Why is my aunt with dementia folding napkins into tiny hats?

Your aunt’s behavior of folding napkins into tiny hats is likely a manifestation of her dementia. This type of repetitive, seemingly purposeless activity is common in people with dementia and can be attributed to several factors[1][3].

As dementia progresses, individuals often engage in repetitive behaviors that may appear strange or unnecessary to others. These actions can provide a sense of comfort, familiarity, and control in a world that increasingly feels confusing and unpredictable to them[1].

Folding napkins into tiny hats might be a task your aunt remembers from her past, perhaps from a job or hobby. People with dementia often retain procedural memories (how to do things) longer than other types of memories. This activity could be a way for her to connect with her past and feel productive[3].

Additionally, this behavior might be a coping mechanism. As cognitive abilities decline, simple, repetitive tasks can offer a sense of accomplishment and reduce anxiety. The act of folding napkins might be soothing and give your aunt something to focus on[1][3].

It’s important to note that while this behavior may seem odd, it’s generally harmless and can actually be beneficial for your aunt. It keeps her hands busy, may help maintain some fine motor skills, and provides a sense of purpose[3].

Instead of trying to stop this behavior, it might be more helpful to engage with her about it. You could ask her about the hats she’s making or even join in the activity. This can create positive interactions and potentially spark memories or conversations[1][3].

However, if the behavior becomes disruptive or interferes with her daily life, it’s best to consult with her healthcare provider. They can offer guidance on managing the behavior and ensure it’s not a sign of other issues[3].

Remember, dementia affects each person differently. What might seem unusual to us could be a source of comfort and stability for your aunt. Approaching her behavior with patience, understanding, and compassion is key.