Why is my father with dementia rubbing soap on his hands but not rinsing it off?

When someone with dementia rubs soap on their hands without rinsing it off, it can be puzzling and concerning for caregivers. This behavior is actually quite common in people with dementia and has a few possible explanations.

First, dementia affects a person’s ability to remember and follow through on multi-step tasks. Washing hands involves several steps – turning on the water, applying soap, rubbing hands together, rinsing, and drying. Your father may simply be forgetting the rinsing step after applying soap.

Another possibility is that he’s getting stuck or fixated on the soap-rubbing motion. People with dementia sometimes repeat actions over and over. The familiar feeling of rubbing soapy hands together may be soothing or comforting to him.

It could also be that he’s trying to clean his hands but doesn’t realize soap needs to be rinsed off to be effective. The concept of soap removing dirt only when combined with water may no longer make sense to him.

Sometimes, sensory issues play a role too. The smell or texture of the soap might be appealing, leading him to focus on that part of handwashing.

Importantly, this behavior is usually harmless, though it can lead to dry skin if soap is left on too long. You can help by gently guiding him through the full handwashing process, using simple verbal cues or demonstrating the steps yourself.

Consider making handwashing a shared activity. Help him turn on the water, apply soap together, and rinse your hands alongside his. This can make it a positive bonding experience while ensuring proper hygiene.

If he resists rinsing, try making it fun. Sing a short song while rinsing or use colorful, foaming soap that’s more entertaining to wash away.

Remember, patience is key. What seems like a simple task to us can be confusing for someone with dementia. By understanding the reasons behind this behavior and approaching it with compassion, you can help your father maintain good hand hygiene while reducing any frustration for both of you.