How To Support Loved Ones In The Midst Of Sundowning

Sundowning is a challenging condition, affecting many people with dementia. Understanding sundowning is the first step to helping your loved ones.

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Understanding Sundowning

Sundowning is a set of symptoms that typically occur in the late afternoon or evening. You’ll most often see sundowning symptoms affecting people with dementia or Alzheimer’s disease and can be distressing for both patients and caregivers.

Recognizing The Symptoms

Sundowning has several common symptoms. First of all, your loved one might become confused. They may feel agitated or anxious. Some people become suspicious or see things that aren’t there. Pacing, wandering, or difficulty sleeping are also common. These symptoms often worsen as the sun goes down.

Possible Causes Of Sundowning

The exact cause of sundowning isn’t known, but fatigue might play a role. Changes in the body’s internal clock could be involved. Reduced light may increase shadows and confusion. Unmet needs like hunger or thirst might contribute.

Some experts think it’s a buildup of frustrations from the day.

Creating A Calming Environment

A peaceful environment can help manage sundowning. Keep the home well-lit in the evening. This reduces shadows that might cause confusion. Minimize noise and distractions. Create a soothing atmosphere with soft music or nature sounds. Familiar objects can provide comfort. A favorite blanket or family photos might help.

Establishing A Routine

Routines can be very helpful. Try to maintain consistent daily schedules. This includes meal times and bedtimes. Plan activities for earlier in the day. Limit naps, especially in the late afternoon. A regular routine can reduce confusion and anxiety.

Managing Diet And Exercise

Diet and exercise play important roles. Limit caffeine and sugar intake, especially later in the day. Encourage regular exercise, but not too close to bedtime. A light snack before bed might help if hunger is an issue. Stay hydrated, but reduce fluids close to bedtime.

Addressing Medical Factors

Medical issues can worsen sundowning.

Ensure your loved one has regular check-ups.
Discuss any new symptoms with their doctor.
Some medications might contribute to sundowning.
Ask about adjusting medication schedules if needed.
Treating pain or discomfort can also help reduce symptoms.

Providing Reassurance And Support

Your presence can be very comforting. Offer reassurance if your loved one seems anxious, speaking in a calm, soothing voice. Remind them of where they are and who you are. Don’t argue if they seem confused. Instead, gently redirect their attention.

Simple activities like looking at photos can be soothing.

Using Distraction Techniques

Distraction can be an effective tool. Engage your loved one in a favorite activity. This could be listening to music or doing a simple puzzle. Reminiscing about happy memories might help. A gentle hand massage can be calming. The key is to find activities that are soothing, not stimulating.

Ensuring Safety

Safety is crucial during sundowning episodes. Remove tripping hazards from the home. Use nightlights to improve visibility. Consider installing door alarms or motion sensors. This can alert you if your loved one wanders. Keep important items like keys out of sight to prevent wandering.

When To Seek Professional Help

Sometimes, professional help is needed. Contact a doctor if sundowning symptoms worsen. Seek help if you’re struggling to manage the situation. A doctor might recommend medication in some cases. They can also suggest additional coping strategies.

Supporting a loved one with sundowning requires patience and understanding. Create a calm environment and stick to routines. Pay attention to diet, exercise, and medical factors. Offer reassurance and use distraction techniques. Ensure safety and don’t forget to care for yourself.

With the right approach, you can help your loved one through this challenging time. Remember, you’re not alone in this journey. Support and resources are available to help you and your loved one cope with sundowning.