As the sun begins to set, many carers notice a shift in their loved one’s mood and behaviour. Restlessness, confusion, agitation—sometimes even distress. If this sounds familiar, you’re not alone. This phenomenon is known as sundowning syndrome, a common challenge for people living with dementia and those caring for them.
But here’s the good news: there are ways to ease this transition and create a more peaceful evening routine. Let’s explore why late afternoons can be difficult and how small, thoughtful changes can make a world of difference.
Why Do Late Afternoons Trigger Confusion and Restlessness?
Sundowning isn’t fully understood, but experts believe it’s linked to changes in the brain that affect internal body clocksand the way seniors process their surroundings. Here are some common reasons why late afternoon and evening hours become challenging:
Disruption to Internal Clocks
Our bodies naturally follow a rhythm—feeling alert in the morning and winding down at night. Dementia can disrupt this cycle, making it harder for seniors to distinguish between day and night. As daylight fades, their confusion may increase.
Overstimulation from the Day
By late afternoon, your loved one has processed hours of conversations, noises, and activities. If their brain is already working overtime to make sense of things, the added stress of evening changes can cause them to feel overwhelmed and unsettled.
Shadows and Dim Light Increase Confusion
As daylight dims, shadows appear, reflections change, and familiar spaces look different. For someone with dementia, this shift can be unsettling, making them feel unsafe or unsure of their surroundings.
Fatigue and Low Energy
Just like the rest of us, people with dementia feel tired at the end of the day—but they may struggle to express it. Instead of slowing down, they may become more agitated or restless as their energy fades.
When words become harder to find, how you communicate matters even more than what you say. A reassuring tone, a gentle touch, and a familiar phrase can speak volumes.
How to Create a Calming, Predictable Evening Routine
While sundowning can be challenging, a structured and soothing evening routine can help ease distress and bring comfort.
Start Early: Set Up the Evening for Success
Encourage gentle movement or a short walk earlier in the day to release restless energy.
Reduce caffeine and sugar after lunchtime to help prevent overstimulation.
Serve dinner a little earlier to allow for a slow, relaxed wind-down afterwards.
Stick to a Predictable Schedule
Routine creates a sense of security, so keep meal times, activities, and bedtime as consistent as possible.
Use clear, simple cues to transition from one part of the day to the next (e.g., “Now it’s time to listen to music before bed.”)
If possible, avoid changes in caregivers during the late afternoon hours, as a familiar presence can be reassuring.
Adjust the Lighting to Reduce Confusion
Soft, warm lighting can prevent harsh shadows and reduce disorientation.
Try using motion sensor night lights in hallways and bathrooms to help guide them if they wake up during the night.
Keep curtains or blinds closed to reduce the reflection of glass, which can sometimes be mistaken for strangers or unfamiliar shapes.
Use Music and Familiar Sounds
Soft, calming music in the background can create a sense of peace and familiarity.
Familiar audiobooks or nature sounds can also help maintain a soothing environment.
Singing along to well-loved songs can provide comfort and emotional connection.
Create a Cozy Wind-Down Space
Have a comfortable chair or space where they can relax and feel safe.
Offer familiar comfort items, like a favourite blanket or a soft-textured pillow.
Encourage gentle activities like looking through old photos, folding laundry, or holding a comforting object.
The Role of Reassurance and Compassion
No matter how well you set up the environment, some days will be harder than others. And that’s okay. The most important thing you can do is meet your loved one where they are.
What to Say When They Are Restless or Upset
“I’m right here with you. You’re safe.”
“Let’s sit together for a little while.”
“Would you like to listen to some music?”
A calm, reassuring presence is often more important than finding the perfect words. Your warmth and patience can make all the difference.
Turning Evenings Into a Time of Comfort
Late afternoons don’t have to feel like a struggle. By creating a structured, soothing routine, adjusting lighting and sound, and offering reassurance, you can help your loved one feel safe and at ease as the day winds down.
Remember: every day is different. Some nights will go smoothly, others might be harder—but the love and care you bring to each moment will always shine through.
🚨 Read: How to Have a Conversation When Dementia Makes it Difficult🚨
Disclaimer: The content provided in this blog was sourced via various independent industry blogs and other relevant sources and is for informational and educational purposes only. A.C.A staff have over 35 years experience within the agedcare industry but we are not medical clinicians, and as such, all above information should not be considered as professional medical advice. Always consult with a qualified GP or qualified healthcare professional for medical advice and treatment of any kind.
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