Alzheimer’s can be tough to understand, especially when symptoms change throughout the day. One of the most puzzling and challenging behaviors for families and caregivers in Alzheimer’s care for seniors in MA is something called sundowning. This pattern involves increased confusion, anxiety, and agitation that usually kicks in later in the day, often in the evening. To better understand how to support those experiencing this symptom, let’s explore when and why sundowning occurs, what you can do about it, and how it relates to the different stages of Alzheimer’s disease.
Understanding Sundowning in Alzheimer’s
What Is Sundowning?
Sundowning is a term used to describe increased confusion and agitation that happens around the time the sun sets. As the day progresses, some people with Alzheimer’s feel more restless, anxious, or even distressed. This change can affect sleep patterns, leading to a cycle of poor sleep and increased agitation. Sundowning isn’t just “having a bad day”; it’s a behavior linked to Alzheimer’s and other dementias, especially during later stages.
Why Does Sundowning Happen?
Researchers aren’t entirely sure why sundowning occurs, but there are a few popular theories. Some suggest it may be due to the body’s internal clock being disrupted by the disease. Others believe it’s caused by exhaustion or overstimulation from the day’s activities. The effects of the environment—such as lower lighting, which can lead to shadows—might also contribute to feelings of confusion and fear. Understanding these potential causes helps caregivers in planning a comfortable environment for their loved ones.
Stages of Alzheimer’s and When Sundowning Appears
Middle Stage: The Onset of Sundowning
Sundowning typically begins to appear in the middle stage of Alzheimer’s. During this stage, memory issues become more noticeable, and a person’s daily life can be impacted in bigger ways. The middle stage can last for several years, and during this time, symptoms of sundowning may become a regular challenge. This period often requires more in-depth Alzheimer’s care for seniors in MA, as loved ones may need extra support in handling the added confusion and agitation that comes with sundowning.
Late Stage: Managing Intensity and Frequency
In the late stage of Alzheimer’s, sundowning may continue, but it can also become more intense. In some cases, it could happen almost every evening, creating an extra need for caregiver support. Communication becomes more challenging in this stage, and sundowning symptoms like pacing, wandering, or increased anxiety can be common. Caregivers and families often need to adjust routines and create soothing environments to help their loved ones feel more secure during these times.
Tips for Caregivers Dealing with Sundowning
Creating a Calm Evening Routine
One of the most effective ways to help with sundowning is by establishing a peaceful and predictable evening routine. Keeping activities low-key after late afternoon, like reading or listening to soft music, can create a calming environment. Dim lights and minimize noise around sunset, as these small changes can reduce feelings of confusion or anxiety. A comfortable and consistent routine can make a huge difference for someone experiencing sundowning.
Encouraging Daytime Activity
Encouraging physical activity or mental stimulation earlier in the day can also help. Gentle exercise, such as walking or simple stretching, can be beneficial. By channeling energy during the day, evening restlessness may lessen, and nighttime sleep may improve. Activities like puzzles or easy crafts are also fantastic options that provide both mental and physical stimulation without causing overwhelming stress.
How to Adjust Your Environment for Evening Comfort
Light and Sound Adjustments
Lighting can play a huge role in minimizing sundowning. Bright lights during the day can help set a healthy body rhythm, while softer lighting in the evening signals the mind to prepare for rest. Avoid harsh shadows and sudden light changes that might cause confusion. In addition, try to reduce background noises or sudden sounds, which can easily increase feelings of agitation or unease in the evening.
Keeping Essentials Nearby
Having familiar items nearby—like a cozy blanket, favorite photos, or a pet—can help create a sense of security during sundowning periods. Even something as simple as a soft pillow or soothing fragrance can be comforting. Keeping essentials within reach allows caregivers to provide comfort quickly if a loved one becomes anxious or unsettled.
Conclusion
Sundowning can be a challenging part of Alzheimer’s, particularly during the middle and late stages of the disease. For caregivers in Alzheimer’s care for seniors in MA visit our website. Creating routines, adjusting environments, and understanding why sundowning happens can go a long way in helping loved ones feel more secure as the day winds down. By staying proactive, caregivers can offer the best support possible, bringing a bit more peace to everyone involved.
Sandy D