to a familiar location, organizing a grocery list or remembering the rules of a favorite game. 4. Confusion with time or place. People living with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there. 5. Trouble understanding visual images and spatial relations. For some people, having vision problems is a sign of Alzheimer’s. This may lead to difficulty with balance or trouble reading. They may also have problems judging distance and determining color or contrast, causing issues with driving. 6. New problems with words in speaking or writing. People living with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have trouble naming a familiar object or use the wrong name (e.g., calling a “watch” a “handclock”). 7. Misplacing things and losing the ability to retrace steps. A person living with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. He or she may accuse others of stealing, especially as the disease progresses. 8. Decreased or poor judgement. Individuals may experience changes in judgment or decisionmaking. For example, they may use poor judgment when dealing with money or pay less attention to grooming or keeping themselves clean. 9. Withdrawal from work or social activities. A person living with Alzheimer’s disease may experience changes in the ability to hold or follow a conversation. As a result, he or she may withdraw from hobbies, social activities or other engagements. 10. Changes in mood and personality. Individuals living with Alzheimer’s may experience mood and personality changes. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, with friends or when out of their comfort zone. Today, there are more than 6 million Americans living with Alzheimer’s disease, including 66,000 in Iowa. Additionally, more than 11 million family members and friends are serving as caregivers, including 73,000 in Iowa. 31
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