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- STAGE 1
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- STAGE 2 part 2
- STAGE 3
- STAGE 3 PART 2
- A music-assisted routine
- STAGE 4
- SUPPORT
- STAGE 5
- STAGE 6
- STAGEE 7
- DAILY ROUTINE + MUSIC
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CARE
CARE PLANS FOR ALL 7 STAGES OF DEMENTIA
(Global Deterioration Scale – GDS)
STAGE 1 — No Impairment
Goal: Maintain brain health + prevent decline
Care Plan
- Daily walking 20–30 min
- Mediterranean-style diet
- Hydration 6–8 cups daily
- Puzzles, reading, music
- Good sleep routine
- Annual memory check
- Promote social engagement
STAGE 2 — Very Mild Cognitive Decline
(Very early changes—forgetting names, misplacing items)
Goal: Support memory + reduce stress
Care Plan
- Memory aids: notebook, reminders, labels
- Simple daily routine
- Gentle exercise
- Anti-inflammatory diet
- Music therapy 10–15 min morning/evening
- Stress reduction: breathing, nature sounds
- Carer reassurance, no pressure
STAGE 3 — Mild Cognitive Decline
(Noticeable forgetfulness, difficulty planning, repeating questions)
Goal: Keep independence + slow progression
Care Plan
- Structured daily schedule
- Simplify choices (2 options only)
- Safety checks: remove clutter, good lighting
- Calendar board + medication organiser
- Weekly cognitive activities: puzzles, music, reminiscence
- Mild strength exercises
- Encourage independence, supervise gently
- Early legal + care planning discussions (advance care plan)
STAGE 4 — Moderate Cognitive Decline
(Needs support with complex tasks)
Goal: Maintain comfort, reduce frustration
Care Plan
- Step-by-step instructions
- Supervision with money, meds, appointments
- Meal plan with soft options if needed
- Daily hydration reminders
- Music therapy for agitation (favourites playlist)
- Reminiscence therapy using photos
- Encourage hobbies they still enjoy
- Calm environment: low noise, soft lighting
- Safety monitoring: wandering risk begins
STAGE 5 — Moderately Severe Cognitive Decline
(Needs help with daily tasks: dressing, hygiene, meals)
Goal: Reduce anxiety, protect dignity
Care Plan
- Full assistance with bathing/dressing
- Cueing method: “first we do this…”
- Clothing pre-laid out
- Finger foods if cutlery becomes difficult
- Hydration every 1–2 hours
- Keep environment familiar and predictable
- Repetition is soothing—avoid correcting
- Use short sentences + slow speech
- Music before meals to increase appetite
- Monitor sleep/wandering
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Welcome to JUST FOR 2 OF US Health Coaching
STAGE 1 DEMENTIA — CARE PLAN
(No Impairment – Early Prevention)
People in Stage 1 show no noticeable memory problems, but brain health support is essential to prevent future decline.
MAIN GOALS
- Maintain brain function
- Strengthen memory
- Protect heart, sleep, and mood
- Build healthy routines early
1. DAILY ROUTINE PLAN
Morning
- 10–20 min gentle stretching
- Healthy breakfast (whole grains, fruits)
- 5 minutes breathing or quiet music
- Plan the day using a simple checklist
Afternoon
- 20–30 min walking or light exercise
- Hydration: 1–2 glasses of water
- Brain activity: puzzles, reading, games
Evening
- Light dinner
- No heavy screens 1 hour before sleep
- Relaxing music, warm tea
- Sleep by same time every night
2. NUTRITION CARE
- Mediterranean-style meals
- Plenty of vegetables, berries, fish
- Reduce sugar + fried food
- Hydration: 6–8 cups water daily
- Vitamin D + Omega-3 (if GP approves)
3. BRAIN & MEMORY SUPPORT
- Music therapy 10–15 minutes daily
- Memory notebooks or phone reminders
- Learn a new small skill (gentle brain exercise)
- Social connection: talk to friends/family daily
- Limit stress — calming nature sounds help
4. SAFETY & HOME ENVIRONMENT
- Clear clutter and improve lighting
- Smoke alarms tested
- Medication stored safely
- Keep a daily calendar visible
- Keep walking paths free of obstacles
5. EMOTIONAL WELLBEING
- Encourage staying independent
- Positive reassurance
- Activities they enjoy (gardening, reading, music)
- Mindfulness or light meditation
- Good sleep routine
6. MEDICAL SUPPORT
- Annual memory assessment
- Check blood pressure, diabetes, cholesterol
- Review medications with GP
- Early discussion about:
- Future wishes
- Power of attorney
- Care preferences
Healthy Living Starts Today
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STAGE 2 DEMENTIA — CARE PLAN
(Very Mild Cognitive Decline)
Stage 2 includes very small memory lapses (forgetting names, misplacing items).
