Understanding Sundowning: Managing Evening Anxiety in Memory Care Settings

At Bridgeway Senior Healthcare, we recognize that as day transitions to evening, many individuals with memory challenges experience increased confusion, anxiety, and restlessness – a phenomenon known as sundowning. Our years of experience in memory care have helped us develop effective strategies to support both residents and families through these challenging periods.
What is Sundowning?Sundowning, or late-day confusion, typically occurs in the late afternoon or evening hours. Common symptoms include:

• Increased anxiety and agitation
  
• Confusion or disorientation
  
• Restlessness or pacing
  
• Changes in mood or behavior
  
• Difficulty sleeping
  

Our Holistic Approach to Evening CareDrawing from our comprehensive memory care program, we've developed a multi-faceted approach to managing sundowning symptoms:
Sound and AromatherapyOur innovative sound therapy program has shown particular effectiveness during evening hours:

• Soothing vibrations from singing bowls help reduce anxiety
  
• Gentle background music creates a calming atmosphere
  
• Essential oils like lavender and bergamot promote relaxation
  
• Consistent evening aromatherapy signals time for rest
  

Environmental ModificationsWe carefully manage environmental factors to reduce confusion and promote calm:

• Gradual lighting changes to minimize shadows
  
• Reduced noise levels and stimulation
  
• Comfortable temperature settings
  
• Clear pathways for safe movement
  

Evening Nutrition StrategyInspired by our Brain Fuel Buffet program, we pay special attention to evening nutrition:

• Light, easily digestible evening meals
  
• Calming herbal teas
  
• Brain-healthy evening snacks
  
• Proper hydration management
  

Structured Evening ActivitiesOur evening programming is specifically designed to provide gentle engagement:

• Quiet chair yoga sessions
  
• Soft music listening periods
  
• Simple crafting activities
  
• Gentle sensory stimulation
  
• Supervised relaxation time
  

Supporting CaregiversWe understand that sundowning can be particularly challenging for family caregivers. Our support includes:

• Regular support group meetings
  
• Educational resources and workshops
  
• Professional guidance and consultation
  
• Respite care options when needed
  

Professional Tips for Home CareFor families managing sundowning at home, we recommend:
Establishing Routine

• Maintain consistent daily schedules
  
• Plan activities for earlier in the day
  
• Create calming evening rituals
  
• Keep bedtime consistent
  

Environmental Management

• Reduce evening noise and activity
  
• Maintain appropriate lighting
  
• Control room temperature
  
• Minimize screen time
  

Activity Adjustment

• Schedule appointments earlier in the day
  
• Plan quiet activities for evening hours
  
• Avoid over-stimulation
  
• Include gentle movement when appropriate
  

The Bridgeway DifferenceOur approach to managing sundowning is part of our larger commitment to comprehensive memory care. We combine:

• Professional expertise
  
• Compassionate care
  
• Innovative therapies
  
• Family support
  
• Ongoing education
  

Here to Support YouWhether you're seeking guidance for home care or considering professional memory care options, Bridgeway Senior Healthcare is here to help. Our experienced team understands the challenges of sundowning and can provide personalized support and solutions.
For more information about our memory care programs or to discuss your specific needs, please contact Christina Flanagan Bistis, our Community Outreach Coordinator, at [email protected] or (908) 874-7200.
Remember, you're not alone in this journey. Our community of care providers, fellow caregivers, and support services are here to help you navigate the challenges of memory care with confidence and compassion.

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