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What is the typical progression rate for an 86 year old female who has just been diagnosed with mild dementia and at what stage should we hire in home assistance?

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There really isn't a typical case. It is as varied as it can be and not predictable. Your doc may give you a good idea based on what he has seen with the patient over time.
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There is no time table. You will have to keep an eye on her symptoms.
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