What is happening
Some people with dementia become more confused, restless or upset in the late afternoon or evening. This is often called sundowning.
Common triggers are being very tired, a body clock that is out of step, dim light and shadows, and picking up on a caregiver’s stress.
What to try right now
- Step 1. Come up to them calmly and gently. Speak softly.
- Step 2. Tell them they are safe and that you are there to help.
- Step 3. Do not argue or try to hold them back. If it is safe, let them pace.
- Step 4. Ask if they need something, such as the bathroom, a drink or a snack.
- Step 5. Make the room quiet and softly lit, with no dark corners. Turn off the TV and loud music. Play soothing music if they enjoy it.
What can help over time
- Get outside, or sit by a window, in daylight every day.
- Keep meals, bathing and bedtime at the same times each day.
- Plan busier activities for the morning and early afternoon.
- Limit long naps and dozing late in the day.
- Avoid alcohol, caffeine and nicotine late in the day.
When to get help
Talk to a doctor about sleep problems. Treatable causes, such as a urinary tract infection or sleep apnea, can make things worse.