The 7 Stages Of Alzheimer's Disease

13. The Final Stage – Complete Dependency

Female doctor helping senior woman in nursing home. Photo Credit: Envato @DC_Studio

Stage Seven — This stage represents the most advanced and severe stage of Alzheimer’s, where patients lose their ability to communicate, move independently, or perform basic bodily functions. Speech is reduced to only a few words or phrases, and eventually, verbal communication ceases altogether. Swallowing difficulties become common, increasing the risk of choking or malnutrition. Patients may no longer respond to their environment and are unable to express when they are hungry, thirsty, or in pain. Complete assistance is required for all daily activities, including feeding, repositioning, and hygiene. At this point, the disease has reached its terminal phase, and care typically focuses on comfort, dignity, and quality of life. While loved ones may find it difficult that the patient no longer recognizes them, emotional presence, soothing voices, and gentle touch can still provide comfort in these final moments.

14. End-of-Life Care: Ensuring Comfort and Dignity

Senior patient gets up from the hospital bed by helping himself with a special handle. Photo Credit: Envato @bialasiewicz

Stage Seven — In the final stage of Alzheimer’s, comfort becomes the primary focus. Patients lose their ability to communicate, recognize loved ones, or respond to their surroundings. At this point, palliative or hospice care can provide specialized support to manage pain, prevent infections, and ensure the patient’s final days are as peaceful as possible. While verbal communication is lost, gentle touch, soothing words, and familiar music can still provide a sense of connection. For family members and caregivers, this is an emotionally challenging time, but ensuring the patient’s dignity and comfort remains the highest priority.

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