It is daylight savings time again and we can look forward to enjoying an extra hour of sleep. However, are you aware that this can actually negatively impact older adults with sundowner’s syndrome? According to studies, sundowning is defined as a state of confusion at the end of the day that can extend throughout the night. This condition also causes aggression, anxiety, or sleep disturbances in older adults with dementia or Alzheimer’s disease. There may be no cure, but there are tips for caregivers to better manage this condition.
Signs of Sundowning to Look out for
- Agitation, anger, or irritability
- Signs of fatigue, pain, unmet needs, or discomfort
- Pacing or wandering
- High levels of hallucinations or delusions
- High levels of anxiety
Look for Triggers
Certain environments or activities can trigger an individual’s sundowning. Things like loud noises, fatigue, changes in the environment, or taxing activities can all risk triggering sundowning in older adults. Make use of a journal to record down the different factors that trigger sundowning in your loved ones or things that worsen their symptoms. This can help you avoid similar situations to stop further exacerbating their confusion and agitation.
Illuminate the Room
To counter the darker evenings that may result in anxiety, switch on the lights before the day gets dark. Keep living spaces well-lit to help prevent accidents or falls.
Move in Gradual Stages
With daylight savings, it is more likely for older adults with dementia to notice the hour difference usually during mealtimes and bedtime. Whenever possible, adjust meal and sleep times gradually over the course of several days instead of jumping to a full hour abruptly.
Limit Naps
As older adults adjust to daylight savings, they are more likely to experience urges in napping more often or for a much longer period of time. Encourage them to take shorter naps instead so as to prevent their sleep from getting disrupted, which can help to better manage sundowning.
Keep Days Busy and Nights Calm
Older adults suffering from sundowner’s syndrome need to stay active during the day. You can plan excursions, exercises, and activities for early in the day. Keeping them busy during the day will also get to reduce their naps so they can have a well-rested sleep at night. In the evenings, things should be kept peaceful and quiet. You could also include a calming activity such as reading a book or watching a movie. If older adults get anxious or restless when trying to adjust to daylight savings, try playing for them some relaxing music which also has its own set of benefits.
Go Decaf
It is a good idea for older adults with sundowning to avoid caffeine as much as possible in the evenings. Caffeine can affect their sleep which can, in turn, result in anxiety. Switch to chamomile tea which is a natural sleep aid. Consult their medical practitioner to inquire about melatonin supplements if necessary.
Seek Support
Sundowning can take a toll on your health as a caregiver. If you feel that you need support, do not hesitate to consult a professional on the right steps to take to improve the condition of your loved ones and to help you maintain your own well-being.
