How to Diagnose Sundowners Syndrome

Sundowners syndrome manifests in periods of confusion that occur primarily in late afternoon or early evening. Doctors are unsure why symptoms appear mainly in the evening. Some theories include hormonal imbalances occurring at night might be the cause or overload of sensory stimulation. Other researchers believe sundowners syndrome is associated with early Alzheimer's disease and fatigue brings on symptoms. Diagnosing Sundowners is important so caregivers and those living with the condition can learn ways to cope.

Difficulty:

Moderate

Instructions

1. Learn about sundowners, though much is still unknown. However, your physician can provide you with educational information. Contact the Alzheimer's Association for additional information on sundowners syndrome.

2. Recognize common symptoms. Mood changes, confusion, frustration and agitation may be present. Agitation may be indicated by pacing or wandering around. Some individuals will have rapid changes in their demeanor. Changes may include sudden yelling or crying.

3. Be aware of paranoid behavior and changes in language abilities. Some individuals may be unable to express their thoughts. If these symptoms seem to appear in the evening it may be a sign of sundowners syndrome. Notice if symptoms are getting progressively worse.

4. Take note of the time of day. Notice if symptoms always start around the late afternoon or early evening hours each day. Keep track of when symptoms seem to subside or lessen. Determine if there is a pattern.

5. Discuss symptoms with a physician. There is not one specific test to confirm sundowner's syndrome. Like other types of dementia a review of medical history and mental status tests may be completed.

6. Undergo a complete physical. Blood work and other medical tests may be recommended. Your physician will need rule out other medical conditions. Conditions that may be ruled out include medication side effects, strokes, tumors and thyroid abnormalities.