{"id":18917,"date":"2022-12-07T20:57:18","date_gmt":"2022-12-08T01:57:18","guid":{"rendered":"https:\/\/cateredliving.com\/ocean-pines\/?p=18917"},"modified":"2024-12-13T15:01:09","modified_gmt":"2024-12-13T20:01:09","slug":"what-is-sundowners-syndrome","status":"publish","type":"post","link":"https:\/\/cateredliving.com\/ocean-pines\/blog\/what-is-sundowners-syndrome\/","title":{"rendered":"What is Sundowners Syndrome?"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1365px;margin-left: calc(-5% \/ 2 );margin-right: calc(-5% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.375%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.375%;--awb-width-medium:100%;--awb-spacing-right-medium:2.375%;--awb-spacing-left-medium:2.375%;--awb-width-small:100%;--awb-spacing-right-small:2.375%;--awb-spacing-left-small:2.375%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-weight: 400;\">Is your elderly loved one exhibiting behavioral changes? Do these changes become more prominent as the day progresses? If the answer is yes, they may be suffering from sundowners syndrome. But what is sundowners syndrome?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Also known as sundown syndrome or late-day confusion, it refers to feelings and symptoms that occur during the late afternoon or early evening. Typically, the condition affects patients with Alzheimer&#8217;s disease and dementia. Let&#8217;s take a closer look at what sundowners syndrome in seniors entails, potential causes and how to help someone with the condition.<\/span><\/p>\n<h2><b>What Are Common Sundowning Behaviors?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Sundowners syndrome affects everything from mood and behavior to memory and thoughts. Generally, these symptoms kick in when the sun starts to set and continue throughout the night. Here are some of the most common symptoms.<\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-fusion-800 wp-image-18920\" src=\"https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-woman-having-difficulty-sleeping-because-of-sundowners-syndrome.-800x533.jpeg\" alt=\"Senior woman having difficulty sleeping because of sundowners syndrome.\" width=\"800\" height=\"533\" title=\"\" srcset=\"https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-woman-having-difficulty-sleeping-because-of-sundowners-syndrome.-200x133.jpeg 200w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-woman-having-difficulty-sleeping-because-of-sundowners-syndrome.-400x267.jpeg 400w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-woman-having-difficulty-sleeping-because-of-sundowners-syndrome.-600x400.jpeg 600w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-woman-having-difficulty-sleeping-because-of-sundowners-syndrome.-800x533.jpeg 800w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-woman-having-difficulty-sleeping-because-of-sundowners-syndrome..jpeg 900w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<h3><b>Sleep Problems<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">A major side effect of sundowning is restlessness and agitation. Rather than become relaxed as the day ends, patients get more tense, leading to difficulty sleeping. When left unaddressed, sleep disturbances can cause other health problems such as hypertension, cardiovascular issues and mental and physical exhaustion.<\/span><\/p>\n<h3><b>Behavioral Changes<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Most people with sundowners syndrome will exhibit the following behavioral symptoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wandering<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shadowing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased aggression<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Sundowning usually increases confusion, which may cause patients to wander randomly. They might also start shadowing (or following) someone they trust, like a loved one or caregiver. In some cases, this confusion leads to frustration that triggers aggressive, violent behavior.<\/span><\/p>\n<h3><b>Mood Changes<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">In addition to behavioral signs, people with sundowners syndrome often experience mood changes. It&#8217;s common for patients to exhibit the following emotions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irritability<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sadness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confusion<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some sundowning patients will experience increased irritability and frustration, while others will be more anxious or sad. Many patients also go through confusion and paranoia, which may lead to hallucinations and delusions.<\/span><\/p>\n<h2><b>What Causes Sundown Syndrome?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The exact cause of sundowners syndrome in the elderly is unknown. However, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11329390\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">some studies<\/span><\/a><span style=\"font-weight: 400;\"> suggest it&#8217;s connected to the internal body clock. When someone develops dementia or Alzheimer&#8217;s disease, their brain may struggle to distinguish between being awake and sleeping, leading to increased confusion, trouble sleeping and other&nbsp;sundowning symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although sundowning can affect anyone, you&#8217;re more at risk if you experience the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Boredom<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insomnia<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These factors increase the likelihood of sundowners syndrome and worsen symptoms.<\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-fusion-600 wp-image-18921\" src=\"https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-man-suffering-from-depression.-600x400.jpg\" alt=\"Senior man suffering from depression.\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-man-suffering-from-depression.-200x133.jpg 200w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-man-suffering-from-depression.-400x267.jpg 400w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-man-suffering-from-depression.-600x400.jpg 600w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-man-suffering-from-depression.-800x533.jpg 800w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Senior-man-suffering-from-depression..jpg 900w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<h2><b>How Can You Help Someone With Sundowning Symptoms?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Now that you know what sundowning is, you might be wondering: How do you treat it? Unfortunately, because the syndrome is typically linked to dementia, there&#8217;s no way to resolve it entirely \u2014 it continues as dementia or Alzheimer&#8217;s disease progresses. However, you can minimize symptoms. Here are a few key things that may help manage the syndrome.