Why is my uncle with dementia refusing to sit on anything soft?

Understanding why your uncle with dementia refuses to sit on anything soft can be perplexing. This behavior may stem from several factors related to the condition itself, as well as personal preferences and physical discomfort.

### Sensory Sensitivity

Individuals with dementia often experience changes in how they perceive sensory information. Soft surfaces, like plush chairs or cushions, might feel uncomfortable or overwhelming for them. They may prefer harder surfaces because these provide a clearer sense of stability and support. The texture of soft materials could also be confusing or irritating, leading them to avoid such seating options altogether.

### Discomfort and Pain

Dementia can sometimes mask pain responses or make it difficult for individuals to communicate discomfort effectively. Your uncle might have underlying issues such as arthritis or other joint problems that make sitting on soft surfaces painful. Harder seats might alleviate some pressure points that softer ones exacerbate.

### Familiarity and Routine

People with dementia often cling to familiar routines and environments due to their cognitive decline. If your uncle has always preferred firm seating—perhaps due to past experiences—he may continue this preference even if it seems unusual now. Changes in routine can lead to anxiety; thus, he might resist anything that feels new or different.

### Cognitive Decline Impacting Choices

As dementia progresses, decision-making abilities diminish significantly. Your uncle’s refusal could reflect confusion about what is comfortable versus what is not—a common issue among those living with cognitive impairments.

### Behavioral Expressions of Anxiety

Refusing soft seating could also be an expression of anxiety or agitation common in individuals with dementia. They may feel safer on firmer ground where they believe they have more control over their movements and balance.

In conclusion, understanding your uncle’s behavior requires patience and empathy towards his unique experiences shaped by dementia. It’s essential to observe his reactions closely and consult healthcare professionals who specialize in geriatric care for tailored advice on managing these behaviors effectively while ensuring his comfort and safety.