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LATE STAGES

In later stages people with DLB will experience most of the symptoms described previously. Problems with memory and attention can become more pronounced and people may need help with many or most daily tasks. In late stages, hallucinations and delusions can become distressing for the person with DLB and their family, particularly when trying to convince a person with DLB that what they are seeing or believing is not true. Treatments for hallucinations and delusions can sometimes be used. Making sure that glasses and hearing aids are checked also helps. People with DLB can sometimes behave in a challenging manner (agitation, aggression) which can be difficult to manage. This is similar to other forms of dementias and carers and professionals should try to avoid triggers (such as excessive noise, or pain). Motor symptoms can also become worse with time and many people with DLB are prone to falling in late stages. Medication can be used in certain cases. Physiotherapy and occupational therapy can also be very helpful in managing problems with movement. Speech and language therapy could also be used if problems with swallowing and speech develop.