Why is my aunt with dementia collecting napkins and calling them money?

Why is My Aunt with Dementia Collecting Napkins and Calling Them Money?

If you’ve noticed your aunt with dementia collecting napkins and referring to them as money, you’re not alone. This behavior is actually quite common in people with dementia and can be explained by a few different factors.

First, it’s important to understand that dementia affects the brain in ways that can alter a person’s perception of reality. Your aunt may genuinely believe the napkins are money due to confusion and memory loss[1]. This misidentification of objects is a symptom of cognitive decline.

Another reason for this behavior could be that your aunt is trying to maintain a sense of purpose and control. Collecting items, even if they’re not actually valuable, can give a person with dementia a feeling of accomplishment and importance[13]. It’s a way for them to feel like they’re still managing their affairs and taking care of themselves.

The act of gathering and organizing objects can also be soothing for someone with dementia. It provides a repetitive, familiar activity that may help them feel calm and focused[13]. Your aunt may find comfort in handling and arranging the napkins, much like someone might enjoy sorting through old photographs or organizing a collection.

Additionally, people with dementia often experience changes in their ability to understand the value of money. Your aunt may be associating the napkins with currency because of their similar size and texture to paper bills. This confusion is part of the cognitive impairment that comes with the disease[1][8].

It’s also possible that your aunt is reliving memories from her past. Perhaps she once worked in a restaurant or had a job handling money, and collecting napkins is her way of connecting with those experiences. Reminiscence can be a powerful tool for people with dementia, helping them feel more grounded and connected to their personal history[14].

While this behavior might seem strange or concerning, it’s generally harmless. However, it’s important to ensure that your aunt isn’t collecting items that could be dangerous or unsanitary. If the napkin collecting becomes excessive or interferes with her daily life, it may be worth discussing with her doctor.

Remember, the key is to approach the situation with patience and understanding. Your aunt isn’t intentionally being difficult or irrational – she’s experiencing the world through the lens of her condition. Providing a safe, supportive environment and engaging her in meaningful activities can help manage these behaviors and improve her quality of life.