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=== Middle === As dementia progresses, initial symptoms generally worsen. The rate of decline is different for each person. MMSE scores between 6 and 17 signal moderate dementia. For example, people with moderate Alzheimer's dementia lose almost all new information. People with dementia may be severely impaired in solving problems, and their social judgment is often impaired. They cannot usually function outside their own home, and generally should not be left alone. They may be able to do simple chores around the house but not much else, and begin to require assistance for personal care and hygiene beyond simple reminders.<ref name="Memory Loss" /> A [[anosognosia|lack of insight]] into having the condition will become evident.<ref name="Wilson">{{cite journal |vauthors=Wilson RS, Sytsma J, Barnes LL, Boyle PA |title=Anosognosia in Dementia |journal=Current Neurology and Neuroscience Reports |volume=16 |issue=9 |page=77 |date=September 2016 |pmid=27438597 |doi=10.1007/s11910-016-0684-z|s2cid=3331009 }}</ref><ref name="CNN">{{cite journal |vauthors=Sunderaraman P, Cosentino S |title=Integrating the Constructs of Anosognosia and Metacognition: a Review of Recent Findings in Dementia |journal=Current Neurology and Neuroscience Reports |volume=17 |issue=3 |page=27 |date=March 2017 |pmid=28283961 |doi=10.1007/s11910-017-0734-1|pmc=5650061 }}</ref>
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