How to Cope with Sundowning in Alzheimer's Disease

What is Sundowning?

Loved ones living with Alzheimer's or Dementia might show signs of increased agitation and confusion as the day progresses, right around late afternoon, when the sun is lower in the sky. These symptoms may carry into the night and lead to issues with sleeping.

What Causes Sundowning?

It is not clear why sundowning occurs, but certain factors might contribute to late-day confusion:

• fatigue, tiredness, physical uncomfort, hunger, and other needs not being met

• feeling irritated or overwhelmed from noise, crowds, or the environment during the day

• poor sleep that leads to disturbances in his or her internal body clock

• depression, anxiety, and other mood disorders

  uneven lighting and shadows

Caregivers can record daily happenings to try to pinpoint the factors that are contributing to sundowning to provide some relief to loved ones.

Four Ways to Reduce Sundowning:

1. Manage your indoor lighting. Those living with Alzheimer's or Dementia may see distressing shadows and images on reflective surfaces or in uneven lighting. Close all the curtains and ensure even lighting throughout the house as best as you can. Consider using a night light when it's bedtime.

2. Make sure your loved one's basic needs are met. Limit caffeine and sugar intake, as well as napping, to help your loved one get a good night's sleep. Prepare balanced, varied meals that have limited saturated fat, cholesterol, and sodium. Address any physical pain in the manner that is recommended by your loved one's physician.

3. Create a calming environment before the late afternoon. Turn down the TV, reduce any background noises, calm the pets, and refrain from participating in any high-energy activities at this time. Consider playing soft, familiar music around the same time every day to soothe your loved one and create a relaxing routine.

4. If your loved one is experiencing agitation or confusion because of a change of environment, do what you can to make the new environment more familiar. Bring your loved one's blanket, toiletries, and clothes. Decorate the new space with family photos and other cherished items to create a comfortable setting.

How Presidio Can Help

Presidio Home Care Aides are thoroughly trained in managing behavioral changes and communicating with loved ones living with Alzheimer's. Additionally, our Home Care Aides offer consistent, calming companionship, no matter the time of day. Contact us today to learn more.