Sundowning: Symptoms and Signs
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Sundowning: Symptoms and Signs

Sundowning, a common symptom seen in Alzheimer's and other forms of dementia, often presents itself as increased confusion and agitation during the late afternoon and evening. This symptom can pose significant challenges for both the affected seniors and their caregivers. You need to know the signs and symptoms of sundowning.

What Is Sundowning?

Sundowning is a term used to describe a phenomenon in which individuals with dementia exhibit increased restlessness, confusion, and behavioral changes from late afternoon to night. It is estimated that up to 20 percent of the 50 million people worldwide with dementia experience sundowning. It's challenging not only for those experiencing it but also for those who provide care.

Symptoms of Sundowning

While the specific symptoms can vary from person to person, there are common manifestations of sundowning. Typically, as the day progresses towards the evening, a person might become more confused or agitated, possibly lashing out verbally or physically. They might be unable to focus or follow a conversation and may wander or pace restlessly. The timing of these symptoms, their persistence, and daily progression are key indicators of sundowning.

Causes of Sundowning

The causes of sundowning are not entirely understood. However, Alzheimer's Society suggests that it could be linked to changes in the brain impacting the 'internal body clock,' resulting in a mix-up between day and night. Other contributing factors could include tiredness, hunger or thirst, depression, or pain. Certain environmental factors, like poor lighting and increased shadow, can also contribute to increased confusion. 

Practical Advice for Managing Sundowning Symptoms

Managing sundowning involves a mix of consistent routine, a calm environment, and, sometimes, professional help.

Daily Routine

One key strategy is to establish a structured daily routine. This helps minimize confusion and provides a sense of security for individuals with dementia.

Planned Activities

Activities should be planned such that they utilize energy during the day, making it easier for evenings to be calm and quiet. Regular indoor and outdoor activities like household chores, reading, or gardening can be beneficial. However, it's important not to overstimulate.

Calming Environment

Creating a calm and soothing evening environment in the home can also alleviate symptoms. This might include keeping the home well-lit to avoid shadows and confusion, reducing noise, and providing reassurance and comfort.

Professional Help

While home management strategies are crucial, the benefits of professional help cannot be overstated. Trained caregivers are equipped with the skills and patience to deal with sundowning. They can provide invaluable advice and support personalized to your loved one's needs.

Senior Helpers Greenfield Supports Seniors Struggling With Sundowning

Sundowning can be a daunting challenge for both individuals experiencing it and their caregivers. Understanding its symptoms and their triggers is the first step toward effective management. With a structured routine, a soothing environment, and professional guidance, it's possible to manage sundowning better and improve your quality of life. 

If you live in Greenfield, Indianapolis, or Anderson and are seeking assistance, Senior Helpers Greenfield is here to help. Our professional caregivers are trained to help navigate the complexities of dementia and are committed to providing compassionate care for your loved ones. Reach out to us today, and let us make your journey a little easier.