Recognizing the Nighttime Signs of Dementia

June is Alzheimer’s Awareness Month – a time to shed light on one of the most challenging and widespread conditions affecting older adults.

While memory loss is the most commonly recognized symptom, Alzheimer’s also brings a host of behavioral and psychological changes, especially during the evening hours. Families often notice their loved ones becoming more confused, anxious, or agitated as the day winds down, a phenomenon known as sundowning. Understanding these signs is a crucial step toward ensuring safety and comfort for those living with Alzheimer’s disease.

What Is Sundowning, and Why Does It Happen?

Sundowning refers to increased confusion, restlessness, or agitation that typically occurs in the late afternoon or evening. Although the exact cause isn’t fully known, factors like fatigue, changes in the body’s internal clock, and low lighting can all contribute. Individuals may become suspicious, disoriented, or irritable. This can lead to difficult behaviors such as pacing, shadowing caregivers, visible frustration, or expressing a desire to “go home” even when they already are.

Nighttime Risks: Wandering, Disrobing, and Incontinence

Sundowning can also trigger a range of concerning nighttime behaviors. Many individuals with Dementia may begin wandering—sometimes even attempting to leave their home during the night. Others may undress, forget where they are, or have difficulty with toileting, leading to incontinence. These behaviors not only disrupt sleep for both the person and their family but also create real safety risks that can’t be ignored.

Ways to Support a Loved One at Night

While these challenges are difficult, there are effective ways to manage them. Establishing a calming and predictable evening routine can make a significant difference. Dim lights gradually, limit caffeine and heavy meals later in the day, and encourage light physical activity during daylight hours. For many families, these strategies help, but when they aren’t enough, it may be time to seek additional support.

Let’s Talk About Help – Because You’re Not Alone

This Alzheimer’s Awareness Month, we encourage families to take an honest look at how nighttime behaviors are affecting their loved ones and themselves. Providing care at night can be overwhelming and exhausting. If you’re noticing signs of sundowning or struggling with late-night wandering and incontinence, you don’t have to manage it alone. You can always reach out to Griswold Home Care to explore professional support, including overnight caregivers trained in dementia care. A little extra help at night can make a world of difference.