
Navigating Sundowning:
Insights and Support from Ortega Gardens

For families supporting a loved one with Alzheimer’s disease or other forms of dementia, late afternoon and evening hours can bring a challenging behavioral shift known as “sundowning.” At Ortega Gardens Memory Care in Jacksonville,FL, we understand these complexities and are dedicated to helping residents and families navigate this experience with compassion and expertise.
Understanding Sundowning
Sundowning refers to increased confusion, anxiety, restlessness, and sometimes aggression that typically begins or worsens as daylight fades. While not fully understood, it’s believed to be connected to how dementia affects the brain’s internal clock, combined with factors like fatigue, changing light conditions, unmet needs, or underlying medical issues.
Recognizing the Signs
Individuals experiencing sundowning might exhibit various behaviors that can change daily:
- Increased confusion or disorientation
- Heightened anxiety or fear
- Restlessness, pacing, or wandering
- Irritability or agitation
- Demanding behavior or yelling
- Suspiciousness
- Hallucinations (seeing or hearing things that aren’t there)
Remember that these behaviors are symptoms of the disease, not intentional actions by your loved one.
Effective Management Strategies
While challenging, there are several approaches that can help manage and sometimes lessen sundowning effects:
Maintain Consistent Routines: Regular schedules for waking, meals, activities, and bedtime provide structure and reduce anxiety.
Manage Lighting: Maximize natural light exposure during the day and keep rooms well-lit in the evening to help regulate the body’s internal clock. Reducing shadows can decrease confusion.
Promote Calm Evenings: Encourage quiet, relaxing activities in late afternoon and evening. Minimize noise, clutter, and excessive stimulation like loud television or too many visitors.
Address Physical Needs: Ensure your loved one isn’t hungry, thirsty, in pain, or needing the restroom, as discomfort can trigger agitation. Limiting caffeine and large meals late in the day may also help.
Provide Reassurance: Approach calmly and gently. Validate feelings, offer reassurance, and avoid arguing. Sometimes, gentle redirection to a favorite activity works well.
Consult Healthcare Professionals: Rule out underlying medical causes like infections, pain, or medication side effects that could contribute to the behavior.
How Ortega Gardens Provides Support
Our community is specifically designed with memory care residents’ needs in mind. Our compassionate staff receives specialized training to understand and respond effectively to behaviors like sundowning. We implement consistent routines, provide engaging yet calming activities, ensure a safe and well-lit environment, and offer 24-hour support.
By knowing our residents’ individual histories and preferences, we often anticipate needs and proactively create a soothing atmosphere during traditionally challenging times of day.
Dealing with sundowning requires patience, understanding, and the right support system. If you’re caring for a loved one experiencing these symptoms, you don’t have to face it alone. Contact Ortega Gardens Memory Care today to learn more about our specialized memory care program in Jacksonville, FL, and how we partner with families to enhance the well-being and quality of life for our residents, day and night.


