Sundowning behavior refers to a pattern of increased confusion, agitation, anxiety, or restlessness that occurs in the late afternoon, evening, or at night—most commonly seen in people with dementia, especially Alzheimer’s disease.What it looks likePeople experiencing sundowning may: ● Become more confused or disoriented as the day ends ● Feel anxious, irritable, or suspicious ● Pace, wander, or have trouble staying calm ● See or hear things that aren’t there (sometimes) ● Have trouble sleeping or staying asleepWhy it happens (not fully understood)It is thought to be related to several overlapping factors: ● Body clock (circadian rhythm) disruption ● Fatigue after a long day ● Low lighting → more shadows → misinterpretation ● Hunger, dehydration, or discomfort ● Overstimulation earlier in the day ● Brain changes from dementia affecting orientation and perceptionCommon triggers ● Late-day tiredness ● Hospital or unfamiliar environment ● Poor sleep
Sundowning behavior refers to a pattern of increased confusion, agitation, anxiety, or restlessness