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.
For informational purposes only,
please consult your health care provider if you have any questions regarding
your health.
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Source:
https://www.agingcare.com/Articles/sundowners-syndrome-133187.htm
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