Understanding Sundowning: Symptoms, Signs, and Management
Skip main navigation
Serving Clovis, Fresno and surrounding areas
Type Size
Serving Clovis, Fresno and surrounding areas
Past main navigation Contact Us

Sundowning: Symptoms and Signs

Understanding and managing the health of a loved one diagnosed with Alzheimer's or other forms of dementia can be challenging. One challenge faced by many seniors and their caregivers is "sundowning," a condition that causes increased agitation and frustration as the day progresses. While sundowning can prove highly frustrating, there are strategies caregivers can use to help manage those symptoms.

Understanding Sundowning

Sundowning is a term used to describe a state of increased agitation, confusion, and restlessness that typically occurs in the late afternoon or evening in some individuals with Alzheimer's and other forms of dementia. It is thought to affect between 2.4 and 25% of Alzheimer's seniors, making it a common, yet often misunderstood condition.

Symptoms and Signs of Sundowning

One of the most common signs of sundowning is an increase in confusion and agitation as daylight fades. It is not uncommon for those experiencing sundowning to become restless or irritable, with symptoms often peaking during the late afternoon and evening. Yet, sundowning can manifest differently in different people. Some individuals may experience mood swings, pacing, or even hallucinations, while others might exhibit suspicious or demanding behavior. Recognizing these signs is the first crucial step in managing sundowning.

Practical Advice for Managing Sundowning Symptoms

Successfully managing sundowning involves a mix of strategies aimed at minimizing confusion and promoting calm. Establishing a predictable daily routine can be beneficial, as unfamiliar activities or environments may exacerbate confusion. Try to schedule demanding activities earlier in the day when the individual is often at their best. 

Creating a calm and quiet environment can also help to reduce agitation. Limiting daytime napping and encouraging physical activity may promote better sleep in the evening. Similarly, a healthy diet can also play a significant role. Avoid caffeine and sugary foods that may interfere with sleep. 

Engaging the mind with stimulating but non-stressful activities can be beneficial too. Listening to soothing music, reading a book, or working on a simple craft project can provide comfort and lessen the symptoms of sundowning.

How Senior Helpers Fresno Can Help

Managing sundowning is not a journey you have to undertake alone. At Senior Helpers Fresno, we offer a range of services designed to assist seniors experiencing sundowning. In addition to our other care services, including companionship and respite care, we also offer Alzheimer's Care services that can help enhance the quality of life specifically for seniors with Alzheimer's and their caregivers. 

Our compassionate and competent caregivers understand the unique challenges that sundowning can present. They are trained to create a safe and supportive environment, helping to minimize confusion and promote a sense of calm for your loved ones. Our caregivers can come in during the sundowning hours each day to assist, work with you on strategies that can help create a sense of calm, or offer respite care when family members are not available during those hours. 

Get Alzheimer's Care for Your Loved One

If you reside in Fresno, Clovis, Hanford, Visalia, or Tulare, and need assistance with a loved one experiencing sundowning, do not hesitate to connect with us at Senior Helpers Fresno. Our dedicated team is here to provide the support you need.