Diagnosis: Moderate Alzheimer's Disease (diagnosed 18 months ago)
Current stage: Mid-stage dementia
Last formal assessment: September 2025 (MMSE score: 18/30)
Stability assessment: No significant changes detected in the past 45 days. Cognitive function appears stable at current baseline. This is good news—many caregivers fear rapid decline, but progression can plateau for months or years.
Stability assessment: Physical function stable. No decline in mobility, strength, or ADL performance over past 45 days. This suggests: (1) Current care approach is working, (2) No undetected medical issues affecting function, (3) Baseline is well-established for future comparison.
😊 Social Baseline
Adult children: Visits 2-3 times/week, recognizes them, expresses joy at visits
Grandchildren: Monthly visits, sometimes confused about ages/names but responds positively
Quality: Warm, affectionate, seeks physical closeness (hugs, hand-holding)
Former friends: 1-2 phone calls per month, sometimes doesn't remember conversations after they end
Church community: No longer attending due to confusion/anxiety in groups
Overall: Social circle has shrunk significantly from pre-diagnosis
Positive expressions: Smiles readily, laughs at jokes/funny moments, expresses gratitude
Negative expressions: Anxiety during sundowning, occasional frustration with limitations, rare tearfulness
Overall: Mood appears stable, no signs of clinical depression
Comprehension: Understands simple, direct statements. Loses track with complex explanations.
Expression: Can communicate basic needs, preferences, discomfort. Sometimes repeats same questions/statements.
Eye contact: Good, engages visually during conversations
Emotional cues: Can express happiness, anxiety, frustration through facial expressions and gestures even when words fail
Stability assessment: Social engagement and mood patterns are stable. Margaret maintains positive relationships with family, responds well to visits, and shows no signs of social withdrawal or depression. This is excellent—preserving social connections improves quality of life.