Why is my father with dementia folding napkins and calling them hundred-dollar bills?

Your father with dementia folding napkins and calling them hundred-dollar bills is actually a common behavior seen in people with dementia. This activity, known as “folding behavior,” often emerges as the disease progresses.

There are a few reasons why your father might be doing this. First, folding napkins gives him a sense of purpose and accomplishment. Even as cognitive abilities decline, the desire to feel useful remains. Folding is a simple, repetitive task that he can still do successfully.

Calling the napkins hundred-dollar bills likely stems from memory issues and confusion. Your father may be mixing up memories of handling money in the past with what he’s doing in the present. Or he might be reliving a time when he regularly handled cash for work or errands.

This behavior can also be soothing. The repetitive motion of folding can have a calming effect, helping to reduce anxiety or agitation that’s common in dementia. The familiar feel of the napkins might remind him of handling paper money, triggering pleasant associations.

It’s important to know that this isn’t harmful behavior. In fact, it can be beneficial. It keeps your father’s hands busy, provides mental stimulation, and gives him a sense of productivity. Many caregivers actually encourage similar activities as a form of occupational therapy.

You might consider providing him with a basket of items to fold – not just napkins, but maybe washcloths or hand towels too. This gives him more variety while still allowing him to engage in an activity he finds meaningful.

Remember, even if the activity doesn’t make sense to you, it’s significant to your father. Letting him continue this harmless behavior can improve his mood and quality of life. Just make sure he’s not hoarding the napkins or becoming distressed if they’re taken away.

If you’re concerned about this or any other behaviors, it’s always a good idea to consult with his doctor or a dementia care specialist. They can provide more personalized advice and ensure your father is getting the best possible care.