Sundowner's Syndrome

Sundowner's Syndrome, also known as sundowning or nocturnal delirium, is a condition often associated with the early stages of Alzheimer's, although a definitive connection has not been made.

Sundowner's Syndrome can also be considered a mood disorder or even a sleep disorder. Sufferers experience periods of extreme agitation and confusion during the late afternoon or early evening hours, leading to irritability towards caregivers or hospital staff.

It was once believed that Sundowner's Syndrome was a result of missed day/night light cues, hence the sudden onset at sundown. Current research points towards more organic causes such as drug interactions or stress associated with lower cognitive function.

Many families find that sleep medications actually make them more aggressive and wide awake all night. You may have to try many different things before you find something that works. If they watch a lot of TV after dinner, if possible, try to make sure that it isn't violent in nature. It will be safer to stick to the classics or something funny.  The better mood they are in and the more relaxed they are, the better the chances of them, and you, getting some sleep.

Also, try to keep visitors and phone calls to a minimum before bedtime. That is very stimulating and can make them nervous. It may be that they sleep for several hours and then are wide awake. That is usually when a mild medication can help them sleep through the night.

If they are able to take a walk, exercise or dance, try to make sure they have the opportunity every day. Staying at home all the time or being in an assisted living facility or nursing home can be very stressful or even depressing. The exercise will not only be good for them, but also for you!