Understanding Sundowning: A Guide for Carers

Introduction

Sundowning is a complex phenomenon that affects individuals living with dementia, and it presents unique challenges for both caregivers and care agencies. In this blog post, we will delve into the intricacies of sundowning, explore its impact on individuals with dementia, and provide practical tips for care agencies in Cheadle to effectively manage this condition.

What is Sundowning?

Sundowning, also known as “late-day confusion,” is a term used to describe a range of symptoms that tend to worsen in the late afternoon and evening. It is a common occurrence in individuals with dementia, particularly those with Alzheimer’s disease. The exact cause of sundowning is not fully understood, but it is believed to be influenced by a combination of factors including changes in the brain, disruption of the internal body clock, and environmental triggers.

The Impact of Sundowning on Individuals with Dementia

  1. Agitation and Anxiety: Sundowning often leads to increased restlessness, anxiety, and agitation. This can manifest as pacing, fidgeting, and expressions of distress.
  2. Confusion and Disorientation: Individuals experiencing sundowning may become more disoriented and have difficulty recognizing familiar people or places.
  3. Aggressive Behavior: In some cases, sundowning can result in aggressive or combative behavior, which can be distressing for both the individual and their caregivers.
  4. Sleep Disturbances: Sundowning can disrupt the sleep patterns of individuals with dementia, leading to increased sleep difficulties at night.
  5. Communication Challenges: During sundowning episodes, individuals may find it harder to communicate effectively, leading to frustration and potential misunderstandings.

Managing Sundowning: Tips for Carers

  1. Establish a Consistent Routine: Maintaining a regular daily routine can provide a sense of structure and predictability for individuals with dementia, potentially reducing the occurrence of sundowning.
  2. Ensure Adequate Lighting: Adequate lighting, especially during the late afternoon and evening, can help minimize confusion and disorientation. Consider using soft, ambient lighting to create a calming environment.
  3. Provide Comforting Activities: Engage individuals in activities they find comforting and enjoyable, such as listening to soothing music, engaging in light exercise, or participating in sensory activities.
  4. Monitor Environmental Triggers: Identify and mitigate potential triggers that may exacerbate sundowning, such as loud noises, unfamiliar surroundings, or disruptions in routine.
  5. Encourage Relaxation Techniques: Teach and encourage relaxation techniques like deep breathing exercises, mindfulness, or gentle massage to help individuals calm down during episodes of sundowning.
  6. Offer Emotional Support: Compassion, patience, and understanding are essential when caring for individuals experiencing sundowning. Provide reassurance and emotional support to help them feel secure and at ease.

Conclusion

Sundowning is a challenging aspect of dementia care that requires specialized attention and understanding. By implementing the above strategies, care agencies in Cheadle can create a supportive environment that minimizes the impact of sundowning on individuals with dementia. With a compassionate and proactive approach, care providers can significantly improve the quality of life for those they serve.

Remember, every individual is unique, and it may take time to identify the most effective strategies for managing sundowning in each case. By being observant, adaptable, and dedicated, care agencies can make a positive difference in the lives of those affected by dementia in the Cheadle community.

About Deckchair Care

Deckchair Care are an independent, privately-owned care agency. We look after the elderly in Cheshire and South Manchester.

Read more about our care service

Thanks to ChatGPT for help creating and editing this article.

elderly care

Deckchair Care are an independent, privately-owned care agency. We look after the elderly in Cheshire and South Manchester.

Read more about our care service

Thanks to ChatGPT for help creating and editing this article.

elderly care
elderly care

Caring for someone with Dementia

Home much does home care cost

More than 47,000,000 people in the world are living with dementia. Numbers are expected to increase by 300% over the next thirty years.

Dementia – of which Alzheimer’s is a form – is a horrible disease that takes away mental faculties and even a personality; it is not just sufferers that are affected. There are millions of people providing billion of hours of care for loved ones suffering from dementia. Caring for someone with dementia can become a full-time job and many caregivers admit the burden of care has affected their own health.

Providing care for dementia patients is by no means easy. If you find yourself in this position, effective strategies for communication and care can make things a bit easier.

Helping People with Dementia

Communication

As your loved one moves through the stages of dementia, their ability to communicate is going to get worse. Keeping communication effective for as long as possible is essential for their mental well-being.

You will have to learn how to communicate effectively throughout the stages of dementia.

