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2.  Mild cognitive impairment 

Mild cognitive impairment

# Mild cognitive impairment, explained plainly

MCI is a real diagnosis with an uncertain future, which is exactly what makes it hard to live with. This is what it means day to day, and what is worth doing now.

[Begin caring today for free](/signup)[How it works](/features)

## What MCI is

Mild cognitive impairment means measurable changes in memory or thinking that are greater than expected for someone's age, but not severe enough to interfere much with everyday life. Bills still get paid, the house still runs.

Some people with MCI go on to develop dementia. Many stay much the same for years, and some improve, particularly where sleep, low mood, thyroid problems or medication were part of the picture.

## What it feels like from the inside

Most people know perfectly well that something has changed, and the anxiety about it can be more disabling than the impairment itself. Being talked about in the third person is a particular indignity at this stage.

Involve them in every decision. This is the phase where habits set, and habits set with someone rather than for them last far longer.

## What actually helps

-   One system, not five: a single calendar, a single place for keys, a single notebook. 
-   Sleep and hearing checked properly, both of which mimic and worsen cognitive change. 
-   Exercise and company, which have the strongest evidence of anything available. 
-   Short prompts for the small number of things that genuinely slip, rather than for everything. 
-   Lasting power of attorney sorted now, comfortably, while there is no question of capacity. 

## Reminders at this stage

The right level is a nudge, not a supervisor. A text or call for the three or four moments that matter keeps independence intact and stops the family conversation becoming a running check-up.

## The wider picture

1 in 10 to 1 in 6

people with mild cognitive impairment go on to develop dementia within a year, and many stay stable or improve.

Source: [Alzheimer's Research UK](https://www.alzheimersresearchuk.org/dementia-information/types-of-dementia/mild-cognitive-impairment/)

## Being straight with you

You Care Reminders is a non-medical wellness tool, not a monitoring service and not an alarm. Delivery is best effort rather than guaranteed, and it must not be used for medication reminders. If you are worried about someone's health, speak to their GP; in an emergency, call 999.

## Questions carers ask

### Does MCI always become dementia?

### Should we tell people?

### Is it too early for reminders?

### What should we ask the GP?

## Read next

-   [MCI vs early dementia](/mci-vs-early-dementia)
-   [Keeping independence with MCI](/independence-with-mci)
-   [Prompts without taking over](/prompts-without-taking-over)
-   [Daily prompts for MCI](/mild-cognitive-impairment-daily-prompts)

## Set the first reminder tonight

It takes about five minutes, costs nothing to start, and the person you care for has nothing to install.

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Wellness support, not medical advice.

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Care scenarios

-   [Dementia check-ins](/dementia-check-in-service)
-   [Daily prompts for MCI](/mild-cognitive-impairment-daily-prompts)
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-   [Mild cognitive impairment](/mild-cognitive-impairment)
-   [Dementia clocks](/dementia-clocks)
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