Sundowning

The 27 sources listed below are each rated on how they can help caregivers better understand and deal with sundowning in people with Alzheimer's disease or dementia.

For other sleep related issues, see our section on 'Sleep Disturbances'.

Sources are ranked from highest to lowest.
ALZSmart Score™ - Excellent80%

Alzheimer's Disease and Other Dementias: The Caregiver's Complete Survival Guide

Nataly Rubinstein, MSW, LCSW, C-ASWCM

Pages 229-235

Geo Location: All

ALZSmart Review™ - Summary of Contents

Explains sundown syndrome and some factors that may lead to it.  Has 19 bullet points on things you can do to decrease to effects of sundowning.
Alzheimer's Disease and Other Dementias:  The Caregiver's Complete Survival Guide
ALZSmart Score™ - Very Good75%

WebMD

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists 11 symptoms of sundowning.  Has 8 causes or triggers.  18 suggestions on how to help someone who is sundowning.  Also has a short embedded video [1:13] on sundowning.
How to Manage
ALZSmart Score™ - Very Good75%

Coping With Behavior Change in Dementia: A Family Caregiver's Guide

Beth Spencer and Laurie White

Pages 104-109

Geo Location: All

ALZSmart Review™ - Summary of Contents

This is a more general chapter on sleep problems.  Has 9 bullet point on possible physical, medical, and emotional causes and 9 strategies for handling them.  6 bullet points of environmental causes and 9 strategies to deal with them.  12 other possible causes and 15 strategies to handing other causes of sleep problems.  Has 4 tips on allowing them to be up at night.  Also has 10 tips on sundowning.
Coping With Behavior Change in Dementia:  A Family Caregiver's Guide
ALZSmart Score™ - Very Good70%

Daily Caring

Geo Location: All

ALZSmart Review™ - Summary of Contents

Describes 8 symptoms of sundowning.  Has 7 ways to reduce and manage sundowning symptoms.
7 Ways to Reduce Dementia Sundowning Symptoms
ALZSmart Score™ - Very Good70%

Surviving Alzheimer's (2nd Edition)

Paula Spencer Scott

Pages 201-204

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with an example of sundowning.  Discusses why it happens including 6 possible causes.  Has 11 bullet points on things to try; plus a way to cope with sundowning.
Surviving Alzheimer's (2nd Edition)
ALZSmart Score™ - Very Good70%

Ahead of Dementia

Luciana Mitzkun

Pages 193-196

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with a example of sundowing.  Describes what sundowning is, what may cause it, and factors that contribute to it.  Offers 12 routines and strategies to mitigate and manage sundowning.  Also has 9 tips on deal with a person who is sundowning.
Ahead of Dementia
ALZSmart Score™ - Good65%

Alzheimer's Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses the causes to sundowning and sleep disturbances.  Has 6 factors that may contribute to sleep issues.  8 coping strategies.  Plus 6 things you can do if the person is awake and upset.
Sleep Issues and Sundowning
ALZSmart Score™ - Good65%

UCLA Alzheimer's and Dementia Program

Linda Ercoli, PhD

Geo Location: All

ALZSmart Review™ - Summary of Contents

[Video 3:39]  Scenario-based video that shows a caregiver and her father dealing with sundowning.  The video has four parts:  common response, expert explanation, recommended reponse, plus 5-7 tips on sundowning.
Sundowning
ALZSmart Score™ - Good65%

Dementia Care Central (National Institute on Aging)

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

Describes the symptoms of sundowning and what may cause it.  Has a bullet point list of 6 tips to prevent or decrease sundowning.  Also has several suggestions on dealing with an individual who is sundowning.
Sundowning & Disorientation in Dementia: What is It and How to Deal With It
ALZSmart Score™ - Good65%

Aging Care

Marlo Sollitto

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses the symptoms of sundowning and 17 behaviors or emotions that may arise during an episode of sundowning.  Describes theories on the causes of sundowning.  Has 15 tips to help minimize sundowning symptoms.
Understanding and Minimizing Sundowner's Syndrome
ALZSmart Score™ - Good65%

Alzheimer’s Research Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

Reviews causes of sundowning and sleeplessness. Has 4 tips for reducing evening agitation and 5 suggestions for nighttime sleeplessness.  [Video 3:35]  Embedded video discusses 5 signs of sundowning, 6 causes, 5 strategies, and 3 things to consider when responding.
Sleeplessness
ALZSmart Score™ - Good65%

Alzheimer Society Canada

Geo Location: All (CA)

