Blog Hero

What Are the 4 A’s of Alzheimer’s Symptoms?

Request a Tour
An older adult woman holding onto a window sill and looking out the window with a serious expression.

Alzheimer’s disease is a progressive neurological disorder that affects the brain and leads to memory loss, cognitive decline, and behavioral changes. It’s the most common form of dementia, accounting for 60–80% of all dementia cases. The symptoms of Alzheimer’s disease typically develop slowly over time.

There are 4 main categories of Alzheimer’s symptoms, known as the 4 A’s: amnesia, aphasia, agnosia, and apraxia. 

Occasional forgetfulness or difficulty with words doesn’t necessarily indicate Alzheimer’s. However, if you notice a persistent decline in these areas, it’s crucial to consult a healthcare professional for a proper diagnosis. Understanding these symptoms can help individuals, caregivers, and healthcare professionals better recognize and manage the disease.

The 4 A’s of Alzheimer’s Symptoms

To better understand the 4 A’s, let’s break down each symptom and its impact on individuals with Alzheimer’s disease.

Amnesia

Amnesia is a hallmark symptom of Alzheimer’s disease and significantly disrupts daily life through memory loss and forgetfulness.

Individuals may struggle to retain recently learned information, like a new recipe or a conversation, just moments after hearing it. Routine tasks, like attending appointments on time or taking medication, can become increasingly difficult. They might rely more heavily on memory aids, family reminders, or familiar routines to navigate daily life. 

As the disease progresses, amnesia can also impact long-term memories, potentially leading to difficulty recalling cherished moments or recognizing familiar faces and places.

Aphasia

Aphasia is a language disorder impacting a person’s ability to communicate and another hallmark symptom of Alzheimer’s disease. Unlike aphasia caused by stroke, which often occurs suddenly, aphasia in Alzheimer’s develops gradually over time.

It can manifest in frustrating ways, such as struggling to find the right words, following conversations, or relying on repetitive phrases. As communication becomes a challenge, it can lead to feelings of isolation and frustration for both the individual and their loved ones.

Agnosia

Agnosia is a condition that affects an individual’s ability to recognize familiar objects, smells, sounds, or other senses. This can include difficulty recognizing faces, identifying objects, or understanding spatial relationships. Agnosia can also manifest as a loss of sense of smell or taste.

Apraxia

Apraxia is a motor disorder that affects an individual’s ability to perform purposeful movements. Those with Alzheimer’s can experience difficulties with daily tasks such as brushing their teeth, getting dressed, or using utensils while eating. Individuals with apraxia may also struggle with coordinating movements and performing familiar activities.

As the disease progresses, individuals may experience a combination of these symptoms, making it challenging to perform daily tasks and maintain independence. It is important to note that not all individuals with Alzheimer’s disease will experience all 4 A’s, and some may exhibit other symptoms, such as changes in behavior and personality.

Coping with the 4 A’s

Coping with the 4 A’s can be challenging for both individuals with Alzheimer’s disease and their caregivers. Here are some tips to help manage these symptoms:

  • Aphasia: Break down communication into smaller steps. Use clear, concise language and short sentences. Visual aids like pictures or gestures can be helpful. Be patient and allow ample time for the individual to process information and respond.
  • Agnosia: Create a stable and predictable environment. Label familiar objects with clear, large fonts. To reduce confusion, minimize rearranging furniture or objects in the living space.
  • Apraxia: Simplify daily tasks by breaking them down into smaller, more manageable steps. Offer prompts or cues to guide the individual through familiar routines. Encourage the continued use of assistive devices or tools they’re comfortable with.
  • Amnesia: Use a variety of memory aids, such as calendars, planners, medication organizers, and whiteboards with important reminders. Establish routines for daily tasks and minimize environmental changes whenever possible. Consider using technology like digital timers or photo albums to jog memory.

Symptoms & Treatment

Alzheimer’s disease is a progressive condition, meaning that symptoms tend to worsen over time. While there is no cure for the disease, treatments are available to help manage symptoms and improve quality of life. These include:

  • Medications: Certain medications can help with memory loss and cognitive impairment in individuals with Alzheimer’s disease.
  • Therapies: Occupational, speech, and physical therapy can help individuals maintain their independence and improve daily functioning.
  • Supportive care: Providing a safe environment for the individual, managing any coexisting health conditions, and assisting with daily activities can help support someone with Alzheimer’s.

It’s important to work closely with a healthcare team to determine the best treatment plan for each individual with Alzheimer’s disease. Caregivers should also seek support and resources for themselves when needed, as caring for someone with Alzheimer’s can be emotionally and physically demanding.

Memory Care for Individuals with Alzheimer’s

In some cases, individuals with Alzheimer’s disease may require more specialized care that is not possible to provide at home. Memory care communities are specially designed to cater to the needs of those with memory impairments. These communities offer a safe and secure environment for individuals with Alzheimer’s disease, as well as programs and activities tailored to their needs.

Research and visit various memory care communities before making a decision. Look for communities that have trained associates, secured environments, and tailored programs for individuals with Alzheimer’s disease. Location and cost are also important.

A doctor examining an older adult man who is experiencing disorientation and confusion.

Our Dedicated Memory Care Community

At Somerby Sandy Springs Senior Living, we understand the challenges of caring for someone with Alzheimer’s. We’re a Lilac Trace Memory Care neighborhood and provide compassionate and individualized care to those with cognitive disorders. 

Our specially trained associates offer support and assistance in a safe and welcoming environment, and our engaging programs and activities are designed to promote overall well-being. 

Schedule a tour of our community today and see firsthand the dedication and care we provide to our residents. Let us support you in caring for your loved one with Alzheimer’s.

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