Why is my mother with dementia folding napkins into tiny squares and stacking them?

Your mother’s behavior of folding napkins into tiny squares and stacking them is actually quite common among people with dementia. This repetitive action serves several purposes and can be beneficial for her.

Firstly, folding napkins provides a sense of purpose and accomplishment. As dementia progresses, many daily tasks become challenging, but folding is often a skill that remains intact. By engaging in this activity, your mother may feel productive and useful, which can boost her self-esteem and mood.

The repetitive nature of folding napkins can also be soothing and calming for people with dementia. It offers a predictable, structured activity that can reduce anxiety and agitation. The rhythmic motions involved in folding can be meditative and provide a sense of comfort and familiarity.

Additionally, this activity helps maintain fine motor skills and hand-eye coordination. As dementia affects cognitive abilities, engaging in tasks that require dexterity can help preserve these physical skills for a longer time.

Folding napkins might also trigger positive memories for your mother. Perhaps she used to enjoy setting the table or preparing for family gatherings. This activity could be a way for her to connect with past experiences and roles that were important to her.

It’s important to note that while this behavior is harmless and potentially beneficial, it’s always a good idea to ensure she has a variety of activities available to prevent boredom or frustration. You might consider providing her with different textures or colors of fabric to fold, or introducing other simple, repetitive tasks she might enjoy.

Remember, this behavior is her way of finding comfort and engagement in her current state. Encouraging and supporting her in this activity can help maintain her sense of independence and well-being[1][3][5].