The Alzheimer’s Association reports on
studies that show “as many as 20 percent of persons
with Alzheimer's will experience increased confusion,
anxiety and agitation beginning late in the day. Others may experience changes
in their sleep schedule and restlessness during the night.” This condition is often referred to as
sundowning or sundowner’s syndrome.
In addition to the anxiety and agitation, other symptoms for the syndrome include anger,
depression, pacing, fear, restlessness, hallucinations, paranoia, wandering and
violence. The cause of sundowning is not
known but researchers speculate that the condition may be triggered by a number
of factors such as fatigue or an overreaction to the day’s sensory
stimulation. Some think that sundowning
could be the result of anxiety caused by the inability to see well in the
dark. Another reason may be hormonal
imbalances that occur at night. Also because
people with sundowner’s symptoms experience a disruption in their sleep-cycles,
that can create more behavioral problems.
The Alzheimer’s Association advises
that any sleep disturbances should be discussed with a doctor but experts do
offer some helpful tips to cope with sundowner’s syndrome. One of the suggestions is to keep the home
well-lit during the evening hours. They
also recommend scheduled
meal times and bedtimes.
If the person needs a nap, it should be taken early in the day. Furthermore, doctor appointments and other
activities should be scheduled for the morning or early afternoon as it allows
for plenty of downtime before evening.
Furthermore, the person’s biggest meal
should be at lunch and only a light dinner.
It is important to avoid nicotine and alcohol, and any caffeine
consumption should be restricted to morning hours. At night, help keep the person safe by providing
nightlights and make sure doors are windows are locked. If wandering is a big part of their
sundowning behaviors, use door sensors and motion detectors.
This post is intended for informational purposes only. Please contact your health care provider with
any questions or concerns you have regarding your health.
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Source:
https://www.agingcare.com/Articles/sundowners-syndrome-133187.htm