Stage 4. A Noticeable Change: Moderate Cognitive Decline
As we move into the fourth stage of vascular dementia, the cognitive changes become more evident. It’s like watching a color subtly change shades; it’s still the same color but noticeably different. Here, memory loss becomes more frequent, and difficulties with handling complex tasks intensify.
The individual might start forgetting recent events or have trouble remembering personal details. For instance, they might struggle to recall what they had for breakfast or forget their grandchild’s birthday. In many cases, they may even forget major details about their life history, creating gaps in their personal narratives.
Concentration also starts to deteriorate during this stage. Tasks requiring focused thought, such as managing finances or planning events, become even more challenging. This can manifest as an inability to keep track of bills or difficulties in organizing a family outing.
In social situations, the person may withdraw, often out of embarrassment or frustration due to their increasing cognitive difficulties. This can lead to the individual becoming more reserved, even in the company of close friends and family.
Despite these hurdles, a person in stage four of vascular dementia can still maintain basic daily routines and perform simple tasks. However, the assistance of loved ones or caregivers may become necessary for more complex tasks. This stage signifies a pivotal point in the journey, emphasizing the importance of empathy and understanding from those around the affected individual. (4)
