Trouble remembering recent events
Trouble remembering significant events from the past
Forgetting what day it is
Being unaware of time of day
Wandering or getting lost
Unable to recognize familiar people
Unable to recognize familiar surroundings
Starting but not finishing things
Difficulty concentrating on a task
Unable to follow verbal directions
Sitting down without warning while walking
Problem with falling or loss of balance
Unusual gait pattern (i.e. shuffling, fast pace, leaning)
Bumping into objects without seeing them
Asking the same question over and over again
Being suspicious or accusative
Being restless
Being constantly talkative
Seeing or hearing things that are not there
Eating sweets excessively
Attempting to eat non-edible items
Decreased appetite*
Excessive appetite*
Refusing to eat*
*Can also be sign of depression
*Based upon Memory and Behavior Problem Checklist created by Orr-Rainey, Nancy and Tori, Linda 1990
Spending long periods of time inactive
Talking little or not at all
Appearing sad or depressed
Appearing anxious or worried
Dwelling on the past
Crying and being tearful
Commenting about death of self or others
Doing things that are embarassing to you
Difficulty with bathing and personal hygiene
Engaging in combative episodes (i.e. hitting, scratching, or biting)
Destroying property or personal belongings
Engaging in behavior that is dangerous to others or self
Losing or misplacing items
Hiding things
Bring this checklist on your next appointment with your family physician to guide your discussions.
Contact the Alzheimer's Association for more information at: 1-800-272-3900 or at www.alz.org.
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