Daily support helps reduce stress and protect independence.
MAIN GOALS
- Strengthen memory
- Reduce anxiety
- Build strong routines
- Support confidence
- Prevent progression
1. DAILY ROUTINE PLAN
Morning
- 5–10 minutes stretching
- Healthy breakfast
- Review daily checklist or planner
- Short calm music session (2–3 songs)
Afternoon
- 20–30 min walk or light exercise
- Hydration: 1–2 glasses water
- Simple cognitive activity:
- Word puzzles
- Memory games
- Trivia
- Reminiscence photos
Evening
- Light meal
- Family social time / conversation
- Relaxing music
- Sleep routine (same bedtime daily)
2. MEMORY SUPPORT PLAN
- Memory notebook for names + daily notes
- Reminder apps on phone
- Labels on drawers or cupboards
- Use a wall calendar
- Keep items (keys, glasses, phone) in ONE place
- Repeat routines daily for familiarity
3. SAFETY & HOME ENVIRONMENT
- Improve lighting
- Remove small tripping hazards
- Keep pathways clear
- Medication organiser
- Simple kitchen layout
- Avoid stress by reducing noise + clutter
4. NUTRITION & HYDRATION
- Mediterranean-style diet
- Fruits, vegetables, oily fish, whole grains
- Hydration target: 6–8 cups per day
- Herbal teas in evening
- Reduce salt + sugar
- Soft foods if chewing is difficult
5. MUSIC & EMOTIONAL SUPPORT
- Music therapy 10–15 min daily
- Choose familiar calming songs
- Nature sounds for relaxation
- Emotional reassurance:
- Speak slowly, kindly
- Avoid correcting harshly
- Encourage independence
6. SOCIAL & COGNITIVE WELLBEING
- Encourage conversations
- Simple group activities
- Small outings (park, café)
- Reminiscence therapy:
- Photo albums
- Old songs
- Family history storytelling
7. MEDICAL SUPPORT
- Memory assessment every 6–12 months
- Review medication
- Check vision, hearing
- Monitor mood for anxiety or depression
- Discuss early care preferences (gently)
Transform your health with JUST FOR 2 OF US
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STAGE 3 DEMENTIA — CARE PLAN
(Mild Cognitive Decline)
Stage 3 includes noticeable memory loss, repeating questions, losing items, trouble planning, and mild confusion.
The goal is to protect independence while giving gentle support.
