Sundowner Syndrome
Sundowner syndrome, reported widely among patients suffering from Alzheimer's disease and other forms of dementia, is a state of increased anxiety, agitation and confusion associated with the time when daylight fades and evening begins. Scientific and medical researchers have yet to agree upon the causes of this phenomenon, but for the caretakers of patients with Alzheimer's or dementia, it is a reality they must cope with on a daily basis.
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Not Just at Sundown?
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In an article written for EverydayHealth.com, Dennis Thompson Jr. reports that many doctors have discarded the theory that this condition is tied to any specific time of day. The symptoms long associated with sundowner syndrome are found in 12 to 25 percent of all Alzheimer's patients, according to Thompson, and may occur at any time of the day or night.
Theories About Its Cause
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People who continue to associate this type of behavior with the end of the day have a number of different theories about reasons for the syndrome's. SundownerFacts.com reports that some doctors believe hormonal imbalances may cause the problem, while others contend that patients may be showing the effects of sensory overload as day wanes and night begins. Still others say that the onset of darkness may be the triggering mechanism for sundowner syndrome.
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Coping
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Whatever its cause, sundowner syndrome presents a problem to caregivers who must cope with associated behaviors. Based on his interviews with medical professionals, Thompson has come up with some suggestions that may help ease the symptoms of the syndrome. The central theme of his advice is to instill structure and calm into the daily routine of patients who have a history of sundowner syndrome.
Reliable Daily Routine
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Thompson argues that maintaining a regular schedule for patients minimizes the likelihood of anxiety and confusion. He suggests that patients be awakened at a set time every day, fed their meals at pre-set times and helped to retire for the night at a set time. Each day should include activities to provide intellectual stimuli for patients, but such activities should be concentrated in the earlier hours of the day and gradually tapered off as the day progresses.
Other Tips
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Minimizing caffeine consumption, particularly in the afternoon hours, can also ease the symptoms of sundowner syndrome, according to Thompson. If these steps fail to reduce the confusion and agitation widely associated with sundowner syndrome, Thompson suggests you contact a medical professional.
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References
Resources
- Photo Credit Brianforbes37 (Brian Forbes), Flickr.com
