Sundowning is a phenomenon observed in some people with dementia, characterised by a marked increase in behavioural issues during the late afternoon, evening, or night. Symptoms can include confusion, anxiety, aggression, pacing, and disorientation, and can be distressing for both the person with dementia and those who help care for them.

While the exact cause of sundowning isn't fully understood, it's thought to be related to changes in the brain caused by dementia, which affect the individual's internal body clock and lead to confusion between day and night.

Tips for Managing Sundowning

Managing sundowning effectively can greatly improve the quality of life for both the person with dementia and their caregivers. Here are some strategies that may help:

Maintain a Routine: Keeping a consistent daily schedule can help reduce confusion and anxiety for someone with dementia. Regular times for waking, meals, and bedtime can provide a sense of stability and predictability.

Optimise Lighting: As the day transitions to evening, inadequate lighting can increase shadows and potentially exacerbate confusion and fear. Keeping the environment well-lit during this time can help mitigate some of the sundowning symptoms.

Limit Daytime Naps: While it's important for individuals with dementia to get adequate rest, excessive sleeping during the day can disrupt their nighttime sleep patterns and contribute to sundowning. Encouraging light activities during the day can help maintain a healthier sleep-wake cycle.

Create a Peaceful Evening Environment: Reducing noise, clutter, and the number of people around can help create a calming atmosphere. Soft music, gentle activities, and the presence of familiar objects can also contribute to a sense of peace and security.

Monitor Diet: Certain foods and beverages, especially those with caffeine or high sugar content, can affect sleep patterns and energy levels. Offering a light, nutritious dinner and limiting stimulating foods in the evening can be beneficial.

Seek Professional Advice: If sundowning symptoms are severe or continue to worsen, it's important to consult healthcare professionals. They may offer additional strategies or consider whether medication could be helpful in managing symptoms.

Building a Supportive Community

Caring for someone with dementia can be an isolating experience, but you're not alone. Connecting with others who are on a similar journey can provide invaluable support, exchange of practical tips, and emotional solace. We Talk Care is a platform dedicated to bringing caregivers together, offering a space to share stories, challenges, and successes.

Remember, taking care of your own well-being is just as important as caring for your loved one with dementia. Ensuring you have time for self-care, rest, and support is crucial to sustaining the journey of caregiving.

In managing sundowning and other aspects of dementia care, compassion, patience, and a supportive community can make a significant difference. We encourage you to share your experiences and strategies with the We Talk Care community, fostering a network of care that uplifts and supports each other in every step of this journey.