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Is Your Loved One with Dementia Struggling with Sundowning?
Published: May 24, 2024
Sundowning is a common and distressing symptom in dementia patients. This article explores what sundowning is, why it happens, and how you can help manage it.
Understanding Sundowning
Sundowning refers to increased confusion and agitation that occurs in the late afternoon and evening among dementia patients. It is thought to be related to changes in circadian rhythms, which are the natural cycles of wakefulness and sleep. Up to two-thirds of dementia patients may experience sundowning, impacting their overall quality of life and that of their caregivers.
Causes of Sundowning
Several factors may contribute to sundowning, including poor light exposure, which can disrupt sleep patterns and worsen agitation. Additionally, discomfort or pain, medication side effects, and environmental changes can exacerbate symptoms. Understanding these triggers can help in managing sundowning more effectively.
Managing Sundowning
Nonpharmacologic strategies are often preferred to manage sundowning, such as maintaining a regular daily routine and ensuring exposure to natural light during the day. Gentle activities like listening to calming music or engaging in a simple task can also provide comfort and reduce agitation.
Frequently Asked Questions
Sundowning is increased confusion and agitation in dementia patients during late afternoon and evening.
It's linked to disturbed circadian rhythms and factors like poor light exposure and discomfort.
Maintaining a regular routine and exposure to natural light are effective strategies.
Up to two-thirds of dementia patients may experience sundowning.
Medication is usually not the first option; non-drug strategies are preferred.
Key Takeaways
Sundowning can be challenging, but understanding and managing triggers can significantly improve quality of life.
References
- Evans LK. Sundown syndrome in institutionalized elderly. J Am Geriatr Soc 1987; 35:101.
- Volicer L, Harper DG, Manning BC, et al. Sundowning and circadian rhythms in Alzheimer's disease. Am J Psychiatry 2001; 158:704.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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