During routine health assessments for older adults (65 years and older), nurses observe that cognitive decline can be a significant concern. One common condition that demonstrates this decline is Alzheimer's disease, characterized by progressive memory loss and impairment in daily functioning. A nurse is assessing an older adult who exhibits signs of confusion and difficulty remembering recent events. In the Katz Index of Independence in Activities of Daily Living (ADLs), the patient's ability to perform daily tasks has declined over time. The nurse notes that the patient is unable to independently manage their medications and personal hygiene. Understanding the stage of cognitive decline is crucial in promoting health and safety.
Fill in the blank: A nurse should consider that the patient may be experiencing changes typical of cognitive decline associated with the Older Adult stage of development, which can include behavioral changes such as __________.