Caring for a Loved One During Shorter Days: Tips for Managing Sundowning in Dementia

With the recent shift to daylight savings time, we’ve experienced the annual “fall back,” meaning our days are getting shorter, and the evenings are arriving earlier. For many caregivers of loved ones with dementia, this change can bring about additional challenges for both professional and family caregivers, particularly when it comes to supporting the dementia related behavior of sundowning—the term used to describe increased confusion, agitation, or restlessness that can occur in the late afternoon or early evening. Understanding and preparing for these changes is essential in maintaining your loved one’s well-being during these darker, shorter days.

The following tips, adapted from Alz.org, can help caregivers reduce sundowning episodes and make the transition into the evening smoother for both you and your loved one.

1. Schedule Appointments and Activities Earlier in the Day

Sundowning tends to worsen later in the day, so try to schedule any appointments, errands, or activities that require focus earlier in the day. Your loved one is likely to be more alert and calm in the morning and early afternoon, making it an ideal time for doctor’s visits, trips, or even bathing. This can help minimize stress and prevent confusion or agitation as the day progresses.

2. Keep a Regular and Engaging Daily Routine

A predictable schedule is crucial for individuals with dementia. When the day’s activities are consistent, it provides a sense of security and reduces anxiety. Make sure the routine includes activities that your loved one enjoys, whether it’s a morning walk, time for a hobby, or social interaction. Engaging your loved one throughout the day helps prevent boredom and frustration, which can trigger sundowning.

3. Monitor and Track Sundowning Triggers

Sundowning isn’t always predictable, but over time, you may notice patterns or specific triggers that worsen agitation. Tracking behaviors, changes in mood, or environmental factors (like noise or lighting) that occur before sundowning episodes can help you better understand your loved one’s needs. Keeping notes can also guide you in adjusting their daily routine or environment to reduce potential triggers.

4. Minimize Evening Distractions

As the evening draws near, try to reduce any distractions in the home that could contribute to confusion. Loud noises, clutter, bright television screens, or even the stress of unfinished chores can overwhelm someone with dementia. Instead, create a calm and quiet atmosphere by dimming the lights, turning off the TV, and limiting household activity.

5. Serve a Larger Lunch, Lighter Dinner

Sundowning can be worsened by hunger or a heavy meal. Consider serving a larger lunch earlier in the day to give your loved one the energy they need. A lighter dinner, on the other hand, can help prevent discomfort and agitation. Try to keep evening meals simple and easy to digest, as heavy, sugary or rich foods can disrupt sleep and contribute to evening restlessness.

6. Keep the Home Well-Lit at Night

Adequate lighting can make a big difference when it comes to reducing confusion in the evening. Poor lighting can heighten disorientation, so make sure the home is well-lit, particularly in hallways and bathrooms. Consider using nightlights or motion-activated lights to ensure that your loved one feels safe navigating their environment during the evening hours.

7. Offer and Plan Out Calming Activities In Advance

Finally, plan for calming, soothing activities as the evening approaches. Whether it’s listening to soft music, looking through familiar photographs, or watching a favorite movie, these activities can help ease anxiety and create a sense of comfort. If pacing or repetitive movements are soothing for your loved one, allow them to engage in these behaviors under supervision.

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Support for Caregivers: We’re Here to Help

Caring for a loved one with dementia can be overwhelming, especially during the darker months when sundowning symptoms may become more pronounced. If you’re feeling unsure or need additional guidance on how to best support your loved one, we’re here for you. Our team is dedicated to providing caregivers with the resources, strategies, and support needed to navigate the challenges of dementia care.

If you’re a caregiver or family member in need of additional support, connect with our team today. Let us show you how we can help with your loved one’s care. Together, we can make the journey a little easier and ensure your loved one receives the care they deserve.

 

Tips Cited from: Alz.org