If your loved one with dementia seems more anxious, restless, or confused in the late afternoon or early evening, you’re not alone. This is known as sundowning and while it can be tough to deal with, there are things you can try to help.
What is Sundowning?
Sundowning is when someone with dementia becomes more unsettled as the day draws to a close. They might pace, get confused, or even become irritable. It often happens just when you’re hoping for a bit of quiet after a long day.
Why does sundowning occur?
No one knows for sure, but it could be due to changes in the body’s internal clock. People with dementia may also struggle to tell day from night, which can lead to sleep issues and nighttime wandering. Here are some things you can try to reduce the risk of sundowning occurring…
Keep the person active during the day
A short walk, visiting a memory group, or simply doing things together can make a big difference. People with dementia often need someone to join in with them, not just be given something to do.
Let there be light
As it gets darker outside, switch on lights early and close the curtains. Shadows and gloom can be unsettling. Consider trying daylight-style bulbs – they brighten up a room and may lift their mood (and yours!).
Use gentle distractions
Music, a favourite TV show (avoid distressing news), or sharing a meal can be soothing and help shift focus from anxious feelings.
Think about lighting long-term
Some care homes have seen good results just by using brighter, full-spectrum lighting. Try it at home – it might help reduce evening agitation and boost overall mood.
Know that dementia can cause anger
Aggression is usually due to frustration when the person feels there is no other way to express their feelings. It can be very hard to cope with, but try not to take it personally. Leave the room for a while if it’s safe to do so.
More information
Thanks to writer and dementia expert Mary Jordan for her input and expertise for this article. Mary is the author of The Essential Carer’s Guide To Dementia and The Essential Guide To Avoid Dementia (both available on Amazon). She runs her own business, Adaptdementia, supporting people living with dementia and their carers.