Understanding and Managing Sundowning

At Foxburrow Grange, we understand the challenges faced by individuals and families dealing with dementia. One common phenomenon experienced by those living with Alzheimer's or dementia is "sundowning," characterised by increased confusion, anxiety, and behavioural changes in the late afternoon or early evening. This article aims to provide valuable insights and practical tips for managing sundowning, tailored to the compassionate care we offer at Foxburrow Grange care home Colchester.

What is Sundowning?

Sundowning refers to a state of heightened confusion and agitation that often occurs in individuals with dementia as daylight fades. It can manifest as restlessness, irritability, disorientation, and even hallucinations. At Foxburrow Grange, we recognise that sundowning is a complex issue, often exacerbated by seasonal changes, such as the longer days of summer or the reduced sunlight in winter.

Why is Understanding Sundowning Important?

Recent research indicates a significant increase in online searches related to sundowning, highlighting the growing need for information and support. This trend underscores the importance of raising awareness and providing practical solutions for families and caregivers.

• 100% increase in online searches for ‘sundowning behaviour’

• 89% increase in online searches for ‘sundowners syndrome’

• 29% increase in online searches for ‘sundowning dementia symptoms’

At Foxburrow Grange we are committed to providing expert dementia care and support to individuals experiencing sundowning, ensuring their comfort and well-being.

When Does Sundowning Occur and How Long Does it Last?

Sundowning typically begins in the mid to late stages of dementia, often occurring daily in the late afternoon or early evening. Symptoms can range from subtle restlessness to more pronounced agitation, including:

• Restlessness and agitation

• Irritability and confusion

• Disorientation

• Anger and paranoia

• Hallucinations and crying

• Wandering and hiding objects

• Trouble sleeping

Episodes can last for a few hours or, in some cases, extend throughout the night, impacting sleep patterns for both residents and caregivers.

What Causes Sundowning?

While the exact cause remains unclear, several factors can trigger sundowning, including:

• Unmet needs (e.g., hunger, thirst, tiredness)

• Lack of daytime sunlight

• Disruptions to routine

• Heat and seasonal changes.

At Foxburrow Grange, we prioritise understanding each resident's individual needs and preferences to help minimise potential triggers.

How Our Team at Foxburrow Grange Cares for Residents Experiencing Sundowning

Our dedicated team at Foxburrow Grange use a range of strategies to support residents experiencing sundowning:

1. Person-Centered Care: We prioritise understanding each resident's unique needs and preferences, fostering a calm and familiar environment.

2. Consistent Routines: Maintaining a predictable daily schedule helps reduce anxiety and confusion.

3. Comfort and Hydration: Ensuring residents are comfortable, well-hydrated, and have access to nutritious snacks.

4. Optimised Lighting: Maximising exposure to natural light during the day and minimising glare and shadows in the evening.

5. Calming Activities: Engaging residents in relaxing activities, such as listening to music, gentle exercise, or reminiscence therapy.

6. Safe Environment: Creating a safe and secure environment to prevent wandering and ensure resident safety.

7. Communication and Observation: Our staff are trained to recognise and respond to early signs of sundowning, using effective communication techniques.

8. Seasonal Considerations: We adjust care plans to accommodate seasonal changes, ensuring residents remain comfortable during warmer or colder months.

Tips for Families and Caregivers:

• Maintain a calm and reassuring demeanour.

• Encourage daylight exposure during the day.

• Establish a consistent bedtime routine.

• Limit caffeine and alcohol intake.

• Create a relaxing evening environment.

• Ensure adequate hydration and nutrition.

Foxburrow Grange : Your Partner in Dementia Care

At Foxburrow Grange, we are committed to providing compassionate and specialised care for individuals living with dementia. Our experienced team is dedicated to creating a supportive and enriching environment, ensuring the well-being and comfort of our residents.

FAQ's relating to Sundowning, Sundown Syndrome
and Dementia

FAQ: What are the common symptoms of sundowning?

Answer: Symptoms include increased confusion, restlessness, anxiety, irritability, pacing, wandering, and difficulty sleeping.

FAQ: How can I tell if my loved one is sundowning or just tired?

Answer: Sundowning symptoms are typically more pronounced and disruptive than normal fatigue. They involve significant changes in behavior and cognition, specifically in the late afternoon and evening.

FAQ: Are there specific triggers for sundowning?

Answer: Potential triggers include low lighting, fatigue, changes in routine, disruptions in the sleep-wake cycle, and environmental changes.

FAQ: Can sundowning be cured?

Answer: There is no cure for sundowning, but its symptoms can be managed through various strategies.

FAQ: What are some non-pharmacological ways to manage sundowning?

Answer: Strategies include maintaining a consistent routine, increasing daytime light exposure, reducing evening distractions, providing calming activities, and ensuring adequate sleep.

FAQ: Are there medications that can help with sundowning?

Answer: In some cases, a doctor may prescribe medications to address specific symptoms like anxiety or sleep disturbances. However, non-pharmacological approaches are generally preferred.

FAQ: How can I create a calming environment to reduce sundowning?

Answer: Create a well-lit, quiet, and familiar environment. Reduce clutter, minimise noise, and maintain a comfortable temperature.

FAQ: What role does diet play in sundowning?

Answer: A balanced diet and adequate hydration can help regulate sleep and behavior. Avoid caffeine and alcohol, especially in the evening.

FAQ: How does a consistent sleep schedule help with sundowning?

Answer: A regular sleep-wake cycle helps regulate the body's internal clock, reducing confusion and agitation in the evening.

FAQ: What are the best activities to engage in during the day to help reduce sundowning?

Answer: Engage in stimulating activities like puzzles, walks, and social interactions during the day to promote daytime wakefulness and reduce evening restlessness.

FAQ: How can I help my loved one who is wandering due to sundowning?

Answer: Ensure a safe environment, use alarms or monitoring devices, and provide clear pathways. Consider a medical ID bracelet.

FAQ: What impact does light have on sundowning?

Answer: Increased exposure to bright light during the day can help regulate the sleep-wake cycle and reduce sundowning symptoms. Dimming lights in the evening can also help.

FAQ: When should I seek professional help for sundowning?

Answer: If sundowning symptoms are severe, disruptive, or pose a safety risk, consult a healthcare professional. They can provide guidance and assess for underlying medical conditions.