ALZSmart Review™ - Summary of Contents

Defines sundowning and behaviors associated with sundowning.  Has 4 issues that can trigger sundowning.  Provides 15 ways to respond to sundowning.
Sundowning
ALZSmart Score™ - Good65%

When Reasoning No Longer Works (2nd Edition)

Angel Smits

Pages 162-164

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses what sundowning is and what may cause it to happen.  Has 13 suggestions on how to deal with the end of the day and the occurance of sundowning.
When Reasoning No Longer Works (2nd Edition)
ALZSmart Score™ - Good65%

A Place For Mom

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with 5 common sundowning triggers.  Uses an example to show sundown syndrome behavior.  Has 6 approaches to managing sundowning behavior.  Also has a 9 paragraph discuss with Dr. Peter V. Rabins on sundowning.
Sundown Syndrome: Triggers & Management
ALZSmart Score™ - Good60%

Mayo Clinic

Jonathan Graff-Radford, M.D.

Geo Location: All

ALZSmart Review™ - Summary of Contents

Defines the term "sundowning".  Describes 6 factors that may aggravate late-day confusion.  Has 9 tips for reducing sundowning.
Sundowning: Late-Day Confusion
ALZSmart Score™ - Average55%

National Institute on Aging

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

Begins by describing sundowning and its possible causes.  Has 4 coping strategies.  Lists 7 bullet points on preventing sundowning.
Tips for Coping with Sundowning
ALZSmart Score™ - Average55%

VeryWell Health

Angela Morrow, RN

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists 5 factors that may contribute to sundowning.  Has 9 tips to manage sundowning.
9 Ways to Manage Sundowning (Late-Day Confusion)
ALZSmart Score™ - Average55%

Dementia Care Notes

Geo Location: All (IN)

ALZSmart Review™ - Summary of Contents

Multi-topic article.  In the section on sleeplessness and sundowning, it offers 12 techniques to reduce sundowning.
Sleeplessness and Sundowning
ALZSmart Score™ - Average55%

The 36-Hour Day (6th Edition)

Nancy L. Mace, MA and Peter V. Rabins, MD, MPH

Pages 153-155

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins by discussing the behavioral symptoms.  Describes several things you can try to reduce the symptoms of sundowning.
The 36-Hour Day (6th Edition)
ALZSmart Score™ - Average50%

Alzheimers.net (aka A Place For Mom)

Sherry Christiansen

Geo Location: All

ALZSmart Review™ - Summary of Contents

This article focuses seasonal sundowning as the days gradually become shorter in autumn.  Lists 10 sundowning symptoms in people with Alzheimer’s.  Has 7 ways to manage seasonal sundowning and lessen symptoms.
How Seasonal Sundowning Can Affect Seniors With Alzheimer’s
ALZSmart Score™ - Average50%

Lewy Body Dementia Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists 14 tips on how to cope or prevent sleep issues and sundowning.
Managing Sleep Problems
ALZSmart Score™ - Average50%

Elder Care Online

Edyth Ann Knox

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists 10 suggestions on how to minimize the negative behaviors associated with sundowning.
Tips on... Sundowning
ALZSmart Score™ - Average50%

Understand Alzheimer's

Pages 74-77

Geo Location: All

ALZSmart Review™ - Summary of Contents

Describes 3 aspecting of sleep issues in people with dementia.  Has 6 strategies to aid sleep and reduce sundowning.
Understanding Alzheimer's
ALZSmart Score™ - Average45%

Aging Care

Ashley Huntsberry-Lett

Geo Location: All

ALZSmart Review™ - Summary of Contents

Compilation of 14 experienced dementia caregivers tips and advice for devising a routine that minimizes sundowning behaviors.
Sundowning Top Tips: How to Minimize Confusion with a Daily Care Routine
ALZSmart Score™ - Average45%

Daily Caring

Geo Location: All

ALZSmart Review™ - Summary of Contents

This is a follow-up companion article to "7 Ways to Reduce Dementia Sundowning Symptoms".  It provides 7 additional ways to reduce and manage sundowning symptoms.
7 More Ways to Manage Dementia Sundowning Symptoms
ALZSmart Score™ - Average45%

Dementia Australia

Geo Location: All (AU)

ALZSmart Review™ - Summary of Contents

Defines sundowning and discusses causes.  Suggests 7 things you can try that may reduce sundowning.
Sundowning
ALZSmart Score™ - Satisfactory35%

Creating Moments of Joy (5th Edition)

Jolene Brackey

Pages 122-123

Geo Location: All

ALZSmart Review™ - Summary of Contents

Focus is on implementing a standard daily routine to reduce the effects of sundowning.
Creating Moments of Joy (5th Edition)

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