Mom ( 93, in a good NH, wheelchair bound, CHF, vascular dementia and aphasia from a stroke) displays somewhat differing behaviors for my SIL, who generally visits after work (6-8pm), i visit only on weekends, daylight hours.
My mother always seems to have something she's upset about when SIL gets there. Yesterday, brother stopped in at 4.30 ( still blazing daylight here in the Northeast) and she was agitated about " something" with her wheelchair. Due to the aphasia, she can't speak much. When I visited yesterday in the am, no complaints about wheelchair or anything else.
This seems to be a pattern that I've sent over several months..mom is upset when sil is there, sil emails me, I raise the alarm with staff, and when they ask, mom is happy as a clam, nothing is wrong.
I mentioned to sil yesterday that I thought this was sundowning. She said "oh no, it was only 4.30 when brother was there".
So, can this be sundowning? How do we handle this? What is your experience with you loved one and afternoon agitation?