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Managing Sundowning in Dementia: Strategies for Caregivers in the GTA

Updated: Aug 25, 2023


A caregiver hugs an older man with Dementia.
Learn effective strategies for managing sundowning, including establishing routines, creating a calming environment, and seeking healthcare support.

As a caregiver, I understand firsthand the challenges of dealing with sundowning, a common phenomenon that affects many individuals with dementia, including Alzheimer's disease. Sundowning is characterized by increased confusion, agitation, and restlessness in the late afternoon and evening hours. However, there are strategies that we, as caregivers, can implement to manage these symptoms and improve the quality of life for both ourselves and our loved ones with dementia.


Establishing a consistent routine is one of the most effective strategies for managing sundowning. By setting specific times for meals, activities, and bedtime, we can provide a sense of security and reduce anxiety and confusion in individuals with dementia. In the Greater Toronto Area (GTA), we can also explore local support groups or organizations that offer guidance and tailored advice for establishing routines specific to sundowning in dementia care.


Creating a calm and relaxing environment is another vital strategy. In the GTA, we can take advantage of the region's diverse resources and services to enhance the living space. Dimming the lights, playing soothing music, and avoiding loud noises and bright lights can help create a peaceful atmosphere. Engaging in calming activities like reading, listening to music, or doing puzzles can further promote relaxation and ease agitation.


As caregivers, it is important for us to be patient and understanding when dealing with sundowning. We must remember that individuals with dementia may become more confused and agitated during these hours. Remaining calm, providing reassurance, and practicing empathy are essential. Offering a favourite activity or hobby as a distraction can also redirect their attention and alleviate distress.


Consulting a healthcare provider is crucial for addressing sundowning effectively. Medical professionals can provide guidance on medication options, such as antipsychotics or antidepressants, which may help manage symptoms. However, it is important to have an open discussion about the potential benefits and risks of these medications, as well as any alternatives or complementary therapies available.


In the GTA, there are resources and support available for caregivers. Local healthcare providers, dementia clinics, and community organizations can offer specialized services, education, and caregiver support groups. Connecting with these resources can provide invaluable guidance and help caregivers navigate the challenges of managing sundowning.


Managing sundowning in dementia can be a challenging task for caregivers. However, by establishing a consistent routine, creating a calm and relaxing environment, practicing patience and understanding, and seeking healthcare support, we can effectively manage the symptoms and improve the quality of life for both ourselves and our loved ones with dementia. In the GTA, we have access to a range of caregiver resources that can provide assistance, education, and support along this caregiving journey. Let us embrace these strategies and resources to provide the best possible care and enhance the well-being of our loved ones with dementia.

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