(Major memory loss, behaviour changes, and increased care needs)

Stage 6 brings significant cognitive and functional decline.
A person now relies heavily on others for daily care, and memory loss affects even close family relationships. Communication becomes more difficult, and behavioural changes often appear.

Despite these challenges, the person can still experience comfort, calm, connection, music, and routine, especially with compassionate support.

• Forgetting names of close family members
• Forgetting personal history
• Difficulty recognising familiar places
• Unable to remember recent events at all

• Needs help with dressing, bathing, toileting
• Forgets steps in washing or eating
• May put clothes on incorrectly or remove them unexpectedly
• Requires supervision for all hygiene routines

• Limited vocabulary
• Short, simple sentences
• Difficulty following conversations
• May repeat the same words or phrases
• Increased confusion when asked questions

• Anxiety, restlessness, pacing
• Agitation, especially in the late afternoon (“sundowning”)
• Mood swings or emotional outbursts
• May become suspicious or fearful
• Occasional hallucinations or delusions

• Waking during the night
• Reversed sleep patterns
• Wandering or calling out at night

• High risk of getting lost
• Difficulty judging distance
• Trouble navigating familiar rooms
• Increased fall risk

• Slower movements
• Weaker balance
• Possible incontinence (partial or full)

At Stage 6, the person:

• Cannot live safely without full-time support
• Needs assistance with dressing, bathing, toileting, eating
• May forget to chew or swallow correctly
• Has limited ability to understand complex conversations
• Requires a calm, structured, predictable environment
• Benefits greatly from soothing music, affection, reassurance

They still respond to:

• Touch
• Familiar voices
• Music
• Smiles
• Gentle routines
• Emotional connection

• Use slow, gentle, simple communication
• Keep environment calm and consistent
• Provide hand-over-hand support for tasks
• Avoid arguing or correcting
• Use Music-Assisted Therapy throughout the day
• Reduce noise, clutter, and overstimulation
• Maintain hydration and soft, easy-to-eat meals
• Offer emotional reassurance when they feel frightened

• Install fall-prevention mats and grab rails
• Keep pathways clear
• Supervise walking and toileting
• Use night lights
• Prevent wandering (secure doors, alarms if needed)
• Monitor for swallowing difficulties

Contact a GP or memory clinic if you notice:

• Sudden behaviour changes
• Strong agitation or aggression
• Increased sleep problems
• Rapid physical decline
• Problems with swallowing
• Signs of pain or infectionroutine, especially with compassionate support.

• Forgetting names of close family members
• Forgetting personal history
• Difficulty recognising familiar places
• Unable to remember recent events at all

• Needs help with dressing, bathing, toileting
• Forgets steps in washing or eating
• May put clothes on incorrectly or remove them unexpectedly
• Requires supervision for all hygiene routines

• Limited vocabulary
• Short, simple sentences
• Difficulty following conversations
• May repeat the same words or phrases
• Increased confusion when asked questions

• Anxiety, restlessness, pacing
• Agitation, especially in the late afternoon (“sundowning”)
• Mood swings or emotional outbursts
• May become suspicious or fearful
• Occasional hallucinations or delusions

• Waking during the night
• Reversed sleep patterns
• Wandering or calling out at night

• High risk of getting lost
• Difficulty judging distance
• Trouble navigating familiar rooms
• Increased fall risk

• Slower movements
• Weaker balance
• Possible incontinence (partial or full)

At Stage 6, the person:

• Cannot live safely without full-time support
• Needs assistance with dressing, bathing, toileting, eating
• May forget to chew or swallow correctly
• Has limited ability to understand complex conversations
• Requires a calm, structured, predictable environment
• Benefits greatly from soothing music, affection, reassurance

They still respond to:

• Touch
• Familiar voices
• Music
• Smiles
• Gentle routines
• Emotional connection

• Use slow, gentle, simple communication
• Keep environment calm and consistent
• Provide hand-over-hand support for tasks
• Avoid arguing or correcting
• Use Music-Assisted Therapy throughout the day
• Reduce noise, clutter, and overstimulation
• Maintain hydration and soft, easy-to-eat meals
• Offer emotional reassurance when they feel frightened

• Install fall-prevention mats and grab rails
• Keep pathways clear
• Supervise walking and toileting
• Use night lights
• Prevent wandering (secure doors, alarms if needed)
• Monitor for swallowing difficulties

Contact a GP or memory clinic if you notice:

• Sudden behaviour changes
• Strong agitation or aggression
• Increased sleep problems
• Rapid physical decline
• Problems with swallowing
• Signs of pain or infectionplan that fits your unique needs, preferences, and lifestyle. Whether you want to lose weight, manage stress, improve your sleep, or simply feel better in your body, we are here to help you every step of the way.