Why Do Older Adults with Dementia Fidget?
- Elder Love USA
- Jul 3
- 3 min read
Updated: Jul 3
Fidgeting is a common behavior in older adults with dementia, especially in the later stages of the disease.
This restlessness can often be a sign of discomfort, confusion, or a deeper need that is not being met.
Understanding the underlying causes of fidgeting in dementia can help caregivers respond more effectively and improve the well-being of those they care for.
Causes of Restlessness and Fidgeting in Dementia
Fidgeting can be caused by several factors. It's important to observe and identify the root cause in order to provide appropriate care. Here are some common reasons why older adults with dementia may become restless:
1. Environmental Factors
The environment plays a significant role in how an individual with dementia feels. Changes in lighting, temperature, noise levels, or even rearranged furniture can create discomfort and lead to fidgeting.
Try this: Ensure the environment is clutter-free and calm, with soft lighting and a comfortable temperature. Reducing strong smells or excessive noise can also help. Allowing the individual to move freely within the space can reduce feelings of confinement or frustration.
2. Psychological Factors
Anxiety, fear, loneliness, depression, and confusion are common psychological symptoms of dementia that can lead to restlessness. These feelings often cause the person to fidget as a way to express their inner turmoil.
Try this: Offering comfort and reassurance can be powerful. Gently holding their hand or speaking to them calmly can help ease anxiety. If the restlessness seems to be driven by mental distress, consulting with a healthcare provider for medication or therapy might be necessary.
Additionally, fidget toys can provide a positive outlet for energy, reducing stress and providing a calming effect. Fidget toys specifically designed for dementia patients, such as those made by Relish's, give them something to occupy their hands and help reduce restlessness. These toys provide sensory stimulation and can offer comfort and engagement, especially for those who are prone to anxious or repetitive behaviors. For those interested in fidget toys, you can explore options through the links below. Elder Love USA earns a small commission when you make a purchase through our affiliate links.
3. Brain Changes
As dementia progresses, it causes changes in the brain that affect emotional regulation and expression. The individual may find it difficult to manage their emotions and may express distress through fidgeting.
Try this: Since verbal communication may be challenging, try to observe body language or signs that may indicate discomfort or pain. Mindful observation is key in identifying possible physical discomforts they may not be able to express.
4. Physical Discomfort
Sometimes, restlessness is simply a response to physical discomfort, such as pain, hunger, or an uncomfortable environment. Fidgeting may be their way of expressing a need that they can't articulate.
Try this: Check for common physical causes, like wounds, hunger, thirst, or even the need to adjust their position. If you suspect a physical cause, try to address it directly—whether it’s offering a snack, adjusting their posture, or checking if the room temperature is comfortable.
5. Medical Side Effects
Certain medications prescribed for dementia or other conditions may cause side effects, including restlessness or fidgeting.
Try this: If you suspect that the medication may be contributing to the behavior, consult their healthcare provider. They might be able to adjust the dosage or recommend an alternative medication.
Fidgeting and restlessness in older adults with dementia can be signs of discomfort, anxiety, or an unmet need. Understanding the underlying causes can help caregivers address these behaviors effectively.
This article is brought to you by Elder Love USA, a leading nonprofit provider of home care services in Riverside County, CA, San Diego County, CA, San Bernardino County, CA, Orange County, CA, Imperial County, CA, and Phoenix, AZ.
Our mission is to provide compassionate and affordable in-home care for older adults in need.
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