People with Alzheimer’s or a related dementia may become more confused or nervous later in the day, often as the sun sets. This is called sundowning. They may see or hear things that are not there. They may accuse people of things that are not true, like stealing or lying, and may pace or walk back and forth. This is not done on purpose, and people with dementia cannot control it.
Why does this happen? People with dementia might be more tired in the late afternoon, or even react to their care partner’s feelings of being tired. The changing amounts of light and shadows can also be confusing or scary to them, especially when there is a change in sunrise/sunset time, like when Daylight Savings begins or ends. However, there are a few simple ways you can help prevent sundowning from occurring.
Make changes at home:
- Turn the lights on early in the afternoon to make the environment brighter
- Turn down (or turn off) the television or radio
- Turn on soothing music
- Avoid loud or confusing noises
- Clear a path for the person with dementia to move or walk back and forth
Pay attention to meals and snacks:
- Provide a large meal at lunch and a light meal at dinner
- Cut down on caffeine and sugar after 3 PM
- Keep away from alcohol and cigarettes
Create a schedule:
- Try to ensure the person with dementia goes to bed and wakes up at the same time every day
- Take walks, dance, or perform other movements/exercises to use up extra energy
- Plan doctor visits, outings, baths, and other activities in the morning
Other ideas:
- Be calm and reassuring as a care partner
- Be flexible! If one idea doesn’t work, try another
- Try a new activity to distract from the anxiety, like sorting coins or drawing
Check out our free education classes, support groups, social activities, & more. You may also call our office at 858.492.4400 to speak with one of our Clinical Care Coaches (Spanish speakers available).
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