In the emerald state, individuals may experience difficulties, losing clarity in their thoughts and communication. They might not recognize these changes, often attributing issues to others. 

Family members and caregivers observing these behaviors will find more success in adapting to the situation rather than highlighting flaws.

People in a diamond state remain clear and sharp but become more rigid, displaying many facets of cognition but some inflexibility to daily changes and challenges. 

They can still shine despite not handling change well. This state, characterized by apparent stubbornness and a mix of past and present behaviors, can make it challenging for families to recognize the presence of dementia.

At the pearl state, the individual’s reflexes are constantly active, body systems start to fail, and gross motor skills deteriorate. Despite these challenges, with proper care, the individual can still reveal the remarkable pearl that remains.

In the ruby state, individuals experience a decline in fine motor skills, affecting vision, speech, and the ability to chew and swallow. However, they retain the ability to perform larger movements and maintain their strength. 

Care partners must manage stress by stepping back, breathing deeply, and adopting a flexible, understanding approach to return to a calm, supportive state, akin to being a sapphire.

Residents of an amber state are often engrossed in the present, driven by sensations and curiosity over caution, with a reduced awareness of safety. 

They seek out enjoyable experiences but react strongly against dislikes, presenting a challenge for care partners who struggle with the inconsistency between the person’s current behavior and their past self.