Guide
Understanding Alzheimer's & Dementia
A comprehensive guide to what they are, how they differ, what to expect, and how coordinated care makes the difference.

What Is Alzheimer's Disease?
Alzheimer's disease is a progressive neurological disorder and the most common cause of dementia. It is caused by physical changes in the brain — including the buildup of abnormal proteins — that gradually interfere with memory, reasoning, and behavior.
Alzheimer's typically develops slowly and worsens over time. Early symptoms often include:
- Memory loss that disrupts daily life
- Difficulty planning or solving problems
- Trouble completing familiar tasks
- Confusion with time or place
- Changes in mood or personality
As the disease progresses, individuals may struggle with communication, judgment, and eventually physical functioning.
Why this matters:
Alzheimer's is not just forgetfulness. It is a medical condition that requires structured, evolving support.
How Coastal Care Partners helps:
Our Nurse Care Managers monitor cognitive changes over time, adjust care plans accordingly, and ensure families are not left interpreting symptoms alone.
What Is Dementia?
Dementia is not a single disease. It is a general term used to describe a decline in cognitive function severe enough to interfere with daily life.
Alzheimer's accounts for 60–80% of dementia cases. Other types include:
- Vascular dementia
- Lewy body dementia
- Frontotemporal dementia
- Mixed dementia
Each type affects the brain differently, but all involve progressive changes in memory, reasoning, and functional ability.
What families often misunderstand:
Not all dementia is Alzheimer's. And not all cognitive decline follows the same pattern. That's why leadership and coordinated oversight matter.
How Alzheimer's & Dementia Progress
Both Alzheimer's and other dementias typically move through three broad stages:
Early Stage (Mild)
- Noticeable memory lapses
- Word-finding difficulty
- Mild confusion
- Subtle personality shifts
At this stage, individuals often compensate well, and changes may be dismissed as "normal aging."
Coastal Care Partners approach:
We establish baseline cognitive function, build structured routines, and begin proactive monitoring before small issues grow.
Middle Stage (Moderate)
- Increased confusion
- Repetition of questions
- Difficulty with daily tasks
- Behavioral changes or agitation
This is when families often feel overwhelmed.
Our difference:
We coordinate caregiver support with nurse oversight, ensuring documentation, communication, and structured engagement reduce chaos.
Late Stage (Advanced)
- Significant memory loss
- Limited communication
- Full assistance required
- Increased medical vulnerability
Care becomes more physically intensive and emotionally complex.
Our model ensures:
Continuity, nurse-led guidance, and coordination with medical providers to maintain comfort and dignity.
What Families Actually Experience
Alzheimer's and dementia are not just medical conditions — they are relational changes.
Families often describe:
- Feeling unprepared
- Not knowing what changes are "normal"
- Guilt about decisions
- Burnout from constant vigilance
- Fragmented communication between providers
The hardest part is not always the diagnosis.
It is navigating the system afterward.
The Coastal Care Partners Difference
Many families assume that once they hire a caregiver, the situation is "handled."
But dementia care requires more than presence.
It requires:
- Pattern recognition
- Communication flow
- Documentation consistency
- Leadership when behavior changes
- Coordination between daily care and medical oversight
At Coastal Care Partners:
- Caregivers are trained to observe and document subtle changes.
- Nurse Care Managers hold the full picture over time.
- Medical decisions are made with real-life context from the home.
- Families are guided, not left guessing.
Alzheimer's and dementia are progressive. Care must evolve alongside them.
That evolution requires leadership — not just staffing.
When to Seek Support
Families should consider structured dementia support when:
- Safety concerns increase
- Medication management becomes complicated
- Behavioral changes create stress
- Caregiver burnout emerges
- Hospital visits become more frequent
Early integration prevents crisis.
Waiting often magnifies it.
Final Thought
Alzheimer's and other forms of dementia are complex — but the support system around them does not have to be.
With the right leadership, structure, and coordination, families can move from constant reaction to steady guidance.
That is the difference integrated care makes.