Understanding and Managing Sundown Syndrome

If you are caring for an aging loved one with Alzheimer’s, you may have noticed that the evening hours can be challenging. Those living with the disease may have different needs at different times of the day. Late afternoon and early evening can be especially tough for individuals who experience Sundown Syndrome, also known as Sundowning.

What Is Sundown Syndrome?

Sundown Syndrome is characterized by increased confusion, agitation, and restlessness during the late afternoon and evening hours. It typically occurs in people with Alzheimer’s disease or other forms of dementia, affecting their behavior and mood as daylight fades.

Behaviors of Sundown Syndrome may include:

• Pacing
• Wandering
• Yelling
• Confusion
• Disorientation
• Agitation
• Anxiety
• Aggressiveness

What Triggers Sundown Syndrome?

Sundown Syndrome can be triggered by factors related to the late afternoon and evening hours. As the day transitions to night, reduced social interactions, fatigue, and changes in lighting can heighten confusion and agitation. The decline in natural light and increased shadows may also contribute to disorientation. While the exact causes are not fully understood, several key factors that contribute to its onset have been identified:

Sundown Syndrome Triggers:

• Stress
• Unmet Needs
• Disrupted Daily Routine
• Sleep Disorders
• Insufficient Sunlight Exposure

The Impact of Sundowning

Sundowning can impact seniors’ quality of life, mental health, and relationships. The changes in behavior experienced during the late afternoon and evening can lead to stress and anxiety, making it difficult for seniors to manage their emotions and daily activities. This fluctuation often results in a decreased quality of life, as the individual may struggle with disrupted sleep patterns and a reduced sense of well-being.

Furthermore, emotional and behavioral changes can strain relationships with family members and caregivers, leading to frustration and misunderstandings. Managing sundowning is essential for preserving seniors’ mental health and maintaining harmonious, supportive relationships.

Assisted Homecare Services can provide valuable support during these times by offering trained caregivers who understand how to manage the increased confusion and agitation that often accompanies sundowning. These professionals help create a calming environment, maintain a consistent routine, and use techniques to ease anxiety, which can improve the quality of life of seniors and their family members.