Understanding Alzheimer’s and Sundowning: What Families Need to Know
Caring for a loved one with Alzheimer’s disease comes with many challenges, one of the most confusing and emotionally taxing being “sundowning.” Also known as “late-day confusion,” sundowning refers to a pattern of increased confusion, anxiety, agitation, or restlessness that often occurs in the late afternoon or early evening.
At BrightStar Care, we understand how important it is for families to be informed and supported. Here’s what you should know about sundowning and how you can help your loved one through it.
What Is Sundowning?
Sundowning is not a disease itself, but a symptom commonly associated with Alzheimer’s and other forms of dementia. It typically presents as:
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Increased confusion or disorientation
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Irritability or mood swings
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Restlessness or pacing
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Shadowing (following caregivers closely)
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Difficulty sleeping or staying asleep
These behaviors often begin in the late afternoon and can continue into the night, disrupting not just the individual’s rest but also that of their caregivers.
Why Does Sundowning Happen?
While the exact cause of sundowning is not fully understood, several factors may contribute:
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Changes in the internal body clock: Dementia can affect the brain’s regulation of sleep-wake cycles.
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Low lighting and increased shadows: This can cause confusion or trigger anxiety.
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Fatigue: As the day goes on, tiredness may make it harder for the brain to manage symptoms of dementia.
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Unmet needs: Hunger, discomfort, or overstimulation during the day can lead to agitation later on.
Tips for Managing Sundowning at Home
If your loved one is experiencing sundowning, there are steps you can take to help reduce the intensity or frequency of these episodes:
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Maintain a Consistent Routine
Structure the day with regular times for waking, meals, activities, and bedtime. Predictability helps reduce confusion. -
Create a Calm Evening Environment
As the day winds down, keep the environment quiet and softly lit. Reduce background noise, such as TV or loud conversations, which may cause agitation. -
Encourage Light and Activity During the Day
Exposure to natural sunlight and moderate physical activity during the day may help regulate sleep patterns and improve mood. -
Avoid Stimulating Foods and Drinks
Limit caffeine and sugar intake, especially in the afternoon and evening. -
Offer Reassurance and Comfort
Sometimes a gentle presence, soothing music, or a familiar object can provide much-needed comfort.
When to Seek Additional Support
If sundowning becomes severe or starts affecting your loved one’s health and safety—or your own—it may be time to seek professional care support.
At BrightStar Care, our specially trained caregivers understand the unique needs of individuals living with Alzheimer’s and dementia. We provide compassionate in-home support designed to create a safe and structured environment, while giving family caregivers much-needed respite.
You're Not Alone
Dealing with Alzheimer’s and sundowning can feel overwhelming, but help is available. Whether you need occasional respite care or full-time assistance, BrightStar Care is here for you—every step of the way.
Contact us today at (925) 284-8888 to learn more about our Alzheimer’s and dementia care services and how we can help support you and your loved one.