Hello. My MIL is in the mid-to-late stages of Alzheimer's. Due to the pandemic, we moved her our of her AL community to keep her safe. She is now in a private home with 24-hour caregivers (non-family). Because of the pandemic, family has not been visiting to keep both her and her caregivers safe. She has not been asking for us. However, almost every day she has a period from about 1:30 p.m. - 6:30 p.m. where she has increased anxiety, asks for her parents and worries that they will be angry with her (they're deceased) and wants to leave the house.
I know this is sundowning. We've recommended strategies that include taking her for a ride in the car, taking her outside, letting her sit on the porch, engaging her in a household activity geared to her level of skill, crafts if she's interested. She is not easily distracted or redirected and can become more agitated and resistive. We realize that she is in a new environment and no longer has the general activity of the AL community to distract her.
The MD recommended adding a small dose of Seroquel at that time. Does anyone have any non-pharm suggestions?