Fact 7: Sundowning and Wandering – The Twilight Connection
Sundowning is a phenomenon unique to dementia, characterized by a surge in confusion, agitation, and anxiety during the late afternoon and evening. This pattern coincides with the fading light at sunset, hence the term ‘sundowning’. It’s a significant factor to consider when discussing wandering in dementia.
During these episodes of increased confusion and restlessness, the individual is likely to wander. It’s a means to cope with the overwhelming emotions they’re experiencing. The twilight hours can become a particularly challenging time for both the individual and their caregivers due to this heightened propensity to wander.
Understanding the signs of sundowning—increased agitation, confusion, or restlessness as the day progresses—can help caregivers prepare and implement strategies to reduce wandering. Regular routines, calming evening activities, and minimizing fatigue can help manage sundowning.
Managing the environment can also play a role in handling sundowning-related wandering. Adequate indoor lighting and reducing noise can help create a soothing environment. The goal is to create a sense of calm and security, reducing the emotional turmoil that might trigger wandering.
The link between sundowning and wandering underscores the importance of proactive, round-the-clock care in dementia. Recognizing patterns, identifying triggers, and implementing customized care strategies can significantly enhance the quality of life for those living with dementia. (7)
