Dementia Care

Guide On Symptoms Management

Behavioural and Psychological Symptoms of Dementia

Sundowning

Persons with dementia maybe calm and contented during the day, but more agitated, aggressive or confused in the late afternoon or early evening. This is sometimes called the “sundowning syndrome”.

Sundowning is not a disease but a collection of symptoms that tend to occur at the end of the day and lasts until the night. The exact cause of this behavior is unknown.

Contented during the day

Confused in the late afternoon or early evening

Care tips

One suggestion is to schedule an activity that the person with dementia like during this time of the day to keep them occupied.
The caregiver should actively talk to the person with dementia so that they will not feel lonely in the evening.
It’s recommended to avoid providing large meals as it can increase agitation and consuming caffeinated drinks might keep them up at night. Providing a lighter meal can help them feel more at ease in the evening. Having regular mealtimes helps too.
Some people with dementia will feel less anxious when the outside is completely dark, and some people are more scared when it is dark.
Depending on the person’s preference, try to make adjustments that suit them.
Keep them active during the day and avoiding afternoon naps can be helpful. For example, bringing them for a walk together in the park. This can improve their sleep quality and prevent the vicious cycle of sundowning.
Find out if there is anything the person with dementia needs and gently remind them of the time. Instead of arguing or using physical restraints, offer reassurance to them instead.
To care for those who once cared for us is one of the highest honors
– Tia Walker –

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