How to Manage Sundowning Symptoms

August 14, 2025

Sundowning refers to increased confusion, agitation, or restlessness that occurs in seniors, often in the late afternoon or evening. Managing these symptoms involves creating a calm, structured environment and addressing potential triggers.


Tips to manage sundowning:


  1. Maintain a consistent routine: Regular meal times, activities, and bedtime help reduce confusion.
  2. Optimize lighting: Brighten rooms in the late afternoon and dim lights gradually in the evening to ease the transition.
  3. Limit stimulants: Reduce caffeine and sugar intake later in the day.
  4. Encourage daytime activity: Physical and mental engagement can improve sleep quality at night.
  5. Calm environment: Minimize noise, provide soothing music, and offer reassurance during episodes.


Tracking patterns can help identify triggers and improve strategies for managing sundowning. In some cases, healthcare providers may recommend additional interventions.


At The Cottage of Litchfield Hills, personalized care plans help seniors manage sundowning symptoms with compassion and consistency.


Frequently Asked Questions

  • What triggers sundowning symptoms?

    Common triggers include fatigue, low lighting, hunger, and changes in routine.

  • Can medications help manage sundowning?

    Some medications may assist, but they should only be used under a healthcare provider’s guidance.

  • Is sundowning a sign of dementia progression?

    Sundowning is common in dementia but can vary; it indicates increased evening confusion rather than direct disease progression.


Sources:

  • https://www.nia.nih.gov/health/alzheimers-changes-behavior-and-communication/coping-agitation-aggression-and-sundowning
  • https://www.alz.org/help-support/caregiving/stages-behaviors/sleep-issues-sundowning
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