Memory Problems - Forgetfulness

Common Issues Related to Memory Problems

Many people with dementia - as well as their caregivers - become frustrated by their increasing forgetfulness as their memory worsens. While it may begin with the person simply forgetting where he placed his eyeglasses, it may eventually lead to him accusing his caregiver of stealing or hiding possessions.

Memory in Middle to Late Dementia

In the middle stages of dementia (severe cognitive decline), a person with dementia who has been having trouble remembering other people's names may start to forget even his spouse or caregiver's name. He may not be able to sustain a thought long enough to complete a task. Recent events are mostly forgotten at this stage; when people cannot remember what happened earlier, their brains may start to fill in the gaps with stories that seem logical to them, which is called confabulation. But people with dementia may remember some things from the distant past, especially emotional events, and may get "caught up" in these events, trying to resolve them. They may still recognize what is and is not familiar, but eventually, in late dementia, even these remnants of memory are usually lost.

Suggestions for Caregivers

• Use memory aids: In early stages, your loved one may benefit from memory aids, such as little signs and step-by-step instructions. Place labels with large block letters on the outside of doors, cabinets, and drawers explaining what is inside. Words alone may be confusing, so also include a picture showing the contents of the cabinet or drawer.
• Keep spare copies of all important items and information: For instance, have extra copies of keys, eyeglasses, medications, prescriptions, and other items when at all possible. This way, when your loved one can't find a particular item, you can replace it until it turns up again. These spares should be stored away in a secure or locked location so that they, too, do not become lost items.
• Know where your loved one might misplace items: Many caregivers find that their loved ones will continue to place items in "hiding places" that they used to use earlier in life, such as underneath mattresses, in dresser drawers, or inside jars.
• Limit the possibility for items becoming lost: A bit of foresight can prevent important or expensive items from becoming misplaced or lost. Consider locking away expensive jewelry or small items that can be picked up easily – in addition, you might also try to only keep a small amount of cash available in the open.