Caring for a loved one with dementia can be a deeply rewarding experience, but it also comes with its challenges.
One of the more distressing symptoms that families and caregivers often encounter is sundowning — a pattern of increased confusion, anxiety, agitation, or restlessness that typically occurs in the late afternoon or early evening.
At The Gardens of Amarillo, our dedicated memory care team understands how difficult this can be, and we are here to offer guidance and support.
What is Sundowning?
Sundowning, also referred to as sundowners syndrome, is a symptom of Alzheimer’s disease and other forms of dementia. It is characterized by a noticeable change in behavior, mood, and cognitive function as the day progresses, often leading to confusion. Some of the most common behaviors include:
- Increased confusion and disorientation
- Restlessness and pacing
- Irritability or mood swings
- Anxiety or fearfulness
- Hallucinations or misinterpretations of surroundings
- Difficulty sleeping or nighttime wakefulness
- Increased shadowing, where a person follows their caregiver closely
While the exact cause of sundowning in dementia is not fully understood, factors such as fatigue, changes in lighting, hormonal imbalances, and disruptions in the body’s internal clock are believed to play a role. At The Gardens of Amarillo, our memory care program, A Garden Walk, focuses on supporting team members, family, and memory care residents to provide peace of mind and improve quality of life.
How Families Can Manage Sundowning
Though sundowning can be challenging, there are several strategies families can use to help minimize symptoms and create a calmer environment for their loved one. These effective tips are woven into daily living at The Gardens of Amarillo, and often provide best results.
1. Establish a Consistent Routine
- Structure and predictability can help reduce dementia and confusion. Try to maintain a daily schedule that includes regular meal times, activities, and rest periods.
- Avoid major changes to the environment or routine whenever possible.
2. Maximize Natural Light Exposure
- Exposure to natural daylight can help regulate the body’s internal clock.
- Keep curtains open during the day and encourage outdoor activities.
- In the evening, use soft, warm lighting to ease the transition to nighttime.
3. Create a Calm Evening Atmosphere
- Reduce noise and stimulation in the late afternoon and evening.
- Play soothing music or engage in relaxing activities such as reading or listening to stories.
- Avoid loud TV programs or intense discussions that may increase agitation.
4. Monitor Diet and Hydration
- Avoid caffeine, alcohol, and sugary foods in the late afternoon and evening.
- Offer light, easily digestible meals at dinnertime to prevent discomfort that could contribute to confusion at night with dementia.
- Ensure your loved one stays hydrated throughout the day.
5. Encourage Daytime Activity and Rest
- Engage your loved one in gentle exercises or activities during the day to promote better sleep at night.
- Discourage long naps in the afternoon, as they can contribute to nighttime wakefulness.
6. Offer Comfort and Reassurance
- Speak in a calm, reassuring tone when responding to anxiety or agitation.
- Provide comforting items, such as a favorite blanket or stuffed animal.
- If your loved one experiences hallucinations, avoid arguing — redirect the conversation or offer a simple distraction.
7. Consider Professional Support
- If sundowning symptoms become severe or unmanageable, consider consulting a memory care specialist.
Our memory care team is trained to handle sundowners with compassionate, person-centered care adapted to each resident.
Compassionate Memory Care
At The Gardens of Amarillo, we specialize in expert memory care for individuals with Alzheimer’s and other forms of dementia. Our team understands the complexities of sundowning in dementia and works closely with families to develop individualized care plans that enhance the quality of life for residents. Through structured routines, therapeutic activities, and a calm, supportive environment, we help ease the symptoms of late-day confusion and promote overall well-being.
The Gardens of Amarillo Is Here For Your Peace of Mind
If your loved one is struggling with sundowning, sundowners syndrome, or other dementia-related challenges, we are here to help. Contact The Gardens of Amarillo today to learn more about our compassionate memory care services.
