Blog Hero

What Are the 7 Stages of Lewy Body Dementia?

Request a Tour
An adult child comforting a distressed older parent with dementia.

Lewy body dementia is a type of dementia that leads to cognitive impairment in older adults. Lewy body dementia is progressive, with worsening symptoms over time.

The 7 stages of Lewy body dementia include:

  1. No cognitive decline
  2. Very mild cognitive decline
  3. Mild cognitive decline
  4. Moderate cognitive decline
  5. Moderately severe cognitive decline
  6. Severe cognitive decline
  7. Very severe cognitive decline

Knowing the signs and stages of this type of dementia can offer clarity and aid families in planning for care and support for loved ones with Lewy body dementia. Memory care in senior living communities provides comprehensive services focusing on care, comfort, and stability to loved ones with dementia.  

What Is Lewy Body Dementia?

Lewy body dementia (LBD) is a complex and progressive neurological disorder characterized by the presence of abnormal protein deposits called Lewy bodies in the brain. These deposits disrupt normal brain function, leading to cognitive decline, motor symptoms, and other complications.

Unlike Alzheimer’s disease, a common type of dementia that primarily affects memory, LBD also impacts movement, attention, and visual perception. The symptoms of LBD can vary widely from person to person, but common symptoms include:

  • Cognitive abilities that fluctuate
  • Visual hallucinations
  • Tremors and stiffness
  • Insomnia and daytime sleepiness
  • Depression, paranoia, and anxiety

These symptoms can often be mistaken for other conditions like Parkinson’s disease or Alzheimer’s, making an accurate diagnosis important. Understanding the distinct nature of LBD can help families and caregivers recognize its symptoms early, improve communication with healthcare providers, and lead to more personalized care strategies.

The 7 Stages of Lewy Body Dementia

Lewy body dementia can progress in 7 stages based on symptoms.

Stage 1: No Cognitive Decline

In the earliest stage, there are no noticeable symptoms and any cognitive decline is not yet apparent.

Stage 2: Very Mild Cognitive Decline

Subtle changes begin to surface, often overlooked or attributed to normal aging. These might include slight forgetfulness or difficulty finding familiar objects. A healthcare provider can’t make a diagnosis in this stage with mild cognitive symptoms.

Stage 3: Mild Cognitive Decline

Cognitive issues become more noticeable to family members and can affect daily activities. Loved ones may experience increased forgetfulness and decreased concentration.

Stage 4: Moderate Cognitive Decline

In this stage, symptoms become more pronounced. Loved ones struggle with complex tasks like managing finances or planning events. A healthcare provider can diagnose dementia at this stage. Family members may consider assistance with daily living.

Stage 5: Moderately Severe Cognitive Decline

Day-to-day activities require significant help. Loved ones in this stage may struggle with remembering personal details or basic tasks like dressing or grooming. Emotional support becomes critical, as frustration and confusion can lead to distress. Families should focus on maintaining a nurturing environment and look into specialized care solutions.

Stage 6: Severe Cognitive Decline

Cognitive functions continue to deteriorate, and loved ones may lose awareness of their surroundings, ability to speak, and recent memory. Assistance is needed for most activities, and professional caregiving becomes essential. At this stage, full-time memory care can provide the structured support necessary.

Stage 7: Very Severe Cognitive Decline

The final stage presents with severe impairment, where communication is limited, and extensive round-the-clock care is required. Families should focus on comfort and dignity.

Practical Tips for Each Stage

A caregiver supporting a smiling older adult with dementia.

Caring for someone with LBD requires adaptability and compassion. Here are practical tips for each stage to help families care for a loved one with LBD.

Tips for early stages (1-3):

  • Stay informed: Educate yourself about dementia to anticipate changes. Join support groups to connect with others facing similar challenges.
  • Engage in activities: Encourage mental and physical activities to maintain cognitive function and overall well-being.
  • Communicate openly: Honest conversations about symptoms and future planning with your loved one to respect their preferences.

Tips for middle stages (4-5):

  • Create routines: Establish consistent daily routines that provide structure and familiarity, reducing confusion and anxiety.
  • Use memory aids: Implement tools like calendars and reminders to support memory and independence.
  • Seek professional support: Explore home care services or short-term programs for additional support during this transitional phase.

Tips for advanced stages (6-7):

  • Prioritize comfort: Focus on creating a calm, comforting environment. Use soothing music and familiar objects to reduce agitation.
  • Simplify communication: Use simple language, maintain eye contact, and be patient. Non-verbal cues become increasingly important.
  • Consider memory care: Evaluate memory care communities that offer specialized support.

Memory care communities offer tailored programs for those with LBD, providing structured environments that support your loved one’s journey. These communities are designed and equipped to handle the unique challenges of LBD, offering peace of mind to families.

Approach to Comprehensive Memory Care

Knowledge and awareness of the stages of Lewy body dementia can empower families and caregivers to provide compassionate, informed care. Recognizing dementia progression can help those close to a loved one with LBD better prepare for each stage with the right support and care.

Contact The Landing of Brighton to learn more about our approach to memory care and how we can provide a supportive network for a loved one with LBD. 

Written by
Christina Dolan

More Articles By
Christina Dolan
instagram facebook facebook2 pinterest twitter google-plus google linkedin2 yelp youtube phone location calendar share2 link star-full star star-half chevron-right chevron-left chevron-down chevron-up envelope fax