MAIN GOALS
- Maintain independence
- Reduce frustration
- Support memory
- Improve safety
- Strengthen routines
- Build confidence
1. DAILY ROUTINE PLAN
Morning
- Slow gentle stretching
- Healthy breakfast
- Review the daily routine board
- Music therapy (2–3 favourite songs)
- Simple task list:
- Make bed
- Wash face
- Dress with support if needed
Afternoon
- Light exercise: 20–25 min walk
- Hydration reminder
- Cognitive activities:
- Simple puzzles
- Sorting tasks
- Photo reminiscence
- One meaningful activity:
- Gardening
- Simple cooking
- Listening to music
Evening
- Calm environment
- Light dinner
- Limited TV (avoid overstimulating shows)
- Warm drink
- Short relaxation routine before sleep:
- Deep breathing
- Soft music
- Low lighting
2. MEMORY SUPPORT STRATEGY
- Use checklists for daily tasks
- Keep essential items in ONE location
- Label drawers, rooms, and cupboards
- Use a large wall calendar
- Keep routines the same every day
- Use simple one-step instructions
- Provide gentle reminders, not corrections
3. HOME SAFETY PLAN
- Improve lighting in hallways and stairs
- Remove clutter & loose rugs
- Install grab rails in bathroom if needed
- Medication organiser with supervision
- Keep dangerous items locked away
- Keep environment calm — reduce noise
4. NUTRITION & HYDRATION
- Regular meal times
- Balanced meals: vegetables, fish, fruit
- Hydration: 6–8 cups a day
- Use colourful plates to improve focus
- Cut food into smaller, easier pieces
- Light snacks to maintain energy
5. MUSIC & EMOTIONAL WELLBEING
- Music therapy daily (10–20 minutes)
- Familiar songs reduce anxiety
Transform Your Health Today!
Welcome to JUST FOR 2 OF US Health Coaching
STAGE 4 DEMENTIA — CARE PLAN
(Moderate Cognitive Decline)
At Stage 4, the person needs support with complex tasks, may forget recent events, become confused outdoors, and sometimes feel overwhelmed.
The goal is comfort, structure, reassurance, and safety.
MAIN GOALS
- Reduce frustration
- Support daily functioning
- Maintain comfort & dignity
- Keep routines stable
- Improve emotional wellbeing
- Prevent accidents
1. DAILY ROUTINE PLAN
Morning
- Slow gentle stretching
- Breakfast with support
- Check the daily schedule board
- Soft music to reduce morning anxiety
- Step-by-step assistance with dressing
- “First we do this… now this…”
Afternoon
- 10–20 min walk with supervision
- Hydration reminder
- Easy activities:
- Folding towels
- Sorting objects
- Simple puzzles
- Looking at old photos
- Quiet rest time (avoid overwhelming tasks)
Evening
- Light dinner
- Soft, calm lighting
- Warm drink
- Music therapy for relaxation
- Encourage early bedtime routine
2. COGNITIVE & MEMORY SUPPORT
- Simple, repeated routines
- One-step instructions
- Visual reminders (pictures + words)
- Large calendar & clock
- Keep important items visible (keys, glasses)
- Do not correct harshly — use gentle guidance
- Praise small successes
3. HOME SAFETY PLAN
- Supervise cooking and electrical appliances
- Improve lighting in all rooms
- Remove tripping hazards
- Consider door alarms if wandering risk begins
- Bathroom safety:
- Grab rails
Transform Your Life with JUST FOR 2 OF US
JUST FOR 2 OF US Health Coaching - Empowering You to Live a Healthier Life
STAGE 5 DEMENTIA — CARE PLAN
(Moderately Severe Cognitive Decline)
At Stage 5, the person needs daily hands-on help with dressing, bathing, hygiene, meals, and remembering important information.
The goal is comfort, calm routines, safety, and dignity.
MAIN GOALS
- Reduce confusion & anxiety
- Keep a predictable daily routine
- Support with personal care
- Encourage gentle independence
- Ensure safety at home
- Maintain hydration & nutrition
1. DAILY ROUTINE PLAN
Morning
- Gentle wake-up, soft reassurance
- Help with washing, brushing teeth, dressing
- Lay out clothes in correct order (simple outfits)
- Calm morning playlist
- Breakfast with full guidance
- Review a very simple “Today’s Plan” board
Afternoon
- Supervised walk or chair exercises
- Hydration: offer drinks every 1–2 hours
- Light activities:
- Folding towels
- Sorting colours
- Looking through photos
- Listening to music
- Light