People with Alzheimer’s often encounter challenges performing daily and family tasks. Activities that were once routine and simple, such as cooking, shopping, managing personal finances, or even remembering to follow basic hygiene routines, can become complicated.
These challenges are due to a decline in short-term memory and planning and organizational skills. Family members and caregivers may notice that tasks that require multiple steps or remembering specific details become particularly difficult for the affected person.
Language impairment is another early sign of Alzheimer’s. Affected individuals may have difficulty finding the right words during a conversation, which can result in unusual pauses, incomplete sentences, or the use of incorrect or meaningless words.
This language problem is due to the impairment of the brain areas that control language processing and the ability to remember and access the right words. Over time, these language problems can worsen, leading to increasingly limited communication and difficulty expressing thoughts and needs.

Disorientation to time and place is a common manifestation in people with Alzheimer’s. This disorientation can range from forgetting what day of the week it is, to not recognizing familiar surroundings, to losing track of the date or season. In more advanced cases, individuals may even forget where they are at a given moment.
This type of disorientation is due to the impairment of the areas of the brain responsible for processing and retaining information about time and space. This can lead to confusion and anxiety for both the affected person and their caregivers, and can increase the risk of getting lost or finding themselves in dangerous situations.
In the early stages of Alzheimer’s, there may be a marked decline in the ability to make sound decisions or to accurately judge everyday situations.
This can include difficulties choosing appropriate clothing for the weather, managing personal finances effectively, or even making healthy food choices.
These challenges are due to a decline in the brain’s executive functions, which are critical for planning, decision-making, and judgment. As a result, people with Alzheimer’s may make decisions that seem unusual or inappropriate for their usual context.