Administration on Aging
Rosalynn Carter Institute for Caregiving
Family Caregiver Alliance
Housing and Urban Development
National Alliance for Caregiving
National Center for Assisted Living
National Hospice and Palliative Care Center
Although you may not be able to stop it completely, you can take steps to help manage this challenging time of day so you both sleep better and are less tired during the day. Let your loved one’s doctor know what changes you have seen, too.
When someone is sundowning, they may be:
Agitated (upset or anxious)
They also may:
Hear or see things that aren’t there
Have mood swings
Up to 1 out of 5 people with Alzheimer’s get sundown syndrome. But it can also happen to older people who don’t have dementia.
Doctors aren’t sure why sundowning happens.
Some scientists think that changes in the brain of someone with dementia might affect their inner “body clock.” The area of the brain that signals when you’re awake or asleep breaks down in people with Alzheimer’s. That could cause sundowning.
What happens around someone can also set off sundowning symptoms. Some triggers are:
Less light and more shadows in the house. This can cause confusion and fear.
Trouble separating dreams from reality. This can be disorienting.
If you feel tired or frustrated at the end of a day of caregiving, your loved one may notice, even without you saying anything. This can upset them, too. It’s normal for you, as a caregiver, to have feelings like that. Try to be aware of how you manage those emotions if you think that might make a difference.
How to Help Someone Who Is Sundowning
Look for patterns. Note the things that seem to trigger it, and then do your best to avoid or limit those triggers.