13/11/2025
🌇 Understanding Sundowning
Sometimes a person living with dementia can become unsettled, anxious, or more confused later in the afternoon or evening. This pattern is known as sundowning.
It can happen at any stage of dementia, but is more often seen in the middle or later stages. The exact cause isn’t fully understood, but several factors can contribute.
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💡 Common Triggers
• Tiredness, discomfort, hunger, or pain
• Insufficient daylight exposure during the day
• Overstimulation from noise or activity
• Changes in the body’s natural rhythm (the internal “clock”)
• Hormone fluctuations throughout the day
• Hearing or vision difficulties causing extra confusion
• Emotional distress or low mood
• Side effects from medication
• Reduced support or fewer carers present in the evening
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🌿 Supportive Approaches
• Make sure physical needs (comfort, hunger, toilet) are met.
• Keep indoor lighting even and reduce shadows or glare.
• Close curtains or blinds as daylight fades to avoid reflections.
• Create calm – reduce noise, turn off the TV if not in use.
• Offer reassurance or gentle conversation, perhaps about something familiar and positive.
• Think about events earlier in the day that might have unsettled them.
If the person remains distressed, they may be trying to express a need they can’t easily put into words. Gentle patience and comfort can make a real difference.
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🕊️ Melton Care Services
Supporting dignity, understanding, and calm for every moment of the day.