracts or macular degeneration. That is one of the reasons it’s important to see your family doctor to determine whether there is another medical reason for issues related to trouble with vision and spatial relationships or if in fact the problems are occurring because of this most common form of dementia.

If you are worried about more than one change in yourself or someone you know, talk with them about the 10 Warning Signs and what they might be experiencing themselves. The Alzheimer’s Association can help. Call 800-272.3900 24 hours a day 7 days a week.

Marcia Shafer is the Northeastern Colorado Regional Director of the Alzheimer’s Association Colorado Chapter.  The office in Evans, near Greeley, serves the counties of Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington, and Weld. Marcia has lived in Colorado for 38 years and has worked for the Alzheimer’s Association for 2 years. She has a M.Div. from the Iliff School of Theology and is taking graduate courses in Gerontology from UNC.

Difficulty Completing Familiar Tasks & Confusion with Time and Place

Many of us have a one time or another had trouble setting the Tivo, the timing on the microwave or figuring out which remote turns on the television. For someone with Alzheimer’s, difficulty completing familiar tasks is one of the 10 Warning Signs.

When someone is struggling with day to day activities like driving to the grocery store just down the street, completing routine activities at work or following the rules of a much loved card or board game it’s important to not only take notice but begin to look more closely at what else has become difficult.

Another indication someone may be struggling with Alzheimer’s is whether they lose track of dates, seasons and the passage of time. People with Alzheimer’s may have trouble understanding something if it is not happening immediately so making plans for the next day, week or month becomes confusing. Knowing in winter that wearing a coat, hat and boots is the best way to stay warm or that a heavy coat worn for a walk in mid July might be unbearable no longer makes sense.Many of us reminisce about the passage of time.  We often comment about how much kids have grown or joke about grey hair that has appeared on the heads of friends and classmates. Someone with Alzheimer’s can be frozen in time with past memories and may even mistake a grown child for a sibling or a grandchild who has grown up to resemble a deceased brother. There are typical changes to our memory as we age so putting the whole picture together is important and learning the symptoms of dementia can help a person understand the differences.

If you are seeing more than one change in yourself or someone you know, talk with them about the 10 Warning Signs and what they might be experiencing themselves. The Alzheimer’s Association can help. Call 800-272.3900.

Emmalie Conner is the Northern Colorado Regional Director of the Alzheimer’s Association Colorado Chapter.  The office in Fort Collins serves Larimer, Jackson, Routt and Grand Counties.  Emmalie has lived in Fort Collins for 39 years and has worked for the Alzheimer’s Association for 9 years. She holds a Masters Degree in speech pathology.

Warning Sign of Alzheimer’s: Challenges in Planning and Solving Problems

The 10 warning signs and symptoms of Alzheimer’s are a good tool for determining when you should be concerned about changes you are seeing in yourself of someone you love. Every individual may experience one or more of these signs in different degrees and often in a different order. For some the first signs may be memory changes, while for others it could be the challenges of planning and solving problems.

Every day we are faced with tasks that require us to makes sense out of our world. Some tasks appear pretty simple like making macaroni and cheese for dinner. For someone with Alzheimer’s that kind of planning is too complex. Think about how you might plan to make this simple meal. Get out the noodles, fill a pan with water, turn on the stove, wait for the water to boil, add the noodles, drain the noodles after finding a strainer, finding milk, cheese and butter to add in the right measurement and stirring it all together. For someone who is experiencing Alzheimer’s disease leaving out one of those steps would not be unusual but it would make for an odd dish if the step forgotten was to add the noodles. Other ways the second warning sign is exhibited might be forgetting how to dial the phone, missing appointments, inability to pack a suitcase with the right clothes for the place you are visiting or forgetting to pay the bills when you’ve always been a stickler for getting things done on time.

Not only will someone with this warning sign experience changes in their ability to develop and follow a plan or work with numbers, they may have difficulty concentrating and take much longer to do things than they did before.

Making occasional errors when balancing your bank account is a typical age-related change in our ability, but if you increasingly confused about doing simple math or doing things around your home or at work that used to be easy for you, it may be time to see your doctor. To learn about the other 10 warning Signs click here. You can also call or email our 24/7 helpline 800.272.3900.

Elaine Stumpo is the Regional Director for the Alzheimer’s Association in Durango, Colorado. She has been with Association for 13 years and serves the nine counties of Archuleta, Dolores, La Plata, Montezuma, San Juan, San Miguel, Mineral, Ouray and Hinsdale.