<\/span><\/p>\n<h3><b>Avoid Triggers<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">According to Cleveland Clinic, about <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/articles\/22840-sundown-syndrome\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">20% of Alzheimer&#8217;s patients<\/span><\/a><span style=\"font-weight: 400;\"> experience sundowning. While each individual has their own unique experience with the condition, there are some general things that make sundowning worse, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleep disorders<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dehydration<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor lighting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Overstimulation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caffeine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alcohol<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Staying hydrated, relaxed and well-rested can go a long way in reducing sundown syndrome symptoms. It&#8217;s also helpful to avoid substances that prevent good sleep, such as caffeinated beverages and alcohol.<\/span><\/p>\n<h3><b>Use Medications<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Certain medications, such as antidepressants, antianxiety drugs and antipsychotics, have proven effective in reducing sundowning symptoms. Furthermore, some medications can help foster a good night&#8217;s sleep, like melatonin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Of course, medications don&#8217;t work for everyone, and some may cause adverse effects. Speak to your doctor to learn more about your options and their respective pros and cons.<\/span><\/p>\n<h3><b>Change the Environment<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">It&#8217;s important that patients with dementia and Alzheimer&#8217;s disease feel at ease in their environment. Creating a comfortable, peaceful atmosphere can reduce some of the most prominent symptoms, including agitation and irritability. If you haven&#8217;t done so already, consider making the following environmental changes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Turn off lights at night.<\/b><span style=\"font-weight: 400;\"> Keeping lights on during the day and turning them off at night might help reset a person&#8217;s body clock.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reduce noise during bedtime.<\/b><span style=\"font-weight: 400;\">&nbsp;To reduce the risk of sleep issues, try lowering noise levels at night.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hang up family photos.<\/b><span style=\"font-weight: 400;\"> Keeping family photos around can help jog memories and lower the risk of confusion or paranoia.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The happier a patient is with their environment, the less likely they are to become frustrated, restless and stressed.<\/span><\/p>\n<h3><b>Remain Calm<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When a loved one is exhibiting unwanted symptoms, it&#8217;s normal to feel worried or overwhelmed. However, it&#8217;s important to try to remain calm.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients sometimes model the behavior of their family, friends and loved ones \u2014 if they notice you&#8217;re anxious or worried, it can worsen their own symptoms. On the other hand, if you seem relaxed, they might become less stressed. You can promote calm feelings by:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding arguments<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Asking if you can help<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Providing reassurance<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Try not to argue or yell, as this will make the patient even more agitated. Instead, calmly ask if they need something or if there&#8217;s anything you can do to help. You should also try to offer reassurance by reminding the patient where they are and telling them they&#8217;re safe.<\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-fusion-600 wp-image-18922\" src=\"https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Care-giver-having-a-conversation-with-senior-woman.-600x400.jpg\" alt=\"Care giver having a conversation with senior woman.\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Care-giver-having-a-conversation-with-senior-woman.-200x133.jpg 200w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Care-giver-having-a-conversation-with-senior-woman.-400x267.jpg 400w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Care-giver-having-a-conversation-with-senior-woman.-600x400.jpg 600w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Care-giver-having-a-conversation-with-senior-woman.-800x533.jpg 800w, https:\/\/cateredliving.com\/ocean-pines\/wp-content\/uploads\/sites\/7\/Care-giver-having-a-conversation-with-senior-woman..jpg 900w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<h3><b>Seek Professional Assistance<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">In the early stages, you may be able to handle sundowners syndrome at home. However, as dementia progresses, the symptoms tend to worsen, making it exceedingly difficult to cater to the patient&#8217;s needs. To ensure their loved ones receive the help they need, many people turn to the assistance of memory care professionals, such as the Catered Living at Ocean Pines team that provides the <a href=\"https:\/\/cateredliving.com\/ocean-pines\/\">best senior living community<\/a>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Our <a href=\"https:\/\/cateredliving.com\/ocean-pines\/memory-care\/\">memory care home<\/a>, located in Worcester County, Maryland, helps patients \u2014 and their families \u2014 navigate the challenges associated with memory loss. In addition to a cozy, safe environment, we offer a team of passionate caregivers who are experienced in handling sundowners syndrome. Ultimately, we aim to help reduce symptoms, improve well-being and make residents happy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Interested in learning more about our home? Feel free to call us at <a href=\"tel:410-671-0590\">(410) 208-1000<\/a> or <\/span><a href=\"https:\/\/cateredliving.com\/ocean-pines\/schedule-tour\/\"><span style=\"font-weight: 400;\">schedule a tour<\/span><\/a><span style=\"font-weight: 400;\"> online.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":18919,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[158],"tags":[],"class_list":["post-18917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/posts\/18917","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/comments?post=18917"}],"version-history":[{"count":0,"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/posts\/18917\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/media\/18919"}],"wp:attachment":[{"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/media?parent=18917"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/categories?post=18917"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cateredliving.com\/ocean-pines\/wp-json\/wp\/v2\/tags?post=18917"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}