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5 Effective Ways to Reduce Sundowners Symptoms in Dementia


reduce sundowners caregiver helping woman in sarasota

Sundowners syndrome, also known as sundowning, is a common phenomenon that affects many individuals with dementia. It refers to a pattern of agitation, confusion, and increased behavioral symptoms that occur in the late afternoon or evening. The symptoms can be distressing for both the person with dementia and their caregivers. In this blog post, we will explore what sundowners is, discuss the signs and symptoms, and provide five effective ways to reduce sundowners symptoms. Additionally, we will highlight how Nestcare Home Health, a trusted home health agency in Sarasota, Florida, can provide valuable assistance to individuals experiencing sundowners due to dementia.


Understanding Sundowners:


Sundowners syndrome is characterized by the worsening of cognitive and behavioral symptoms in individuals with dementia during the late afternoon and evening hours, however it can occur at other times of the day. The exact cause of sundowners is not fully understood, but factors such as changes in lighting, exhaustion, hunger, and disruptions in the sleep-wake cycle and routine are believed to contribute to its occurrence and intensity.


Signs and Symptoms of Sundowners:


The signs and symptoms of sundowners can vary from person to person, but common manifestations include:

  1. Agitation and restlessness: Increased anxiety, pacing, or wandering.

  2. Confusion and disorientation: Difficulty recognizing familiar surroundings or people.

  3. Irritability and mood swings: Rapid changes in mood, heightened sensitivity, and increased frustration.

  4. Hallucinations and delusions: Perceiving things that are not there or having false beliefs.

  5. Sleep disturbances: Trouble falling asleep or staying asleep, resulting in nighttime awakenings.

Ways To Reduce Sundowners Symptoms:

  1. Establish a Consistent Routine: Creating a structured daily routine can help individuals with dementia feel more secure and less anxious. Ensure regular mealtimes, medication schedules, and engaging activities throughout the day. Consistency in routine can provide a sense of familiarity and reduce the risk of triggers that may exacerbate sundowners symptoms.

  2. Optimize Lighting: Adjusting the lighting in the environment can positively impact sundowners symptoms. During the late afternoon and evening, ensure that the room is well-lit with natural or artificial light. Use warm, soft lighting to create a calming ambiance. Minimize harsh lighting and shadows, as they can contribute to confusion and disorientation.

  3. Encourage Relaxation Techniques: Promoting relaxation techniques can help individuals with dementia manage anxiety and restlessness associated with sundowners. Simple activities such as listening to calming music, engaging in gentle exercises, or practicing deep breathing exercises can be beneficial. These techniques can help create a sense of calm and ease the transition into the evening hours.

  4. Create a Calming Environment: Make the living space conducive to relaxation and a good night's sleep. Ensure a comfortable and clutter-free bedroom with a familiar and soothing decor. Use blackout curtains or blinds to minimize external stimuli and create a dark and serene sleeping environment. Consider introducing white noise machines or calming music to mask disruptive sounds that may contribute to sleep disturbances.

  5. Seek Professional Support from Nestcare Home Health: Nestcare Home Health, a reputable home health agency in Sarasota, Florida, specializes in providing compassionate care for individuals with dementia, including those experiencing sundowners. Their trained caregivers can offer personalized support and implement strategies tailored to the individual's unique needs. Nestcare's services include assistance with activities of daily living, medication management, companionship, and monitoring for safety. Their dedicated team can work closely with families to develop a comprehensive care plan that addresses sundowners symptoms and enhances the overall well-being of the individual with dementia.

What medications for sundowners?

There are some medications that have been somewhat effective in decreasing the agitation that comes with sundowners. However, each individuals needs are unique so it is best to discuss these options with your healthcare provider.


Sundowners syndrome can be challenging to manage for individuals with dementia and their caregivers. However, by implementing these five effective strategies, it is possible to reduce sundowners symptoms and create a more peaceful and supportive environment. Remember, consistency, optimized lighting, relaxation techniques, a calming environment, and seeking professional assistance from Nestcare Home Health can make a significant difference in managing sundowners symptoms. With the right strategies and support, individuals with dementia can experience improved quality of life, comfort, and peace during the late afternoon and evening hours.

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