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Mom's always been a happy person, lots of friends, the oldest of 10 kids, gets along with everyone. I've only heard her raise her voice 3x in my life. She obviously isn't the same happy person but she is still happy, friendly, talkative and can be engaging at times; its getting to be less so lately as her Dementia has progressed, she is in STAGE 6 Should I expect her to become combative and mean or disruptive? or is that as much a symptom of the illness, as it is a personality issue? I know this is probably not black and white but If there's going to be a personality change would it have likely already happened or is that more than likely a change that's soon to come between STAGE 6 & 7? Or is there just no telling?

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My dad has late stage Alz. He is combative when you do something he dont want to do at the moment. Also if he has some type of infection like a UTI or some type of pain. He gets very combative. But it's not everyday. In my experience also it may just be the way he is communicating. My sister thinks different. He's always combative with her. Most of the time. But not with me, often.
Let me add, he is a very comical person everything is a joke. My Mom had dementia but not Alz and she was never combative. She was sweet. But we didnt now til after she passed.
May God be with you.

PS -Pray he stays non combative, or it will play with your mind if it happens to you. And, yes, it does hurt physically also.
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Stage 6 is pretty much into her Dementia Journey. My Mom had paranoid times, not many. Her being combative came from a UTI which was addressed. Basically she was a sweet lady until she passed. The nurses and aides loved her and took good care of her. Her big decline started in 2014 and was monthly until her passing in Sept 2017.
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Floridagirl6 Sep 2019
Thanks for your helpful answer. My mom also has paranoid moments but not many and most appear to stem from mom feeling fearful about something. She is easily redirected and isn't combative with me but has questioned me about many things that are on her mind at the time. I just answer as compassionate and honest as I possibly can and then we move on. Its a relief to know that some Dementia patients only appear to act out when there is some issue and they are unable to communicate in any other way. I know everyone is different and there's no guarantees either way! Thank you JoAnn29
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My ex-husband's mom is in the late stages of Alzheimer's disease. He always has referred to her as "sweet," and I think that's pretty accurate. She never went through a stage of being combative or mean or disruptive but she did go through times when she was very fearful, and there were things she strongly resisted, such as bathing and leaving the house. But I don't think she ever tried to hurt anyone. Her resistance was more passive.
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Floridagirl6 Sep 2019
Thank you Rosered6 for your response! I do know that everyone is individual and on their own "level" with Dementia. It seems as though it maybe related at least; in part, to ones basic personality from my own experience (which is limited). And this is just my opinion. It is a plus to know that some don't experience significant personality changes unless there's something else going on and that may be the only way to let you know it. Thanks you again
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