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Blog sundowning and dementia

Sundowning, also known as "late-day confusion," is a term used to describe a phenomenon in which individuals with dementia or other cognitive impairments experience increased confusion, agitation, and restlessness as the day comes to an end. It is most commonly observed in those with Alzheimer's disease but can also affect those with other forms of dementia, brain injury, or cognitive decline.

While the exact cause of sundowning is not fully understood, it is thought to be related to changes in the body's natural sleep-wake cycle and environmental and emotional triggers. Some researchers believe that sundowning may be related to the brain's inability to process and store new information as the day progresses, leading to increased confusion and agitation.

Symptoms

Symptoms of sundowning can range from mild to severe, and may include:

  • Increased agitation and restlessness
  • Confusion and disorientation
  • Difficulty with communication
  • Difficulty with problem-solving
  • Difficulty with memory
  • Mood changes, including anger and irritability

Strategies

Managing sundowning can be challenging, as it can occur at different times and with varying severity in different individuals. However, there are a few strategies that can be helpful in reducing the frequency and severity of sundowning episodes:

Establishing a consistent routine

Creating a structured daily routine can help to reduce confusion and provide a sense of stability for individuals with cognitive impairments.

Managing the environment

Simple changes to the environment, such as reducing clutter and noise, can help to reduce confusion and agitation.

Providing physical and mental stimulation

Engaging in activities that provide physical and mental stimulation, such as puzzles, games, or light exercise, can help to keep the mind active and reduce confusion.

Monitoring medication

It is important to work with a healthcare provider to carefully manage any medications that may be contributing to sundowning symptoms.

Seeking support

It can be helpful to seek support from caregivers, family members, and healthcare professionals in managing sundowning symptoms.

If you are caring for a loved one with sundowning, it is important to be patient and understanding, and to seek support from healthcare professionals as needed. With the right strategies and support, it is possible to reduce the frequency and severity of sundowning episodes and improve the quality of life for both the individual with cognitive impairments and their caregivers.





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Reimagine Wellness: Gut & Brain Health with Dr. Naomi

 
Hi! I'm Dr. Naomi Dongelmans 🩷

As a medical doctor, I became disillusioned with quick fixes that only treated symptoms, leading to side effects without real healing. This inspired me to explore the transformative power of gut health, a journey that changed my life.

Throughout my life, frequent illnesses, reliance on antibiotics, and unresolved traumas left me feeling trapped in a cycle of sickness and allergies. It was only when I focused on nurturing my gut health that I truly began to harness my body's natural ability to heal.

My coaching style? No fluff, no sugar-coating, imperfect action (yes, I'm a recovering perfectionist), and the occasional loving nudge forwardπŸ’ͺ. But know this—I'm here for my online family (that's you!) every step of the way. I believe in creating success through genuine connection and support🌺.

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Naomi Dongelmans, MD
Integrative General Practitioner
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