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my husband seems to have come down with sundowners within the last month. Does it come on this fast? He shows no signs of dementia during the day he's just like he always has been. Is it possible this is because of the full moon does it seem to be worse at that time of the month?

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I believe - and even hope at this point - that the full moon ("super blue blood moon" in this case!) can/does bring about an increase in the degree of sundowning. If not, I'm going to have to have mom's urine retested because either the UTI she recently had and I thought was knocked out by the antibiotics given actually wasn't OR we are on to another UTI... Heavy sigh. [Re: extreme crazy last night!]
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Anxiety meds will help, so will limiting the caffeine. My friend keeps the lights on and the rooms bright until Grandpa's bedtime, and that helps. His anxiety has probably been building for a while, he has just gotten to the point that he can't hold it in any more. Babalou is right, now is the time to get the POA documents and Advanced Directives and Health Care Proxy done.
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In my mom, post-stroke, sundowning was the first symptom of her vascular dementia. It came on very suddenly. Has your husband been seen by a neuroligist? This might be a good time to get some baseline neuropsych testing done and to make sure you have poa and other documents in order.
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