Sundowning is a cluster of common symptoms related to dementia. It is typically present in the early evening, as the sun goes down. Doctors do not fully understand why this occurs, but some of the theories are:
As the day wears on, the person with dementia wears out. It can be exhausting to live in a world that is confusing 24/7.
Late afternoon was typically a shift in activities; such as leaving work and going home to take care of other responsibilities.
Prescribed medication wears off at the end of the day.
It is estimated that 30-60% of people with dementia will have Sundowning symptoms. This may look like an increase in:
• Anger
• Agitation
• Emotional outbursts
• Hallucinations
• Restlessness
• Paranoia
• Pacing
• Wandering
• Rummaging
The person with dementia may not be able to accurately explain what their needs are, or what you could do to calm them. It is important to become an observant caregiver and try to determine what time of day the symptoms start to increase. Then you will be able to try some strategies just before that Sundowning time, to try to mitigate the symptoms. Here are some other suggestions to help your person living with dementia try to decrease Sundowning symptoms:
• Maintain a fairly active daytime routine
- Meaningful activities, exercise and minimal naps
• Stay calm – they will react to your tone and body language
• Limit caffeine and sugar
• Increase lighting and close the blinds
• Encourage good sleep habits and routine
• Ensure that your person is staying hydrated
If you would like to discuss more ideas related to Sundowning for your loved one, contact Dementia Care Specialist, Carla Berscheit at 715-944-8091
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