Sundown Syndrome Is Why People With Alzheimer’s Get More Confused at Night

Sundown Syndrome Is Why People With Alzheimer's Get More Confused at Night

Inevitably, even the most consistent daily routine can be interrupted by things out of your control, like doctor’s appointments or home repairs. Since sundowning symptoms tend to get worse as the day goes on, try to schedule new things in the morning or whenever your loved one feels their best.

Prioritize natural light

A lack of exposure to natural light may increase sundowning symptoms, which is why Dr. Bock recommends aiming for at least 20 minutes of natural light in the morning. During the day, open curtains and blinds to let in as much light as possible. If appropriate, help the person spend time outside for additional sunshine.

Keep rooms well-lit in the evening

“As the term sundowning implies, when it gets dark, that’s when the patient starts misinterpreting their surroundings, and they start getting agitated,” says Dr. Small. Shadows in the room can increase confusion and fear, so turn on as many indoor lights as possible as the sun starts to set. Use plenty of lamps to light dim corners and cover reflective surfaces like windows and mirrors.

Minimize noise and clutter

Dr. Small says environmental triggers like loud sounds and jumbles of papers and clothing can increase sundowning symptoms. Calm, tidy surroundings are more soothing.

Be sure the rooms they spend most of their time in are extra clean and organized, and consider getting headphones for other household members so they listen to music or watch movies quietly.

Redirect to a calming activity

When your loved one starts to show signs of anxiety, turn their attention to a favorite activity. “Get to know who they are,” recommends Dr. Small. “Know the type of music they like. Maybe there’s a certain TV series they like that would calm them down.” Listening to soothing music, reading to them, or having a lighthearted conversation may also help ease their concern.

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