Why is my uncle with dementia holding a spoon like it’s a pen and trying to write?

Your uncle’s behavior of holding a spoon like a pen and trying to write is a common occurrence in people with dementia. This action, known as “utilization behavior,” happens when the brain’s ability to recognize and use objects correctly becomes impaired[1].

As dementia progresses, it affects various parts of the brain, including those responsible for memory, reasoning, and object recognition. This can lead to confusion about the purpose and use of everyday items[1].

In your uncle’s case, he might be experiencing a moment where he recognizes the spoon as a familiar object but can’t quite remember its intended use. His brain might be associating the act of holding something in his hand with writing, a familiar activity from his past[1][3].

This behavior could also be a form of fidgeting or restlessness, which is common in people with dementia. Keeping hands busy can help ease anxiety and provide a sense of purpose or familiarity[9].

It’s important to approach this situation with patience and understanding. Instead of correcting your uncle, you might try redirecting his attention to an activity that involves writing or drawing. Providing him with actual writing tools in a safe environment could satisfy his urge to write while reducing frustration[1][9].

Remember, changes in handwriting and the ability to use everyday objects are often early signs of cognitive decline in dementia. If you notice these behaviors becoming more frequent, it might be helpful to consult with a healthcare professional for guidance on managing these symptoms and ensuring your uncle’s safety and comfort[3][5].