Six Strategies to Deal with Sundowning in Dementia

As the day progresses, you might notice a shift in your loved one's demeanour from warm and personable in the morning to agitated and confused by late afternoon.

This change is often associated with Sundowning Syndrome, a condition that worsens dementia symptoms during the late afternoon and early evening.

While there is no cure for Sundowning, there are strategies to help manage its effects and support your loved one during these challenging times.

Here are six practical strategies you can implement:

  1. Establish a Routine: Consistency is key. Try to maintain regular times for daily activities like meals, doctor’s appointments, and personal care to help distinguish day from night.

  2. Increase Exposure to Natural Light: Start the day with a walk outside or by simply sitting near a sunny window to help regulate their body's internal clock.

  3. Enhance Indoor Lighting: As evening approaches, ensure the living space is well-lit to reduce shadows that could cause confusion or fear. Use soft, ample lighting to create a calm environment.

  4. Reduce Noise and Clutter: A serene environment can prevent stress and anxiety. Keep the living space tidy and minimize ambient noise to help keep your loved one calm.

  5. Engage in Calming Activities: When signs of anxiety appear, gently guide them towards activities they enjoy, such as listening to their favourite music or watching a beloved TV show.

  6. Promote Good Sleep Hygiene: Encourage regular sleep patterns by ensuring the bedroom is comfortable and free from distractions. Limit caffeine and reduce exposure to blue light from screens in the evening.

Managing Sundowning Syndrome is about creating a supportive environment that anticipates and adapts to the needs of your loved one.

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