Top 5 Triggers of Sundowning to Avoid If You Live With a Senior With Alzheimer's Disease
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Top 5 Triggers of Sundowning to Avoid If You Live With a Senior With Alzheimer's Disease

Caring for a senior with Alzheimer's disease can be challenging, especially when it comes to managing sundowning episodes. Sundowning is a common phenomenon in which individuals with Alzheimer's experience increased confusion, agitation, and disorientation during the late afternoon and evening. Understanding the triggers of sundowning is crucial in helping your loved one maintain their well-being and comfort, especially during the evenings. 

Top Triggers of Sundowning

Lack of Sleep

One of the major triggers of sundowning is fatigue. Seniors with Alzheimer's may have difficulty sleeping at night or might wake up frequently, leading to tiredness throughout the day. To help combat this, ensure they get adequate sleep at night and have opportunities to rest during the day. Keeping a consistent sleep schedule and creating a comfortable, quiet sleep environment can help promote restful sleep.

Hunger and Dehydration

Hunger and dehydration can also contribute to sundowning episodes. Provide regular meals and snacks, as well as encourage fluid intake. This may also help prevent irritability and disorientation associated with hunger and dehydration.

Being Overstimulated

Overstimulation is another factor that can worsen sundowning symptoms. Loud noises, bright lights, and excessive screen time can all contribute to increased agitation and confusion. Make an effort to keep noise levels low in the home, especially during the evening hours, and limit exposure to bright lights and screens.

Unfamiliar Surroundings

Unfamiliar surroundings can also trigger sundowning in seniors with Alzheimer's. Changes in routine or environment can be disorienting and stressful for seniors. Create a comfortable and familiar environment at home and limit changes to their routine and surroundings as much as possible.


Finally, medication side effects can sometimes contribute to sundowning episodes. If you suspect that your loved one's medications are causing or worsening their sundowning symptoms, discuss this with their healthcare professional. They may be able to adjust the medications or recommend alternative treatments.

Tips for Managing Sundowning Triggers

A daily routine is one of the most effective ways to manage sundowning triggers. Consistent wake-up and bedtimes, regular meal times, and scheduled activities throughout the day can help create a sense of structure and stability for seniors with Alzheimer's. Rest periods built into the day's routine can help prevent fatigue, too.

Creating a calming evening environment can also help alleviate sundowning symptoms. Dimming the lights and reducing noise levels in the home during the evening can help create a more peaceful atmosphere. Engage in calming activities with your loved one, such as reading, listening to soft music, or doing puzzles together.

Encouraging physical activity during the day can also help to minimize sundowning episodes. Going for walks or participating in gentle exercise classes can help seniors expend energy and promote better sleep at night. Seniors should discuss any new exercise routine or activity with their physician before beginning.

During sundowning episodes, providing reassurance and comfort is crucial. Offer gentle touch and soothing words to help your loved one feel safe and secure. Validate their feelings and experiences, even if they're confused or disoriented.

Don't hesitate to seek professional help if needed. Consult a healthcare professional about medication adjustments or therapy options for managing sundowning symptoms. Consider in-home care or support services to help alleviate the stress and responsibility of caregiving.

Need Help Managing Sundowning Triggers at Home? 

Managing triggers of sundowning is essential to caring for a senior with Alzheimer's disease. If you live in Miami, Miami Beach, or North Miami Beach, FL, and need assistance caring for a senior with Alzheimer's, contact Senior Helpers North Miami for professional support and services. Our in-home care services can be tailored-fit to meet the specific needs of your senior loved one.