Understanding Sundowning: Tips and Support for Families
Caring for a loved one with dementia can be challenging, especially when dealing with behaviours such as sundowning. This phenomenon, common among individuals with dementia, refers to increased confusion, anxiety, or agitation during the late afternoon or evening hours. While sundowning can be difficult to manage, understanding its causes and having strategies in place can make a significant difference in supporting your loved one.
What Is Sundowning?
Sundowning is a symptom often associated with dementia that involves behavioural changes during specific times of the day. These changes can manifest as:
- Increased restlessness or pacing
- Irritability or agitation
- Disorientation and confusion
- Difficulty communicating needs
- Trouble sleeping or increased night-time wandering
These behaviours often emerge late in the afternoon or early evening, potentially disrupting routines and causing stress for both the individual and their caregivers.
For an in-depth explanation of sundowning and additional resources, visit Dementia UK’s guide on sundowning.
Why Does Sundowning Happen?
The exact cause of sundowning is not fully understood, but contributing factors may include:
- Changes in internal body clocks due to dementia
- Fatigue or sensory overload from the day
- Reduced visibility or lighting during the evening, causing confusion
- Hunger, dehydration, or unmet physical needs
- Disrupted sleep patterns
Recognising potential triggers can help you better manage and reduce these behaviors.
Tips for Managing Sundowning
If you’re caring for someone experiencing sundowning, these strategies may help:
- Maintain a Consistent Routine
- Establish regular times for meals, activities, and rest to provide structure and reduce confusion.
- Encourage Daytime Activity
- Plan engaging activities earlier in the day to promote wakefulness during daylight hours and better sleep at night.
- Create a Calm Evening Environment
- Dim harsh lighting, reduce noise, and engage in relaxing activities such as listening to soothing music or reading.
- Identify and Address Triggers
- Keep a journal of when sundowning occurs and look for patterns. Addressing specific triggers such as hunger, thirst, or discomfort can make a big difference.
- Reassure and Stay Patient
- Offer reassurance and a calming presence. A gentle tone and simple explanations can help soothe feelings of anxiety or agitation.
- Use Technology or Tools to Assist
- Motion-sensor lights or clocks displaying the time of day can help reduce confusion as evening sets in.
How Visiting Angels North Hertfordshire Can Help
At Visiting Angels, we understand how overwhelming caring for someone with dementia can be. Our experienced caregivers provide personalised, in-home dementia care, ensuring your loved one receives the support they need during challenging times like sundowning.
From helping establish routines to providing companionship during difficult moments, we’re here to support both you and your loved one every step of the way.
📞 Contact us today at 01462 547478 or visit www.visiting-angels.co.uk/northherts to learn how we can help you manage dementia care with compassion and expertise.