Stage 1: | No impairment (normal function) |
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| Unimpaired individuals experience no memory problems and none are evident to a health care professional during a medical interview. |
Stage 2: | Very mild cognitive decline (may be normal age-related changes or earliest signs of Alzheimer's disease) |
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| Individuals may feel as if they have memory loss and lapses, especially in forgetting familiar words or names or the location of keys, eyeglasses or other everyday objects. But these problems are not evident during a medical examination or apparent to friends, family or co-workers. |
| Mild cognitive decline | |
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| Friends, family or co-workers begin to notice deficiencies. Problems with memory or concentration may be measurable in clinical testing or discernible during a detailed medical interview. Common difficulties include:
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| Moderate cognitive decline | |
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| At this stage, a careful medical interview detects clear-cut deficiencies in the following areas:
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| Moderately severe cognitive decline | |
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| Major gaps in memory and deficits in cognitive function emerge. Some assistance with day-to-day activities becomes essential. At this stage, individuals may:
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| Severe cognitive decline | |
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| Memory difficulties continue to worsen, significant personality changes may emerge and affected individuals need extensive help with customary daily activities. At this stage, individuals may:
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| Very severe cognitive decline | |
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| This is the final stage of the disease when individuals lose the ability to respond to their environment, the ability to speak and, ultimately, the ability to control movement.
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