{"id":584,"date":"2019-03-23T15:50:16","date_gmt":"2019-03-23T15:50:16","guid":{"rendered":"http:\/\/charlottesangelshome.com\/staging\/?p=584"},"modified":"2019-10-21T14:30:27","modified_gmt":"2019-10-21T14:30:27","slug":"sundowning-in-dementia-how-to-cope","status":"publish","type":"post","link":"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/","title":{"rendered":"Sundowning in Dementia: How to Cope"},"content":{"rendered":"<p><a href=\"http:\/\/charlottesangelshome.com\/staging\/wp-content\/uploads\/2017\/03\/shutterstock_473393695.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-586\" src=\"http:\/\/charlottesangelshome.com\/staging\/wp-content\/uploads\/2017\/03\/shutterstock_473393695-300x200.jpg\" alt=\"shutterstock_473393695\" width=\"300\" height=\"200\" srcset=\"https:\/\/charlottesangelshome.com\/staging\/wp-content\/uploads\/2017\/03\/shutterstock_473393695-300x200.jpg 300w, https:\/\/charlottesangelshome.com\/staging\/wp-content\/uploads\/2017\/03\/shutterstock_473393695-768x511.jpg 768w, https:\/\/charlottesangelshome.com\/staging\/wp-content\/uploads\/2017\/03\/shutterstock_473393695.jpg 1000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><span style=\"font-size: 18pt; font-family: georgia,palatino,serif;\">S<\/span>undowning, sometimes referred to as<em><strong> &#8220;Sundowning Syndrome&#8221;<\/strong><\/em>, is a symptom of dementia that involves increased confusion and agitation throughout the late afternoon and evening. Patients and caregivers have been describing sundowning for years but it is only recently that the symptom has been medically recognized, although as many as 45% of people with Alzheimer&#8217;s disease will experience the bizarre quirk. As sunlight begins to fade, sufferers may become more confused and forgetful, increasingly frustrated and argumentative with caregivers, have\u00a0more trouble sleeping than usual, and be afflicted by\u00a0serious tremors. How can you help to ease the effects of sundowning?<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>Plan Activities In The Morning<\/strong><\/em><\/span><\/p>\n<p>Individuals who suffer from sundowning become less lucid in the late afternoon so plan any activities or necessary outings for the morning instead. This will alleviate the stress of being out and about when symptoms become more acute.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>Decrease Caffeine<\/strong><\/em><\/span><\/p>\n<p>There is some evidence to suggest that caffeine is linked to sundowning, and the symptoms can be worsened by the caffeine &#8220;crash&#8221; that tends to occur in the evening after a day of coffee drinking. Try to limit the intake of tea, coffee, and soda or move to decaffeinated brands.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>Less Napping<\/strong><\/em><\/span><\/p>\n<p>Restlessness is a common feature of sundowning which\u00a0can cause sufferers to wander and pace during the night when\u00a0they can&#8217;t get to sleep. Try to limit the amount of naps taken during the day so that the evening naturally\u00a0becomes a time to wind down and feel more sleepy.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>More Daytime Activity<\/strong><\/em><\/span><\/p>\n<p>Similarly, by increasing activity in the daytime, you&#8217;ll provide more incentive to be tired and sleep well at night. This could involve going for a morning walk, doing some gardening, or socializing while there is still ample daylight.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>Increase Indoor Lighting<\/strong><\/em><\/span><\/p>\n<p>Sundowning seems to be related to circadian rhythms and the setting of the sun in the evening, so by increasing indoor lighting throughout the evening you can offset the intensity of the change between day and night. Some doctors have noted significant positive effects of\u00a0increased evening lighting.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>Provide Calming Influences<\/strong><\/em><\/span><\/p>\n<p>The frustration and agitation that accompany sundowning can be difficult for sufferers and their relatives and\u00a0caregivers so try to provide calming influences like relaxing music and herbal teas throughout the late afternoon and evening to keep stress levels down.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>Remove Excess Stimuli<\/strong><\/em><\/span><\/p>\n<p>It is also useful to get rid of anything overly stimulating or distracting in the environment such as noisy television shows or large groups of people. By limiting the amount of stimuli, you&#8217;re removing elements that can make the sufferer feel more agitated or confused.