Alzheimer's disease

Alzheimer's disease is a progressive neurodegenerative condition that affects memory and thinking. This page outlines the typical course, common early signs, how diagnosis is approached, and general care and support strategies. For personalised medical advice, consult neurology, geriatrics or your primary care physician.

What it is and how it progresses

Alzheimer's causes changes in brain cells that produce a gradual decline in memory, language, spatial orientation and daily living skills. Onset often starts with mild forgetfulness and may progress over several years to more noticeable loss of function. The course and speed of progression differ between individuals.

Early signs to watch for

Early issues commonly include difficulty learning new information, lapses in recent memory, trouble finding words and increasing forgetfulness with routine tasks. In later stages, people may have problems with orientation, judgment, behaviour and personal care. If there is a sudden or severe change in neurological function, seek emergency medical attention.

Risk factors and ways to support brain health

Older age, family history and certain genetic factors raise the likelihood of developing Alzheimer's. Vascular risk factors such as high blood pressure, diabetes and smoking also affect brain health. Lifestyle measures—balanced diet, regular physical activity, social interaction and cognitive engagement—are recommended to support brain health though they do not guarantee prevention.

Diagnosis pathway and who to consult

Diagnosis typically relies on a detailed history, neurological examination and cognitive testing, with blood tests, brain imaging or neuropsychological assessments used as needed. Neurologists and geriatricians are commonly involved; psychiatry and neuropsychology may contribute. Primary care clinicians play a key role in initial evaluation and ongoing coordination of care.

Daily living, support and care planning

Adapting the home for safety, simplifying routines and using clear, patient communication can help maintain daily function. Family caregivers benefit from education, peer support groups and social services. As care needs become more complex, multidisciplinary planning with allied health professionals and social care services can improve quality of life.

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