10 Tips for Handling Sundowner’s Syndrome

Understanding Sundowner’s Syndrome

Sundowner’s Syndrome, commonly referred to as sundowning, is a condition that affects individuals with dementia, causing increased confusion, agitation, and anxiety as the sun begins to set. Caregivers often notice that their loved ones become more restless, disoriented, and even fearful during the late afternoon and evening. While the exact cause of sundowning is not fully understood, changes in the body’s internal clock, fatigue, and sensory disturbances are believed to play a role. Fortunately, there are strategies that can help manage symptoms and create a more peaceful evening routine.

Key Takeaways

• Sundowner’s Syndrome causes increased agitation and confusion in dementia patients during the evening.
• A structured routine, calming environment, and appropriate lighting can help reduce symptoms.
• Encouraging activity during the day and providing reassurance at night can ease anxiety and restlessness.

Strategies for Reducing Sundowning Symptoms

Maintain a Calm and Reassuring Presence

When a loved one with dementia experiences sundowning, their confusion can lead to frustration and fear. Speaking softly, maintaining a soothing tone, and avoiding sudden movements or loud noises can help minimize distress. If they say something that doesn’t make sense, rather than correcting them, gently redirect the conversation or provide comfort through reassuring words.

Control the Lighting and Environment

As the evening approaches, adjusting the lighting in the home can prevent distress triggered by shadows and darkness. Keeping curtains drawn and turning on indoor lights can help create a bright and welcoming atmosphere. Playing soft music or limiting background noise can also reduce sensory overstimulation that might contribute to agitation

Encourage Activity During the Day

A well-structured day can make a significant difference in how a person with dementia feels in the evening. Physical activity, fresh air, and social engagement help regulate sleep patterns and reduce restlessness. Ensuring they get enough daylight exposure in the morning can also support their circadian rhythm and promote better nighttime rest.

Plan Relaxing Evening Activities

Engaging your loved one in calming activities in the evening can help ease the transition into nighttime. Simple tasks such as watching a favorite television show, working on a puzzle, or reminiscing through old photos can provide comfort and serve as a positive distraction from anxious thoughts.

Stick to a Consistent Routine

Predictability is key for individuals with dementia. Going to bed at the same time each night, eating meals at consistent times, and maintaining familiar evening rituals can help reduce anxiety. Even small actions, such as reading a book together or dimming the lights at a certain time, can signal that it’s time to wind down.

Use Soothing Music to Create a Calming Atmosphere

Music has been shown to have a profound effect on mood, especially for individuals with dementia. Playing soft, familiar music during the evening can help relax your loved one and make the transition to bedtime smoother. Classical music, nature sounds, or even their favorite childhood songs can work well.

Ensure a Safe and Secure Environment

Sundowning can lead to wandering, which puts individuals at risk of injury. Installing door locks, motion sensors, or using GPS tracking devices can provide peace of mind. Creating a designated safe area where they can move freely if they wake up at night can also help prevent accidents.

Allow Flexibility with Sleeping Arrangements

Sometimes, individuals with dementia feel safer sleeping in a different room or even in a recliner rather than a bed. If they express a preference for a specific sleeping arrangement, accommodating their needs can help them feel more secure and reduce nighttime anxiety.

Use Nightlights to Reduce Fear of Darkness

Darkness can be disorienting for those experiencing sundowning. Placing nightlights in hallways, bedrooms, and bathrooms can make it easier for your loved one to navigate their surroundings without feeling anxious or confused.

Offer Comfort and Reassurance

Sometimes, all a loved one with dementia needs is the assurance that they are safe and cared for. A gentle touch, a few kind words, or simply sitting with them until they feel calm can work wonders. Regularly reinforcing that they are in a secure environment can ease their worries and help them settle down for the night.

Expert Memory Care at Raya’s Paradise

At Raya’s Paradise, we understand the challenges of caring for a loved one with dementia and specialize in providing compassionate, personalized memory care. Our skilled staff creates a structured, safe, and supportive environment tailored to each resident’s needs. Contact us today to learn more about our specialized dementia care services and how we can help your loved one live comfortably.

Learn more about our Orange County memory care program.

Disclaimer

This article is for informational purposes only and should not be considered medical advice. If your loved one is experiencing severe symptoms of sundowning, consult a healthcare professional for guidance on appropriate care and treatment options.