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><em><strong>Be Patient<\/strong><\/em><\/span><\/p>\n<p>Although sundowning can be trying for the sufferer and their carers it often passes as dementia progresses, so try to remain patient and accepting of the symptoms and don&#8217;t let your temper get the best of you. Getting angry won&#8217;t help anyone so take a minute and remember to be sympathetic.<\/p>\n<p>&nbsp;<\/p>\n<p>Sundowning affects many individuals with dementia, but it doesn&#8217;t have to be overly debilitating. These steps will help alleviate the effects of sundowning to ensure calmer and happier evenings.<\/p>\n<p><em>\u00a0&#8211; Lisa Lowry Riesenmy<\/em><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 44px; left: 20px;\">Save<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 44px; left: 20px;\">Save<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 44px; left: 20px;\">Save<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 44px; left: 20px;\">Save<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Save<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Save<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sundowning, sometimes referred to as &#8220;Sundowning Syndrome&#8221;, is a symptom of dementia that involves increased confusion and agitation throughout the late afternoon and evening. Patients and caregivers have been describing sundowning for years but it is only recently that the symptom has been medically recognized, although as many as 45% of people with Alzheimer&#8217;s disease&#8230;<\/p>\n","protected":false},"author":3334,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[10],"tags":[],"class_list":["post-584","post","type-post","status-publish","format-standard","hentry","category-lisas-notes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.1 (Yoast SEO v25.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sundowning in Dementia: How to Cope - Charlotte&#039;s Angels Home Care Services<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sundowning in Dementia: How to Cope\" \/>\n<meta property=\"og:description\" content=\"Sundowning, sometimes referred to as &#8220;Sundowning Syndrome&#8221;, is a symptom of dementia that involves increased confusion and agitation throughout the late afternoon and evening. Patients and caregivers have been describing sundowning for years but it is only recently that the symptom has been medically recognized, although as many as 45% of people with Alzheimer&#8217;s disease...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/\" \/>\n<meta property=\"og:site_name\" content=\"Charlotte&#039;s Angels Home Care Services\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/CharlottesAngelsHomeCare\" \/>\n<meta property=\"article:published_time\" content=\"2019-03-23T15:50:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-10-21T14:30:27+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/charlottesangelshome.com\/staging\/wp-content\/uploads\/2017\/03\/shutterstock_473393695-300x200.jpg\" \/>\n<meta name=\"author\" content=\"Lisa Lowry McDowell\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@SWMOAngels\" \/>\n<meta name=\"twitter:site\" content=\"@SWMOAngels\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lisa Lowry McDowell\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/\"},\"author\":{\"name\":\"Lisa Lowry McDowell\",\"@id\":\"https:\/\/charlottesangelshome.com\/staging\/#\/schema\/person\/a76a4437c27fb0964db0ab8e31df772c\"},\"headline\":\"Sundowning in Dementia: How to Cope\",\"datePublished\":\"2019-03-23T15:50:16+00:00\",\"dateModified\":\"2019-10-21T14:30:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/\"},\"wordCount\":543,\"publisher\":{\"@id\":\"https:\/\/charlottesangelshome.com\/staging\/#organization\"},\"image\":{\"@id\":\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/#primaryimage\"},\"thumbnailUrl\":\"http:\/\/charlottesangelshome.com\/staging\/wp-content\/uploads\/2017\/03\/shutterstock_473393695-300x200.jpg\",\"articleSection\":[\"Lisa's Notes\"],\"inLanguage\":\"en\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/\",\"url\":\"https:\/\/charlottesangelshome.com\/staging\/sundowning-in-dementia-how-to-cope\/\",\"name\":\"Sundowning in Dementia: How to Cope - 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