Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Concernlast1: Per the Alzheimer's Association "Sundowning is increased confusion that people living with Alzheimer's and dementia may experience from dusk through night. Also called "sundowner's syndrome," it is not a disease but a set of symptoms or dementia-related behaviors that may include difficulty sleeping, anxiety, agitation, hallucinations, pacing and disorientation. Although the exact cause is unknown, sundowning may occur due to disease progression and changes in the brain."
Gena, TouchMatters, gives a much more comprehensive explanation than I was going to. I would go through her list of possible causes, to see if you can identify anything in particular that may be causing the patient discomfort or anxiety.
I thought it was more related to a fear of darkness, night time, and going to sleep. In my case, after I Googled sundowning, I started closing the drapes before it starts to get dark outside, and keep the room will lit as well as the hallway and any other rooms within sight, kind of disguising the darkness. For me, that worked. But, as TouchMatters points out, the person could simply be tired, over-stimulated, in pain, so try to identify and make sure they are comfortable. Anti anxiety meds can help. I prefer something that simply helps the person to relax and feel sleepy. Anti anxiety meds can create other unwanted side-effects. Another thought I want to share regarding over-stimulation. When a person's brain isn't functioning at 100%, everything they see and hear can take a lot of work for their brain to process, wearing them out. And consistent routine is key! Any variation in their daily routine, anything unexpected, can really be a lot for them to manage and will cause anxiety, especially late in the day when they're already exhausted just from thinking.
Yes, as someone mentioned, it is very easy to google these things. I provided part of website so people here can print out. Always a good idea to ask MD (and/or facility management).
Sometimes you might see changes in the person’s behaviour in the later afternoon or towards the end of the day. During this time the person may become intensely distressed, agitated and have hallucinations or delusions. This may continue into the night, making it hard for them to get enough sleep. This is sometimes known as ‘sundowning’ but is not necessarily linked to the sun setting or limited to the end of the day. Sundowning can happen at any stage of dementia but is more common during the middle stage and later stages.
What causes sundowning?
The reasons why sundowning happens are not well understood, but it is possible that a range of different causes makes it more likely.
These might include:
tiredness, hunger, pain or other unmet physical needs not enough exposure to sunlight during the day overstimulation during the day, such as from a noisy or busy environment disturbance to the person’s ‘body clock’ caused by damage to the brain disturbed levels of hormones that vary over the course of the day sensory impairment, such as hearing or sight loss tiredness in other people causing the person with dementia to become upset mood disorders, such as anxiety or depression fewer carers around to look after the person (in a care home) side effects of prescribed drugs.
Some of these are related to the time of day, and others may happen at any time.
Try to identify which of these problems might be affecting the person, as each problem may need a different treatment.
Tips for reducing sundowning
Sometimes what seems like ‘sundowning’ could be the person trying to communicate a need. This could be needing the toilet, feeling hungry or being in pain.
Uneven indoor lighting and reflective surfaces can sometimes cause confusion by creating disturbing shadows or mirrors. Close the curtains or blinds once it starts to get dark and cover the television with a dust cover, if it’s not being used. Think whether something that’s happened during the day has affected them. If they seem agitated, try to calm them by distracting them, perhaps talking about a favourite memory or event they enjoy thinking about.
If they remain agitated, it could be that they have a need that is not being met.
Most things are very easy to look up online, but sundowning is basic the tendency for those with age related mental decline to become more confused at night that during the day. Most things are worse later in the day, amazingly, including pain.
Sundowning occurs in late afternoon or early evening, and it can include behaviors such as agitation, confusion, anxiety, or aggressiveness. It can also cause hallucinations, delusions or disorientation. There are medications that ones doctor can prescribe that help with most of the symptoms that come with sundowning.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I thought it was more related to a fear of darkness, night time, and going to sleep.
In my case, after I Googled sundowning, I started closing the drapes before it starts to get dark outside, and keep the room will lit as well as the hallway and any other rooms within sight, kind of disguising the darkness.
For me, that worked. But, as TouchMatters points out, the person could simply be tired, over-stimulated, in pain, so try to identify and make sure they are comfortable.
Anti anxiety meds can help. I prefer something that simply helps the person to relax and feel sleepy. Anti anxiety meds can create other unwanted side-effects.
Another thought I want to share regarding over-stimulation. When a person's brain isn't functioning at 100%, everything they see and hear can take a lot of work for their brain to process, wearing them out. And consistent routine is key!
Any variation in their daily routine, anything unexpected, can really be a lot for them to manage and will cause anxiety, especially late in the day when they're already exhausted just from thinking.
See this website:
https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/symptoms/sundowning
In part:
What is sundowning?
Sometimes you might see changes in the person’s behaviour in the later afternoon or towards the end of the day. During this time the person may become intensely distressed, agitated and have hallucinations or delusions.
This may continue into the night, making it hard for them to get enough sleep.
This is sometimes known as ‘sundowning’ but is not necessarily linked to the sun setting or limited to the end of the day. Sundowning can happen at any stage of dementia but is more common during the middle stage and later stages.
What causes sundowning?
The reasons why sundowning happens are not well understood, but it is possible that a range of different causes makes it more likely.
These might include:
tiredness, hunger, pain or other unmet physical needs
not enough exposure to sunlight during the day
overstimulation during the day, such as from a noisy or busy environment
disturbance to the person’s ‘body clock’ caused by damage to the brain
disturbed levels of hormones that vary over the course of the day
sensory impairment, such as hearing or sight loss
tiredness in other people causing the person with dementia to become upset
mood disorders, such as anxiety or depression
fewer carers around to look after the person (in a care home)
side effects of prescribed drugs.
Some of these are related to the time of day, and others may happen at any time.
Try to identify which of these problems might be affecting the person, as each problem may need a different treatment.
Tips for reducing sundowning
Sometimes what seems like ‘sundowning’ could be the person trying to communicate a need. This could be needing the toilet, feeling hungry or being in pain.
Uneven indoor lighting and reflective surfaces can sometimes cause confusion by creating disturbing shadows or mirrors. Close the curtains or blinds once it starts to get dark and cover the television with a dust cover, if it’s not being used.
Think whether something that’s happened during the day has affected them. If they seem agitated, try to calm them by distracting them, perhaps talking about a favourite memory or event they enjoy thinking about.
If they remain agitated, it could be that they have a need that is not being met.
Gena / Touch Matters
Sundowning can occur anytime and is a group of symptoms experienced by dementia patients.
https://my.clevelandclinic.org/health/articles/22840-sundown-syndrome
There are medications that ones doctor can prescribe that help with most of the symptoms that come with sundowning.
Welcome to are forum. Your profile doesn't say much other than you are taking care of mom.
Do you live with her, has she been diagnosed with dementia?
Sundown is when the sun goes down and dementia patients anxiety goes up, they pace, or scream, or cry, or have hallucinations.
If your mom has recently had issues, Google Teepa Snow, watch her videos on dementia, you will learn so much.
Ask as any questions you have and we will try to lead you in the right direction.