If an elderly parent is having an episode of Sundowners Syndrome experts suggest that a caregiver:
- Approach the person in a calm manner
- Find out if there is something he or she needs
- Gently remind him or her of the time
- Avoid arguing or asking for explanations
- Reassure them that everything is all right and everyone is safe
- If you are able to get the person to calm down a bit, distract him or her with simple activities she enjoys.
Here is some practical advice that caregivers can use to try and lessen the likelihood that a person with Alzheimer's or dementia will experience sundowning:
Plan More Active Days
A person who rests most of the day is likely to be awake at night. Discourage afternoon napping and plan activities, such as taking a walk, throughout the day.
Have a Routine
Maintain a routine tends to alleviate the severe anxiety experienced by those sundowning. Even simple tasks like "putting on pajamas" can be helpful.
Provide a Peaceful Setting
Guide the person to an area away from family activity and other distractions. Try to prevent excessive noise during sunset.
Use Music
Sometimes soothing music will help to calm and relax a person with Alzheimer's or dementia. Arts and crafts, and even pet therapy also have a calming effect.
Ensure Safety
Install locks and safety devices as necessary. Take precautions to provide a safe space for him or her at night so that you can get a solid night's rest, even if he or she needs to stay awake and wander.
Change Sleeping Arrangements
Allow the person to sleep in a different bedroom, in a favorite chair or wherever it's most comfortable.
Use a Nightlight
Keep the room partially lit to reduce agitation that occurs when surroundings are dark or unfamiliar.
Draw the Curtains
Be sure the person's environment is well-lit. You may find it helpful to draw curtains and turn on inside lights as it grows dark outside.
Monitor Diet
Restrict sweets and caffeine consumption to the morning hours. Serve dinner early.
Seek Medical Advice
Physical ailments, such as bladder or incontinence problems, could be making it difficult to sleep. Your doctor may also be able to prescribe medication to help the person relax at night.
Whether or not you fully understand Sundowners Syndrome, the look of terror and bad behaviors that accompany this time of day are extremely taxing and stressful.