Sundowning is a condition that affects many people as they age. It can be challenging to deal with for the person experiencing it and their loved ones. Symptoms can vary depending on the individual, ranging from restlessness and agitation to confusion and disorientation. This article will discuss some signs of sundowning and how to best deal with them to help you better prepare. If you or someone you know is struggling with sundowning, please seek medical help immediately.
What Is Sundowning?

Sundowning is a phenomenon that is often associated with dementia. It is an increase in confusion and agitation in the late afternoon or early evening. While the exact cause of sundowning is unknown, it is related to changes in the body’s circadian rhythms. Sundowning can be very distressing for both patients and caregivers.
While there is no cure for sundowning, there are ways to manage the symptoms. This may include providing a calm environment, avoiding overstimulation, and establishing a routine. Sundowning can be a challenging condition to deal with, but with proper support, patients can still enjoy a good quality of life.
The Different Signs Of Sundowning
Even for those who understand the condition, it can be challenging to spot the signs of sundowning. However, here are some common symptoms to look out for:
Restlessness

One of the most common symptoms of sundowning is restlessness. As the day goes on, patients may become more and more agitated until they are pacing back and forth or in circles. They may also become more vocal, making it difficult for caregivers to get a break. While this increase in activity may seem random, it is a sign that the patient is starting to experience sundowning.
In the early stages, some restlessness may be able to be managed with simple distraction techniques. For example, this could involve playing calming music or redirecting their attention toward a calm activity, such as coloring or knitting. However, if the restlessness becomes too overwhelming, it may be necessary to seek medical help to manage the symptoms further.
Aggressiveness

For many people with dementia, sundowning can be a frustrating and distressing experience. In some cases, it may even lead to aggression. And unfortunately, there are several possible explanations for why sundowning may lead to aggression. For one thing, the increased confusion and anxiety accompanying sundowning can lead to frustration and helplessness. In addition, sundowning can also cause physical discomforts, such as headaches or dizziness, which can contribute to feelings of irritability.
Finally, sundowning can also disrupt sleep, making people tired and cranky the next day. All these factors can combine to make people with dementia more likely to lash out in anger. While aggressiveness is a sign of sundowning, it is important to remember that not all people with dementia will experience this symptom.
Mood Swings

If you have ever spent time with someone who has difficulty controlling their emotions, then you may be able to recognize mood swings as one sign of sundowning. People with the condition may suddenly become angry or upset for no reason. They may also experience periods of euphoria or depression. This can make it difficult for caregivers to predict how the person will react in certain situations, leading to confusion and frustration. Sundowning may also cause a sudden change in appetite, leading to sudden mood swings related to hunger or cravings.
It is important to have a plan in place for handling periods of sudden mood changes, whether that be redirecting the person’s attention or seeking medical help. It is also vital to ensure that the person gets regular meals and snacks throughout the day to prevent sudden drops in blood sugar levels.