Recognizing Sundowning Symptoms in Seniors
Skip main navigation
Serving Greater Chicagoland and surrounding areas.
Type Size
Serving Greater Chicagoland and surrounding areas.
Past main navigation Contact Us

Recognizing Sundowning Symptoms in Seniors

Sundowning, a prevalent symptom in seniors with Alzheimer's and dementia, presents significant challenges for older adults and their caregivers. It refers to the onset of increased confusion, agitation, and behavioral disturbances in the late afternoon or early evening. These symptoms can disrupt daily routines, strain relationships, and increase caregiver stress, making it difficult to provide adequate support and maintain a sense of normalcy for everyone involved.

What Sundowning Entails

Sundowning, also known as "late-day confusion", is a term used to describe the symptoms affecting people who have dementia or Alzheimer's. As the name suggests, it tends to occur during the late afternoon or early evening. In the more severe stages of Alzheimer's, up to 20% of patients may experience this pattern. It’s essential to note that sundowning is not a disease itself but a group of symptoms associated with these conditions.

Recognizing the Signs of Sundowning

Signs of sundowning can vary from person to person, but most exhibit general patterns. As the day progresses, some seniors may become confused or agitated. Others may appear unusually anxious, aggressive, or restless. There can be an increase in pacing or wandering. Some individuals may even experience hallucinations. These behaviors can cause distress for the individual and present unique challenges for caregivers.

Potential Triggers for Sundowning

While the exact causes of sundowning remain unclear, several factors have been linked with these symptoms. These include mental and physical fatigue, reduced lighting leading to increased shadows (which can cause confusion or fear), and disruption of the individual's internal body clock. Dehydration, hunger, or too much daytime napping can also contribute to the phenomenon.

Practical Strategies for Managing Sundowning Symptoms

Managing sundowning symptoms in seniors can significantly improve their quality of life and relieve caregiver stress. Here are a few strategies that may help:

Maintain a Consistent Routine

Consistency can reduce confusion and anxiety for seniors. Try to keep mealtimes, bedtimes, and waking times the same daily. This structured approach provides seniors with a sense of purpose and predictability, which can help alleviate anxiety and confusion.

Create a Calm Environment

Reduce noise and clutter. Dim lighting can help as evening approaches. Ensure that the sleep environment is conducive to restful sleep. Minimize external disturbances and provide comfortable bedding and supportive sleep aids if needed.

Engage in Afternoon Activities

Keep seniors active in the afternoon to reduce restlessness in the evening. Consider activities tailored to their interests and abilities, such as gardening, light exercise, or artistic pursuits like painting or crafts. Always consult a healthcare provider before introducing seniors to a new exercise routine. 

Ensure Self-Care

Caregiver self-care is also essential. Dealing with sundowning can be stressful, so ensuring you have time to relax and recharge is critical. Seeking support from local resources or professionals can be incredibly helpful.

Get Alzheimer’s and Dementia Care Support From Senior Helpers Des Plaines

Recognizing and managing sundowning symptoms can be a challenging aspect of caring for seniors with dementia or Alzheimer's. With understanding, practical strategies, and a lot of patience, it's possible to navigate this challenging time. 

If you’re looking for professional support in navigating the challenges of sundowning and other dementia-related situations in Chicago, Des Plaines, and Lake Forest, Senior Helpers Des Plaines can help. We are leading industry experts in Alzheimer’s and dementia care, offering personalized care to make life easier for you and your senior loved one. Contact us to learn more about our services!