Lewy body dementia is a progressive form of dementia that affects memory, behavior and movement. Often overlapping with symptoms of Alzheimer’s and Parkinson’s disease, it can be particularly confusing and emotionally challenging for families to navigate.
Understanding the 7 stages of Lewy body dementia can help loved ones prepare, respond appropriately to changes, and know when to ask for help. At Charter Senior Living of Annapolis, we specialize in Memory Care tailored to each of these stages—supporting seniors and families with compassion, dignity and expertise.
Stage 1: No Noticeable Symptoms
In the earliest stage, individuals may appear cognitively healthy. Subtle changes in the brain are occurring, but there are no obvious symptoms yet. Families may feel reassured that everything seems normal. At this stage, you can take proactive steps to support long-term brain health and prepare for any future changes.
- Encourage annual wellness visits
- Consider baseline cognitive assessments for early detection
Stage 2: Mild Forgetfulness or Confusion
Occasional memory problems, misplacing items, or struggling to find the right words may emerge. These changes can easily be mistaken for typical aging, leaving families unsure if something deeper is going on. The following steps can help you keep track of your loved one’s behavior and plan for what to do next:
- Keep a journal of symptoms or changes
- Begin gentle conversations about future needs and care preferences
Stage 3: Noticeable Cognitive Decline
At this stage, cognitive issues become more evident—such as poor decision-making, getting lost, or social withdrawal. This is often when a formal diagnosis is made, triggering a wave of concern for families. In this stage, you may consider the following:
- Consult with medical professionals
- Establish legal and financial plans
- Begin researching Memory Care communities
Stage 4: Moderate Decline and Increased Supervision
Disorientation, personality changes, and difficulty with complex tasks become more common. The need for constant supervision increases, and caregiver stress often intensifies. Taking these steps can help ensure your loved one remains safe while giving caregivers much-needed relief:
- Explore in-home care options
- Visit Memory Care communities
This is a key point when families begin exploring communities like Charter Senior Living of Annapolis, where residents with dementia receive personalized care in secure, supportive environments.
Stage 5: Advanced Decline and Physical Symptoms
Hallucinations, delusions, tremors, and difficulty with basic tasks like dressing or eating may appear. Families may feel frightened or emotionally overwhelmed by these sudden or intense symptoms. At this stage, supportive interventions can help manage symptoms and provide relief for both the individual and their caregivers:
- Seek professional Memory Care
- Utilize caregiver Respite services
- Consider medication management for behavioral symptoms
Charter Senior Living of Annapolis offers a unique Memory Care program called FlourishSM that provides 24/7 support and thoughtfully structured routines that help minimize stress and promote a sense of well-being.
Stage 6: Severe Cognitive and Physical Decline
At this stage of dementia, individuals may lose the ability to communicate, recognize loved ones, or maintain continence. Frequent falls and greater physical fragility become common, and families may feel emotionally drained. To ensure safety and comfort during this difficult stage, consider the following supportive measures:
- Transition to 24/7 care and skilled nursing
- Access emotional and grief support resources
At this stage, Charter Senior Living of Annapolis delivers care that emphasizes safety, dignity and comfort, ensuring each resident receives loving attention every day.
Stage 7: End-Stage Lewy Body Dementia
Individuals become completely dependent. They may no longer speak or walk and often require ongoing medical attention. Families may experience deep grief or relief knowing their loved one is finally at peace. During this final stage, compassionate care and emotional support are essential for both the individual and their family:
- Connect with palliative or hospice care
- Seek grief support for the family
Charter’s team provides end-of-life care with compassion, partnering closely with families to ensure every need is met with dignity and love.
When To Ask for Help
If you’re seeing signs like caregiver burnout, unsafe wandering, frequent falls, or unmanageable behaviors, it may be time to consider additional support. Knowing when to ask for help is not about giving up—it’s about ensuring your loved one receives the care they deserve while protecting your own well-being.
Every person’s journey through the 7 stages of Lewy body dementia is unique, but you don’t have to walk it alone.
You’re Not Alone—We’re Here Every Step of the Way
At Charter Senior Living of Annapolis, we specialize in personalized Memory Care through our exclusive Flourish℠ program—designed to meet the unique needs of those living with Alzheimer’s disease or other forms of dementia, and other forms of cognitive impairment.
Our experienced team provides compassionate, research-based care that fosters meaningful engagement, enhances daily life, and supports both residents and their families.
From early-stage support to end-of-life care, we’re here with expert guidance, safety, and peace of mind—every step of the way. Contact us today to learn more or schedule a private tour of our dedicated Memory Care neighborhood.
