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Dealing with Sundowning: Effective Strategies for Loved Ones

October 26, 2023
A wife is coping with her elderly husband sundowning.

Discover effective strategies to cope with sundowning and create a peaceful and safe environment for your loved one.


Understanding Sundowning: Causes and Symptoms

Sundowning, also known as late-day confusion, is a common symptom of Alzheimer’s disease and other forms of dementia. It refers to increased agitation, confusion, and restlessness that typically occurs in the late afternoon or early evening. The exact cause of sundowning is unknown, but some factors that may contribute to it include disruptions in the body’s internal clock, exhaustion, sensory overload, and hormonal imbalances.

Common symptoms of sundowning include confusion, anxiety, aggression, wandering, pacing, increased irritability, and difficulty sleeping. It is important to recognize these symptoms and understand that they are not intentional behaviors, but rather a result of the condition your loved one is experiencing.

If your senior loved one is experiencing sundowning, it is crucial to create a calm and comfortable environment and establish routines to help alleviate their symptoms and provide a sense of security.

Learn more about the symptoms and causes of sundowning, a phenomenon commonly observed in senior citizens.

Create a Calm and Comfortable Environment

Creating a calm and comfortable environment is essential in managing sundowning. Here are some tips to help you create a peaceful atmosphere for your loved one:

1. Reduce noise and distractions: Eliminate loud noises and minimize distractions such as the television or radio. Background noise can be overwhelming and contribute to anxiety and confusion.

2. Ensure adequate lighting: Keep the room well-lit during the day and use nightlights in the evening to prevent shadows and confusion.

3. Maintain a consistent temperature: Ensure the room is at a comfortable temperature to promote relaxation and prevent discomfort.

4. Create a soothing ambiance: Use calming scents, soft music, and comfortable furniture to create a relaxing environment.

By creating a calm environment, you can help your loved one feel more at ease and reduce the symptoms of sundowning.

Establish a Consistent Routine

Establishing a consistent routine is crucial for seniors dealing with sundowning. Here’s how you can create a structured schedule:

1. Stick to a regular sleep schedule: Encourage your loved one to go to bed and wake up at the same time every day to regulate their internal clock.

2. Plan stimulating activities during the day: Engage your loved one in activities they enjoy, such as puzzles, crafts, or gentle exercises. Keeping them mentally and physically active during the day can help reduce restlessness in the evening.

3. Avoid napping late in the day: Discourage long naps in the late afternoon or evening, as they may disrupt the sleep-wake cycle and contribute to sundowning.

4. Provide a familiar and comfortable routine: Create a daily routine that includes regular meals, medication schedules, and enjoyable activities. Consistency can help reduce confusion and anxiety.

By establishing a consistent routine, you can help your loved one feel more secure and minimize the impact of sundowning.

Engage in Relaxation Techniques

Engaging in relaxation techniques can be beneficial for seniors experiencing sundowning. Here are some techniques you can try:

1. Deep breathing exercises: Teach your loved one deep breathing techniques to help them relax and reduce anxiety.

2. Gentle physical activities: Encourage light exercises such as stretching or yoga to promote relaxation and release tension.

3. Listening to calming music: Play soothing music that your loved one enjoys to create a calming atmosphere.

4. Guided imagery: Guide your loved one through visualizing peaceful and serene scenes to promote relaxation and reduce stress.

These relaxation techniques can help your loved one unwind and alleviate the symptoms of sundowning.

Promote Healthy Sleep Habits

Promoting healthy sleep habits is essential for seniors with sundowning. Here are some tips to improve their sleep quality:

1. Create a comfortable sleep environment: Ensure the bedroom is quiet, dark, and at a comfortable temperature. Use blackout curtains or eye masks to block out any light that may disrupt sleep.

2. Establish a bedtime routine: Help your loved one wind down before bed by engaging in relaxing activities such as reading or taking a warm bath. Establishing a consistent bedtime routine signals to the body that it’s time to sleep.

3. Limit caffeine and stimulants: Avoid serving caffeinated beverages or stimulating foods close to bedtime, as they can interfere with sleep.

4. Encourage daytime physical activity: Engage your loved one in regular physical activity during the day to promote better sleep at night.

By promoting healthy sleep habits, you can improve your loved one’s sleep quality and reduce the likelihood of sundowning episodes.

Contact us at 832-371-6600 to learn more about our caregivers who have specialized expertise in Alzheimer’s and dementia care. We are adept in balancing a senior’s need for support with their need for independence.

Home Matters Caregiving proudly serves the Houston Metro area providing care for seniors wherever they call home.

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About the author

Tyler Williams

As an Area Owner and Operator of a Home Matters Caregiving franchise, I am committed to ensuring exceptional outcomes for our valued clients and caregivers. My passion for elevating our service quality is matched by my role as a blogger and social media manager for the franchise, where I share insights, updates, and foster community engagement. Prior to senior care, I used my strategic communication and brand development skills as the Marketing Director of a regional bank. My diverse experience supports my commitment to excellence and innovation in both healthcare and digital communication.
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