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Strategies to manage sundowning symptoms

Sundowning, or late-day confusion, is a common issue among seniors that can lead to restlessness, irritability, and agitation, particularly in the evening and night. This condition may make it difficult for seniors to fall asleep and is thought to be linked to disruptions in circadian rhythms, which regulate sleep-wake cycles. Factors such as dim lighting, increased shadows, and infections can trigger sundowning.

Here are some strategies to help reduce the impact of sundowning:

1. Stick to a routine. Establish consistent times for waking up, eating meals, and going to bed. Changes in routine and unfamiliar environments can increase stress and confusion.

2. Stay active. Encourage physical activity, such as walking, to promote better sleep and overall well-being.

3. Limit naps. If naps are needed, keep them brief and avoid late afternoon or evening naps to ensure better nighttime sleep.

4. Avoid alcohol. Alcohol can exacerbate confusion and anxiety while disrupting sleep patterns.

5. Minimize evening stimulation. Reduce noise and engaging activities such as TV, social visits, and loud music in the evening.

6. Increase lighting. Use lights to reduce shadows and enhance visibility. Light therapy has been shown to help reduce confusion and agitation.

7. Seek additional support. Consider hiring a caregiver if additional assistance is needed to manage sundowning and support daily activities.

Love them without losing yourself. The Boom Health app helps you manage your loved one’s home care in one app. Download the app from the App Store or Google Play Store.

This article is not intended to be a substitute for professional medical advice or diagnosis. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

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