Understanding Sundowning
Many families notice that a loved one with dementia becomes more confused, restless, anxious or irritable in the late afternoon and evening. This pattern is often called “sundowning.” It can be exhausting for caregivers, but understanding it can help.
What may cause it
Researchers don’t fully understand sundowning, but several things seem to play a role:
- Changes in the brain’s internal clock
- Tiredness at the end of the day
- Low light and shadows that are hard to interpret
- Hunger, thirst or pain
- Too much activity, noise or too little activity during the day
- Shift changes and busy households in the evening
Ways to help
- Keep a steady routine. Regular times for waking, meals, activities and bed help set the body’s clock.
- Get daylight and activity early. Morning sunlight and a walk can help with sleep later.
- Limit naps and caffeine, especially later in the day.
- Brighten the home before dusk. Turn on lights and close curtains as the sun sets to reduce shadows.
- Plan calm evenings. Soft music, a familiar TV show, folding laundry or looking at photos can be soothing.
- Check for physical needs, such as hunger, the need to use the bathroom or discomfort.
Responding in the moment
Stay calm and speak gently. Listen to what your loved one is worried about and offer reassurance. Avoid arguing. A change of scenery, a snack or a quiet activity can help redirect.
Talk to the doctor
If sundowning is new or suddenly worse, ask the doctor to check for an infection, pain, sleep problems or medication side effects. In memory care homes, trained caregivers learn each resident’s patterns and plan the day to make evenings calmer.
Have questions about memory care for someone you love? Call Generations Senior Living at (352) 474-2696 or schedule a tour of one of our three homes near The Villages.
