Sundown syndrome, also known as sundowning, is a condition frequently encountered among the elderly, particularly those who have dementia or Alzheimer's disease.
This phenomenon often perplexes family members or caregivers, as the individual's behavior may appear normal during the morning and afternoon but undergoes a drastic change in the evening. For a better understanding of sundown syndrome, refer to the following information.
What is Sundown Syndrome?
Sundown syndrome, or sundowning, refers to a behavioral disorder in older adults, particularly those diagnosed with Alzheimer's or dementia. This disorder tends to manifest and worsen in the late afternoon or evening, although symptoms can sometimes occur throughout the day.
Elderly individuals experiencing this syndrome may show confusion, agitation, and noticeable mood fluctuations.
Symptoms of Sundown Syndrome
Elderly individuals with sundown syndrome generally exhibit the following symptoms:
- Increased confusion, such as difficulty recognizing their surroundings or familiar people
- Restlessness, frequently moving around or wandering aimlessly
- Mood swings, including sudden anger, frustration, or sadness
- Heightened verbal or physical aggression
- In severe cases, they may experience hallucinations, sensing things that are not real
Causes of Sundown Syndrome
The precise cause of sundown syndrome remains unknown. However, experts suggest that various factors may contribute to the condition, including:
- Accumulated fatigue, which can exacerbate symptoms
- Diminished natural light in the evening, leading to disorientation
- Disruptions in the sleep-wake cycle, affecting brain function and behavior
- Excessive physical activity, resulting in stress and worsening symptoms
- Other environmental factors, such as loud noises, extreme temperatures, or overwhelming stimuli that provoke anxiety
What to Do About Sundown Syndrome
Although there is no specific cure for sundown syndrome, several strategies can help manage the symptoms and improve quality of life:
- Increasing exposure to natural sunlight during the morning and afternoon
- Maintaining a consistent routine with set times for meals, bedtime, and waking up to provide comfort
- Creating a calm, distraction-free environment with minimal noise
- Utilizing bright, non-glaring lighting
- Encouraging light activities such as walking or engaging in memory games
Sundown syndrome can be challenging for both affected individuals and their families or caregivers. Seeking professional help or consulting a doctor is highly recommended. You can also reach out through the Ai Care health service, available on the App Store and Play Store.
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- dr Hanifa Rahma
Cleveland Clinic (2022). Sundown Syndrome. Available from: https://my.clevelandclinic.org/health/articles/22840-sundown-syndrome
Stephanie Watson, et all (2024). How to Effectively Manage Sundowning. Available from: https://www.webmd.com/alzheimers/manage-sundowning
Alzheimer Society (2021). Sundowning and dementia. Available from: https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/symptoms/sundowning
Dementia UK (2023). Sundowning (changes in behaviour at dusk). Available from: https://www.dementiauk.org/information-and-support/health-advice/sundowning/
National Institute on Aging (2024). Coping With Agitation, Aggression, and Sundowning in Alzheimer's Disease. Available from: https://www.nia.nih.gov/health/alzheimers-changes-behavior-and-communication/coping-agitation-aggression-and-sundowning