Sundowning (dementia) - Treatment

Treatment

  • If possible, a consistent sleeping schedule and daily routine that a sufferer is comfortable with can reduce confusion and agitation.
  • If the patient's condition permits, having increased daily activity incorporated into their schedule can help promote an earlier bed time and need for sleep.
  • Check for over-napping. Patients may wish to take naps during the day, but unintentionally getting too much sleep will affect nighttime sleep. Physical activity is a great treatment for Alzheimer's, and a natural way to encourage night sleep.
  • Caffeine is a great (and fast-working) brain stimulant, but try limiting it at night if a night's sleep is needed.
  • Caregivers could try letting patients choose their own sleeping arrangements each night, wherever they feel most comfortable sleeping, as well as allow for a dim light to occupy room to alleviate confusion associated with an unfamiliar place.
  • Some evidence supports the use of melatonin to induce sleep.

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