Many seniors, particularly those living with dementia, experience a perplexing phenomenon known as sundowning. As the day wanes, they may exhibit symptoms like agitation, confusion, and mood swings, making evenings a challenging time. Understanding the signs and triggers of sundowning is crucial for caregivers and loved ones to provide the necessary support and ensure a calmer, more manageable evening routine.
Sundowning in Older Adults
Sundowning is a symptom often associated with Alzheimer's disease and other types of dementia. It describes the notable increase in confusion, restlessness, and agitation in seniors that becomes more pronounced as the day progresses into the late afternoon and evening hours. Sundowning is believed to occur due to the disturbances in the internal body clock of dementia patients, causing a mix-up between day and night.
Signs and Symptoms of Sundowning
Symptoms of sundowning manifest differently in different individuals, but some signs are common. Increased confusion is often the primary symptom, where seniors may seem more disoriented and less aware of their surroundings than usual. This confusion can escalate into agitation, restlessness, and mood swings.
Some seniors may exhibit behavioral changes, becoming more demanding or suspicious. Others might pace, wander, or even attempt to leave home. Caregivers must understand these signs are symptoms of the condition, not willful behaviors. Seniors are not trying to cause trouble but are struggling to deal with the challenges they're experiencing.
Managing Sundowning Symptoms and Signs
Coping with sundowning can be challenging for caregivers, but there are helpful strategies to make it manageable. Consider the following approaches to support your loved one and create a more peaceful evening routine:
Maintain a Routine
A stable daily routine can provide predictability, helping mitigate sundowning symptoms in older adults. Try to keep regular timings for meals, medication, and bedtime. A consistent schedule helps regulate the body's internal clock, promoting better sleep patterns and reducing the likelihood of confusion or agitation in the evening.
Create a Serene Environment
Keeping the surroundings calm and quiet during late afternoons and evenings can help minimize agitation. Consider using soft music or nature sounds to create a soothing ambiance. Dimming the lights and using warm, soft lighting can signal the body that it's time to wind down.
Engage Seniors in Calming Activities
Simple activities such as reading, knitting, or puzzles can keep seniors occupied and lessen the impact of sundowning. Steering clear of caffeine, particularly in the afternoon and evening, can promote a more restful night. Regular, gentle exercise can also promote better sleep and alleviate restlessness often experienced in the evenings. However, seniors must consult their doctors before starting a new exercise routine.
Seek Professional Help if Needed
If symptoms become too challenging to handle, don't hesitate to seek out professional help. They can also recommend appropriate interventions to help seniors cope more effectively and improve their quality of life.
Get In-Home Support From Senior Helpers
Managing sundowning symptoms can be challenging, but with compassionate care and proactive strategies, seniors can experience greater comfort and more relaxing evenings. Senior Helpers San Diego North offers a comprehensive range of in-home care solutions, including Alzheimer's and dementia care. If you’re in Carlsbad, Escondido, Oceanside, San Diego, or Vista, contact us today to learn more about our services!