Health experts have highlighted potential warning signs of the condition that could manifest in the hands. The Alzheimer’s Society suggests these symptoms may be indicative of dementia’s later stages, signalling a need for increased support.
Dementia is a widespread syndrome, impacting approximately 900,000 individuals in the UK. Predominantly affecting those over 65, its early warning signs can often be mistaken for typical ageing symptoms.
While many are familiar with common dementia symptoms such as memory loss, difficulty following conversations, and confusion, other less-known signs could be overlooked or misinterpreted. The Alzheimer’s Society warned that behavioural changes could indicate dementia in its advanced stages.
“People in the later stages of dementia may behave out of character,” the charity explains. “These behaviours can be difficult to understand and often have different causes.”
This could present as a sign in the hands, with “constant” wringing potentially indicating restlessness, a symptom often experienced by those with dementia.
They might also fidget and pull at their clothes. The charity added: “Many people with dementia become restless and may fidget or pace up and down.
“They may constantly wring their hands, pull at their clothes or touch themselves inappropriately in public. This could be because of pain or discomfort, needing the toilet, a need for more physical activity or problems with their environment. It may also be because the person used to move around a lot as part of their job.”
The Alzheimer’s Society offered advice to help manage these symptoms, saying: “It may help to encourage exercise or activities related to interests and hobbies, both new and from their past. A rummage box, containing objects related to the person’s past such as pictures, jewellery or souvenirs, may help as it gives the person an opportunity to move their hands.”
Additional behavioural changes that may indicate dementia include aggression, distress or agitation, hallucinations or delusions, repetition, and sundowning – becoming more agitated and confused in the late afternoon and early evening.
Managing the symptoms
Firstly, the charity recommends trying to understand what may be causing the person’s behaviour and think about whether they have any unmet needs.
These include:
- Ensure that any glasses or hearing aids are clean and functioning properly. Arrange regular sight and hearing checks
- Check whether the person’s medication is appropriate or whether they might be ill or in pain. A visit to the GP to rule out any physical problems is a good idea
- Check that they are not being disturbed by too many people, too much activity, loud noises, sudden movements or an uncomfortable environment (for example, one that is too hot or too bright)
- Consider whether they may be bored or in need of stimulation. Engage the person in meaningful activities. Gentle activities such as a hand massage, listening to their favourite music or stroking a soft piece of fabric may help
- Make sure the person is comfortable – for example not cold, hungry, thirsty, or needing the toilet.
Other symptoms of dementia include:
- Memory loss
- Difficulty concentrating
- Finding it hard to carry out familiar daily tasks, such as getting confused over the correct change when shopping
- Struggling to follow a conversation or find the right word
- Being confused about time and place
- Mood changes.
If you or someone you know displays any of the signs of dementia you should speak to a GP.