Each package contains 1 pinback button. Buy more to wear and to share! At 2.25 inches in diameter, these buttons were made to be seen. Metal backing – Trust us, there's a big difference between metal and plastic. These are real pinback buttons. Made in the USA – Each and every button is produced in-house, using high-quality paper and button parts. Support our country by buying American-made buttons. Patients with dementia may start to isolate themselves because they know they can't remember and are constantly repeating themselves. The please be patient, I have Alzheimer's button is designed to remind people to have patience with those struggling with conversations and repetitive behaviors. It also alerts police, firefighters, and other first responders to their plight.