What is Sundowning?

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Written By Judy King
Understanding Sundowning in Dementia: What Caregivers Need to Know

Understanding Sundowning in Dementia: What Caregivers Need to Know

Caring for someone with dementia can bring unique challenges, especially during the late afternoon and evening hours. One common issue is Sundowning—a term used to describe increased confusion, anxiety, or agitation that often occurs later in the day.

This behavior is not the person’s fault. It happens because dementia affects the brain’s ability to manage time and surroundings. Knowing what to expect and how to respond can make evenings calmer and more comforting.

What is Sundowning?

Sundowning refers to a state of heightened confusion or restlessness that typically appears in the late afternoon or evening. The person may feel anxious, upset, or have trouble following routines. These changes can be stressful for both the individual and their caregiver.

Common Signs of Sundowning

  • Increased confusion or disorientation
  • Restlessness or pacing
  • Irritability or mood swings
  • Trouble sleeping or resisting bedtime
  • Anxiety or fearfulness
  • Hallucinations or seeing things that aren’t there

Tips to Manage Sundowning

  • Create a calm environment: Use soft lighting and reduce noise.
  • Stick to a routine: Keep meal and bedtime schedules consistent.
  • Offer reassurance: Speak gently and let the person know they are safe.
  • Limit stimulation: Avoid loud TV, large crowds, or stressful activities.
  • Provide comfort: Offer a light snack or soothing music.
  • Encourage rest: Short naps earlier in the day can help reduce evening fatigue.

Final Thoughts

Sundowning can be challenging, but with patience and planning, you can help your loved one feel safe and supported. Small changes in the environment and routine often make a big difference.
Judy King

Welcome to Arms of Grace Respite Care, llc. My name is Judy, and I am deeply passionate about supporting care partners who walk the challenging yet rewarding path of caring for someone living with Alzheimer’s or other dementia. With over 16 years as a business owner and a lifetime of varied experiences, I’ve cultivated a heart-centered approach to care that emphasizes compassion, understanding, and empowerment.

My journey has been shaped by firsthand experience with conditions such as Parkinson’s, primary progressive multiple sclerosis, spinal cord injury, Alzheimer’s, and common geriatric issues.

To better serve care partners, I pursued CNA training and furthered my education through Teepa Snow’s Positive Approach to Care, which provides invaluable insights into brain changes in those living with Alzheimer’s. I remain committed to staying informed, reading current research on Alzheimer’s disease weekly, and volunteering at an assisted living community I previously worked at. I provide a Chair exercise program that promotes Neuroplasticity. It is named Ageless Grace(timeless fitness for the body and brain).

Beyond my professional life, I am a wife, mother, grandmother, and someone who finds joy in the outdoors, crafting, and helping others. I am here to guide you with compassion and practical tools to navigate the complexities of caregiving. Together, we can ensure that you and your loved one feel supported every step of the way.

https://livewithdementia.com