Understanding Sundowning, pt 2

Elders with dementia frequently exhibit signs of Sundowning. But, what are the signs and symptoms to look for?

Here are some of the most common signs of Sundowning. Be on the look-out for:

— Increased confusion or disorientation
— Anxiety or fearfulness
— Irritability or anger
— Agitation or aggression
— Trouble sleeping
— Pacing or wandering
— Restlessness or repetitive behaviors
— Hallucinations or paranoia
— Emotional outbursts or crying

These behaviors often begin later in the day (as the “sun sets”) and may continue into the evening or overnight hours.

Why does Sundowning happen? There is no single known cause of Sundowning, but several factors may contribute to these behavioral changes. As dementia progresses, it can affect areas of the brain that regulate the body’s internal clock. This may disrupt normal sleep-wake cycles, leading to increased daytime sleepiness, nighttime wakefulness, and greater confusion later in the day.

Fatigue also plays a role. By evening, many seniors with dementia are mentally and physically exhausted, making it harder to process information or manage emotions.

Changes in lighting can also worsen symptoms. Shadows, dim lighting, and reduced visibility may heighten confusion or fear, especially for elderly who are already tired or anxious.

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