Why is my grandmother with dementia convinced her toes are missing?

Grandma’s Missing Toes: A Dementia Delusion

Your grandmother’s belief that her toes are missing is likely a symptom of her dementia. This kind of false belief is called a delusion, and it’s pretty common in people with dementia[1][8].

Dementia messes with how the brain works. It can make people see things that aren’t there, or believe stuff that isn’t true[1]. Your grandma’s brain is playing tricks on her, making her think her toes have vanished.

This toe delusion could be happening for a few reasons:

1. Brain changes: Dementia damages parts of the brain that help us understand our body and surroundings[8]. Your grandma’s brain might not be processing information about her toes correctly.

2. Visual problems: Dementia can affect how people see things[11]. Maybe your grandma can’t see her toes well, so she thinks they’re gone.

3. Sensory issues: Dementia can mess with how people feel sensations[11]. If your grandma can’t feel her toes, she might think they’re not there.

4. Memory troubles: Dementia affects memory[8]. Your grandma might have forgotten she has toes, or what toes are supposed to look like.

5. Confusion: Dementia often causes general confusion[13]. Your grandma might just be mixed up about her body parts.

It’s important to remember that this delusion feels very real to your grandmother. Don’t argue with her about it or try to prove her wrong. That might just upset her more. Instead, try to reassure her and keep her calm. You could say something like, “I see your toes are right there, and they look fine to me. Let’s go have a cup of tea.”

If this delusion is causing your grandma a lot of distress, talk to her doctor. They might be able to suggest ways to help her feel better. Sometimes, adjusting medications or trying new activities can help with dementia symptoms[8].

Remember, your grandma isn’t being difficult on purpose. Her brain is sick, and she needs your patience and understanding. Keep showing her love, even when things get weird with missing toes and other strange ideas.