Dementia And Effects Of Sundowning

Some of the symptoms of sundowning are an increase in the agitation levels of the patient as well as the loss of abilities to comprehend, perform certain tasks and other functions that the patient may have had little to no difficulty with earlier in the day. Confusion and anger are also common reactions by patients that can realize in the earlier stages of dementia and Alzheimer's that something is amiss but they can't quite put their finger on exactly what. Inability to sleep and restlessness are also common with sundowning.

Sundowning can occur in any level of dementia or Alzheimer's and seems to be more severe in the moderate stages of these conditions. There is some scientific evidence to support the theory that Alzheimer's causes severe damage to the parts of the brain that control the internal clock of body and the normal urges to sleep when tired and awake when rested are forever set off balance.

Sundowning can make both the caregiver and patient wear down as anyone caring for a patient with dementia or Alzheimer's can attest to, it is exhausting. Neither the patient nor the caregiver may be at their emotional best at the end of the day. It's human nature to lose your patience and it is also human nature to be frustrated with a patient that it is difficult to reason with due to both their condition and their increased agitation.

Caregivers can benefit greatly from just taking a little time for themselves, especially if they have someone in their care that is experiencing sundowning on a regular basis. Just having a friend or someone responsible that is willing to act as a caregiver for a couple of hours while the regular caregiver has a meal in a restaurant or catches a movie will make a world of difference and in many cases, many dementia and Alzheimer's patients also react favorably to someone new to talk to or be with for a short time.

Knowing the basics of sundowning can make caring for a dementia or Alzheimer's patient that is experiencing this frustrating symptom a lot easier to deal with if you know the basics of the syndrome and what to look for. Also, if you have a patient that is experiencing sundowning, scheduling outings early in the day may be a big part of eliminating a lot of the frustration. If the patient has some of the classic symptoms of sundowning such as agitation, confusion and becoming argumentative, you can avoid a lot of confrontations by not taking them out after the early afternoon.

Also, rule out other causes of suddenly acting out or severe agitation. Make sure that your patient isn't having issues with any kind of discomfort, bothered by noises or lights or having pain. Sometimes dementia and Alzheimer's sufferers have difficulty vocalizing their physical discomfort and may act out instead.

If you've ruled out anything physical that may be causing sundowning symptoms, there are a number of things you can do to minimize the effects of sundowning. Limiting the input of people, places and things will go a long way towards helping an individual that is experiencing dementia or Alzheimer's avoid some of the more brutal aspects of sundowning. Avoiding caffeine and high sugar intake also seems to be a very effective way to combat a lot of the agitation and restlessness some dementia and Alzheimer's patients experience.

Lighting can also be an issue with some patients. Try softening the lighting and you might just see a similar softening in their moods. Also, soft music makes many dementia and Alzheimer's patients feel safer and more secure. Also, many patients "feed" off the emotional states of others and if lose your composure after a frustrating day, the patient may mirror your frustration and it will increase their agitation directed right back at you.

It's a good rule of thumb to take a deep breath and remember that patients with dementia and Alzheimer's do not have control over their conditions or their emotions for the greater part of the time. Each patient will need to be dealt with in a different way to handle their sundowning, as each patient will need to be addressed in different ways. Keeping a journal of outbursts, sundowning symptoms and the ways they were successfully handled is a great way to see what methods work and what does not.

Dementia and Alzheimer's patients are among the most difficult patients to care for. Their conditions often come with multiple issues such as sundowning. Knowing how to combat aspects of these syndromes will go a long way to making both the caregiver and the patient much more comfortable when with dealing the outside symptoms that these debilitating illnesses can manifest.

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