  • Turning off the TV or radio. Close curtains or blinds and shut the door. This will help your loved one focus. Eliminate as many distractions as possible.
  • Don’t start talking until you have your loved one’s attention. Ensure they are listening. Address them by name, remind them who you are if necessary, and use gentle touches to keep them focused.
  • Remain positive in attitude and body language. Although your loved one may have experienced some mental decline, they will pick up on body language. Try to keep open, don’t fold your arms, keep your tone upbeat, and your mood positive.
  • Speak clearly and slowly but don’t dumb things down – this may only cause more frustration. Repeat things if necessary.
  • Remember to listen – spend as much time listening as speaking. You;ll need to be patient and may need to ask them to repeat things. Don’t get frustrated!
  • As you chat with your friend, client or loved one, there may come a point when they cannot remember certain words, or they lose track of their thoughts. They may become agitated. Acknowledge their feelings and offer a distraction to avoid further distress.

In the early to middle stages of dementia, your friend, client or loved one will have some awareness that their mental ability is getting worse. This can be frustrating and scary, which is why it is so important for you to be patient and understanding in the moments when they are really struggling to communicate. Just be patient, ask questions, and make sure to listen intently.

Keeping Dementia Sufferers Safe

In the early stages of dementia, they may still be able to care for themselves, albeit with a little help. As things progresses, your loved one may struggle with daily tasks such as preparing meals, bathing, and getting dressed. Part of your job as a caregiver is to make adaptations in the home to ensure safety.

  • Take an objective look around the house to spot potential danger zones, such as the garage, storage room, or basement, and install new locks or other safety devices where needed.
  • Disable the cooker so your loved one cannot use the it without supervision – you may need to make adaptations to the sink and bath, as well.
  • Double smoke detectors, fire extinguishers, and carbon monoxide detectors.
  • Install locks to keep your loved one from wandering outside – make sure the locks are hidden or out of reach.
  • Add extra lighting to keep stairwells, hallways, bathrooms, and doorways well-lit to prevent accidents.
  • Put medications and cleaning products in a locked drawer or cabinet – if your loved one can still be trusted with medication, make sure they have a pill organizer that you refill for them.
  • Install safety measures in the bathroom, such as grab bars and non-slip mats. Avoid using rugs that might slip out of place.
  • When you start to become concerned for their safety at home, you might consider installing a camera or smart speaker so you can see / talk to them easily.

Handling Difficult Behaviors

It is common for those with dementia to wander off, often without any destination in mind. Try taking your loved one for short walks to reduce restlessness. You may also need to install new door locks or create physical barriers so they can’t leave without your knowledge. Technology can also help here with sensors, smart locks and cameras.

Personality changes are also not uncommon. Your loved one may become combative, impatient or agitated at times, sometime even to the point of aggression. Try to remember that they have no control over their behavior and don’t mean to hurt you. These behaviors typically have a trigger – fear, confusion or environmental factors can cause unpredictable behaviour. If you can identify the trigger, you may be able to avoid problems.

In due course, cognitive ability and awareness will decline to the point that the patient does not react or communicate in any way. Before reaching that stage, however, they may develop repetitive speech or paranoia.

Actions, and behavior may worsen at the end of each day. This is known as “sundowning.” Try to remain patient and identify and understand the triggers and underlying factors that may be contributing to these actions. You may also need to develop distraction tactics if they become fixated on something.

Think About Professional Help

It could be a full 10 years or more from diagnosis to needing full-time care. That is a long time for carers to be putting someone else’s needs before their own. At a point, you are going to have to ask yourself some difficult questions – is it time to seek professional dementia care help?

24 hour care for Alzheimer’s patients is very expensive, but your loved one may be more comfortable in their own home and that might mitigate some of the other challenges as their dementia progresses.

One option could be regular 1 or 2 hour care visits to give relatives some respite. Allow them to get out to the shops or to socialise. Domiciliary care companies are experienced at looking after dementia suffers and can be a great support.

If in-home care is not an option, moving them into a care facility may be a better choice. Caring for a loved one suffering from dementia is exhausting, both physically and mentally. Remember, your loved one has no control over what is happening to them. While you can empathize with them and offer love and support, you need to remain realistic about what is and is not possible.

About Deckchair Care

Deckchair Care are an independent, privately-owned care agency. We look after the elderly in Cheshire and South Manchester.

Read more about our care service

Thanks to ChatGPT for help creating and editing this article.

elderly care

Deckchair Care are an independent, privately-owned care agency. We look after the elderly in Cheshire and South Manchester.

Read more about our care service

Thanks to ChatGPT for help creating and editing this article.

elderly care
elderly care