3. Late Stage bvFTD
The journey into the late stage of Pick’s disease marks a significant milestone in the progression of bvFTD. This stage is characterized by a dramatic decline in cognitive abilities, leading to increased dependency on caregivers for routine tasks. It is here that the full impact of the disease becomes heartbreakingly clear, with profound changes to both physical and mental capabilities.
The late stage of bvFTD is marked by severe cognitive decline. Individuals in this stage may struggle to recall recent events or recognize familiar people, including close family members.
Their ability to think logically, make sound judgments, or solve basic problems is significantly impaired. This cognitive decline extends to areas such as attention span, understanding of time and place, and even the ability to understand and respond to the environment around them.
Another distinguishing symptom of late-stage bvFTD is the loss of motor skills. Individuals may face difficulties with walking, balance, and coordination.
Routine activities such as eating, dressing, and grooming become challenging and often require assistance. In some cases, individuals might become wheelchair-bound or bedridden due to the decline in motor functions.
As bvFTD enters its late stage, the behavioral changes and mood fluctuations become even more pronounced. Individuals may exhibit extreme apathy, loss of empathy, impulsivity, or even aggression.
They might also experience periods of confusion, fear, or anxiety. These behavioral symptoms can be distressing for both the individual and their caregivers, necessitating the need for a strong support system and compassionate care.
Diagnosing bvFTD in the late stage usually involves an assessment of the individual’s cognitive functions and daily living activities. The diagnosis is typically based on the progressive nature of symptoms, exclusion of other possible causes, and brain imaging.
The treatment approach during this stage focuses primarily on providing comfort, managing symptoms, and supporting the individual and their caregivers.(3)
