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The Alzheimer's Association is the largest national voluntary health organization dedicated to research into the causes, treatment, prevention, and cure of Alzheimer's disease, as well as to providing education and support for people with the disease, their families, and their caregivers.

Journal about the Person with Alzheimer's

The information you record here will help you track the changes your loved one experiences as a result of Alzheimer's disease and how you addressed these changes. This journal may be helpful when you meet with physicians and providers of adult day services or long-term care.


Date________________________________


What Alzheimer symptoms are most prevalent?


What significant changes have you noticed?

Memory__________________________________________________________
Behavior_________________________________________________________
Personality________________________________________________________
Skills____________________________________________________________
Other____________________________________________________________


How have you successfully accommodated for these changes?


What caregiving challenges are you facing?


What activities does your loved one still enjoy?


Describe a special moment you shared with your loved one recently.


Medications (prescription, over-the-counter, and herbal remedies) the person takes:

Medication name Dosage When and how many taken daily
______________ ______________ ___________________________

______________ ______________ ___________________________

______________ ______________ ___________________________

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