Are evenings and late afternoons with your loved one with dementia particularly challenging? They may be experiencing sundowning, a phenomenon marked by increased confusion and agitation in the late afternoon and evening hours. In this blog post, we'll delve into the connection between sundowning and sleep and examine the scientific facts that link them together. By understanding this connection, we can better support the seniors in our lives by implementing strategies to improve their sleep quality and ultimately reduce the impact of sundowning.
The Connection Between Sundowning and Sleep
While not fully understood by scientists, sundowning is believed to be closely linked to disruptions in the circadian rhythm, the body's internal clock that regulates our sleep-wake cycle. As we age, our bodies may produce less melatonin, the hormone responsible for inducing sleep, which can lead to disturbances in that cycle. This disruption can cause a misalignment between a senior's internal clock and the external environment, throwing off their sleep cycle and leading to increased confusion and agitation during the evening hours.
Four Strategies for Improving Sleep and Reducing Sundowning
The following tips can make a big difference in managing sundowning symptoms:
1. Establish Consistent Sleep and Waking Routines
Routine is incredibly important for seniors with dementia, as it provides a sense of stability and security. Creating a consistent sleep schedule can positively impact their overall well-being and help reduce the effects of sundowning. Aim to establish a regular bedtime and wake-up time for your loved one. Encourage activities that promote relaxation in the evening, such as reading or taking a warm bath, and avoid stimulating activities close to bedtime, like watching television or engaging in intense conversations.
2. Track Sleep Through Journaling
A sleep journal can be a valuable tool for seniors experiencing sundowning, as it can help identify patterns and potential triggers. Encourage your loved one to record their sleep duration, quality, and any disturbances or unusual behaviors they experienced. Share this information with healthcare professionals so they can better identify potential issues and create a more personalized sleep plan for the individual.
3. Use Lighting to Your Advantage
Exposure to light plays a crucial role in regulating our sleep patterns, as it helps signal our internal clock when it's time to wake up or go to sleep. Ensure the senior's home is well-lit during the day to help simulate natural daylight and reinforce their circadian rhythm. As evening approaches, gradually dim the lights to create a calming atmosphere and signal that it's time to unwind and prepare for bed. You may also consider installing night lights in hallways and bedrooms to help reduce disorientation and anxiety during the night.
4. Create Distinct Divisions Between Sleeping and Waking
Creating a peaceful sleep environment that is distinct from daytime activities can help seniors separate their waking hours from bedtime, making it easier for them to fall and stay asleep. Encourage your loved one to reserve their bed for sleep only, avoiding activities like watching television or eating in bed. Make sure their bedroom has a comfortable temperature, is quiet, and is free of distractions that may hinder their ability to sleep soundly.
Senior Helpers Can Assist With Nighttime Routines
If you or someone you know in Salerno, Stuart, Palm City, Jensen Beach, Port St. Lucie, Fort Pierce, Vero Beach, or Sebastian needs support for a senior experiencing sundowning, don't hesitate to contact us at Senior Helpers Treasure Coast. Our compassionate and experienced caregivers specialize in in-home dementia care, assisting with day-to-day household and client-care tasks. We're here to help make a difference in the lives of seniors and their families, any time of the day or night.