If you're caring for a senior loved one, you may have noticed increased confusion or agitation as the day progresses, particularly during late afternoon or evening hours. This symptom, known as "sundowning," can cause considerable chaos for seniors and their family members. Understanding sundowning—its signs, triggers, and effective management—can greatly enhance the quality of life of both seniors and their caregivers.
Sundowning Explained
Sundowning, also known as late-day confusion, is a phenomenon that typically affects people with Alzheimer's or other forms of dementia. This condition is characterized by increased confusion, upset, and even fear that starts in the late afternoon and continues through the night. Sundowning can disrupt the affected person's circadian rhythm, leading to a series of behavioral issues that range from mild to severe. It can alter the daily lives of seniors and increase the emotional toll on their caregivers.
Common Signs of Sundowning
The signs of sundowning vary among individuals, but some common symptoms are noticed among many seniors. These include increased confusion, agitation, and restlessness. Mood swings often occur, and behavior may shift radically as the day wanes. Some seniors might pace or wander, while others express a strange sense of displacement or urgency, insisting they have pressing tasks to complete. Anger and stubbornness may also show up, making caregiving tasks more challenging. Always remember that these behaviors are symptoms of the disease and not intentional actions by the senior.
Potential Triggers of Sundowning
Recognizing potential triggers is an essential step in managing sundowning. Fatigue and low lighting are common triggers. As natural sunlight diminishes, shadows can cause confusion and fear. Changes in routine can also trigger sundowning, so maintaining regular schedules for meals, medication, and bedtime can create a sense of security and stability. Other potential triggers may include certain medications, discomfort or pain, and difficulty separating dreams from reality.
Practical Strategies for Managing Sundowning Symptoms
Managing sundowning symptoms requires a balance of consistency, creativity, and patience. Creating a calm environment can significantly help. This could involve keeping the living spaces well-lit in the evening, reducing noise and clutter, and introducing calming activities such as listening to soothing music or reading a favorite book.
Regular physical activity during the day can also help reduce sundowning symptoms by promoting better sleep at night. Likewise, modifying routines and schedules according to the seniors' needs may prove beneficial. This might mean scheduling tasks requiring more focus and cognition earlier in the day, when seniors are typically more alert and less prone to confusion.
How Senior Helpers San Bernardino Can Help
At Senior Helpers San Bernardino, we understand the challenges sundowning presents. Our Alzheimer's and dementia care can offer assistance to caregivers dealing with sundowning, whether you need respite care so that you can recharge or ongoing care during some of the most challenging hours of the day. If you live in Loma Linda, Redlands, Grand Terrace, Colton, or Rialto, contact us to learn more about our home care services.