Sundowning Syndrome - Interventions and tips

Sundowning Syndrome is a common set of behaviors for persons with a memory impairing illness. Usually occuring in mid-afternoon to early evening, the person may experience increased anxiety, increased confusion, delusions or paranoia may appear or increase, restlessness and wandering are also common. The behaviors associated with this syndrome are unique for each person, so interventions must be individualized. Investigate carefully the circumstances surrounding the behaviors to determine the best solutions. The following guide may be helpful in reducing the effects of Sundowning Syndrome.

Maintain a structured daily routine. Following a structured routine that the person can rely on may reduce the number of decisions they need to make in a day. This decresed decision making will help reduce anxiety.

Simplify their world. As things become more difficult for a memory impaired person to handle and understand, every day tasks like choosing a sweater from the closet becomes overwhelming. Provide clothing that is similar in style and color and simple. (Example: All pants are elastic waist - all shirts are button front or pull over, all clothing is of a similar and complimentary color so that no matter what they choose, it will match...)Limit the choices in their closet and dressers. Three shirts or pants on hangers - one or two sweaters in the drawer is plenty.

Turn on lights inside before it becomes dusk outside. Increased light may help reduce disorientation.

Work to make certain that their environment is not chaotic. They rely on their caregiver for stability and become concerned if they loose sight of you or feel that you may leave them. Remember that your tone of voice, facial expression and body movement will affect them. Be certain you are sending the right message. Ask the family or friends not to make dramatic exits and entrances. Quietly go about the routine behaving calm and relaxed.

Plan activites for the late afternoon and early evening. Relaxing activities such as folding clothing, preparing dinner, washing dishes, home chores...will help them expend energy in a controlled manner, distract them from their anxiety and occupy them during these difficult hours. Remember, they may not be capable of occuping themselves during this time of increased anxiety. Having a plan will help.

Offer reassurance. If they become agitated, offer reassurance and assistance. A friendly touch and offer to help may calm them. Let them know that they are appreciated, not alone and loved.

For additional assistance with this or other caregiver issues, please contact the WNY Chapter of the Alzheimer's Association at (716) 626-0600.

For additional information regarding ElderWood Senior Care and their Memory Care Programs, please feel free to contact us at (716) 633-3900