Why is my grandfather with dementia convinced his shoes are filled with water?

Grandpa’s Watery Shoes: Understanding Dementia Hallucinations

If your grandfather with dementia insists his shoes are filled with water, you’re not alone in facing this puzzling situation. This belief is likely a hallucination, which is common in some types of dementia, especially Lewy body dementia.

Hallucinations are false sensory experiences. In dementia, visual hallucinations are most common, but people can also experience sounds, smells, or physical sensations that aren’t real. Your grandfather feeling water in his shoes is an example of a tactile (touch) hallucination.

These experiences feel very real to the person with dementia. Your grandfather truly believes his shoes are wet, even if you can see they’re dry. It’s not that he’s being difficult or trying to confuse you – his brain is creating this sensation.

Hallucinations in dementia happen because of changes in the brain. As dementia progresses, it damages areas responsible for processing sensory information. This can lead to misinterpretations of reality, like feeling non-existent water.

It’s important to respond calmly and supportively. Arguing or trying to convince your grandfather he’s wrong likely won’t help and might upset him. Instead, acknowledge his experience: “I’m sorry your shoes feel wet. That must be uncomfortable.” Then, you could offer a solution: “Would you like to try on these other shoes?”

Sometimes, hallucinations can be triggered by environmental factors. Poor lighting, unfamiliar surroundings, or even certain medications can contribute. It might help to ensure your grandfather’s environment is well-lit and familiar.

If hallucinations become frequent or distressing, it’s a good idea to consult with his doctor. They might adjust medications or suggest other strategies to manage these symptoms.

Remember, your grandfather isn’t choosing to have these experiences. Patience, understanding, and support are key in helping him navigate this challenging aspect of dementia.