What is Sundowners Syndrome?

What exactly is Sundowners Syndrome?

Sundowning or “Sundowner’s Syndrome” is a term used among professionals working with patients who have Alzheimer’s or other dementias. This syndrome describes a pattern of increased behavior problems, especially in the late afternoon and early evening. Seniors may exhibit increased confusion, agitation, wandering without purpose, and general disorientation.

Unfortunately, the cause is not definitive, but there are several likely factors. The senior may be tired after daily activities. The change from light to dark may also be a factor at this time, which has traditionally been transitional. For example, coming home from work, family time, cooking dinner.

Practical tips for helping patients with Sundowners Syndrome:

• By anticipating this situation, you can schedule accordingly. Reduce activities during this time. Plan quiet, alone time in late afternoons.
• Keep a routine. Naps or quiet activities may be helpful during this time (may require avoiding naps earlier that could interfere with sleep).
• It is important to reassure the person and redirect them when agitated or restless. Don’t try to argue or use “reality therapy”.
• By examining the causes of agitation, you may find that noise or stimulation may increase the behavior.
• Is there a physical discomfort? If you notice a major change in behavior, this could be caused by pain or an underlying infection. Our care managers will note a significant change and when a culture is done, the client has a UTI (urinary tract infection).
• Get plenty of rest and recognize your need for a break. Your irritation or exhaustion may further exacerbate your care recipient’s behaviors.
• Consult with a physician experienced in dementia. With problem behaviors exist, it can be helpful to find a geriatric psychiatrist. Also, medications may alleviate symptoms.

At the Retreat at Sunny Vista, we support many clients with dementia and their family members in this difficult journey. Whether it be for advice or caregiver consultations, referrals to professionals and programs, coordination and oversight, or a full assessment, we’re your resource.