Sundowning Syndrome: Recognizing Symptoms and Signs
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Sundowning: Symptoms and Signs

Understanding and managing Alzheimer's disease and dementia can be a daunting task for seniors and their caregivers. Among the numerous symptoms that these conditions can present, sundowning is a particularly challenging one. Typically manifesting as increased confusion and agitation during late afternoons and evenings, sundowning can significantly impact the quality of life for seniors and their caregivers alike.

What is Sundowning?

Sundowning, often referred to as "late-day confusion", is a common symptom of Alzheimer's and other forms of dementia. It describes a state of increased confusion, agitation, and restlessness that begins in the late afternoon and continues into the night. The exact cause of sundowning is unknown. However, it's believed to be associated with changes in the brain that occur in people living with Alzheimer's and dementia. 

Symptoms and Signs of Sundowning

Sundowning symptoms and signs can manifest in several ways. Individuals may exhibit increased confusion as the day progresses. They may seem more bewildered by late afternoon and evening, forgetting familiar faces, locations, or routines they would otherwise recognize. 

It’s common for seniors to become restless and more agitated as the day grows later. Some older adults may seem uncomfortable or distressed, unable to settle in one place. They may pace back and forth or wander, further exacerbating their confusion.

Mood swings and irritability are other common signs. Individuals might swiftly shift between emotional states, leading to sudden bursts of anger or sorrow. As the day ends, these seniors may also experience difficulty sleeping or staying asleep, further escalating their agitation and mood swings.

Managing Sundowning Symptoms at Home

While sundowning can be challenging, some practical strategies can help manage the symptoms. Maintaining a predictable daily routine can provide a sense of security and lessen confusion. Schedule regular times for waking, meals, activities, and bedtime. A consistent bedtime routine can be particularly soothing for seniors with sundowning since it will provide more consistency and a better idea of what to expect each day.

Diet can also influence sundowning symptoms. Limit the senior's caffeine and sugar intake, especially in the afternoon and evening. These can disrupt sleep patterns and exacerbate agitation. Focus on providing balanced meals with whole foods rich in nutrients to promote better sleep and mood stability.

Encouraging physical activity during the day can promote better sleep at night. However, avoid strenuous activities close to bedtime to prevent overstimulation. Create a calm and quiet environment in the evening, with lower light levels and reduced noise to encourage relaxation and sleep. Always consult with a healthcare provider to discover the best options for your loved one, including how you can best add physical activity to their schedule.

Get Support From Senior Helpers Exton

Understanding the symptoms and signs of sundowning, recognizing the triggers, and implementing appropriate strategies can help improve the quality of life of seniors and their family caretakers. If you or a loved one needs professional support while navigating the challenges of suffering from sundowning, Senior Helpers Exton can help. We provide in-home senior care solutions in West Chester, Coatesville, Downingtown, Kennett Square, and Chester County, offering personalized care tailored to seniors’ needs. Contact us today to learn more about our care services.