As the day winds down, some individuals living with Alzheimer’s or other forms of memory loss may experience increased confusion, anxiety, or agitation. This condition is known as sundown syndrome or sundowning. For families and caregivers, recognizing the signs and learning effective strategies for sundown syndrome management can significantly improve comfort and safety. Memory Care residents at The Landing in Alexandria, Virginia, benefit from personalized support and calming routines designed to ease the effects of sundowning.

What Is Sundown Syndrome?

Sundown syndrome describes a noticeable change in behavior in seniors with Alzheimer’s disease or other types of memory loss and typically happens in the late afternoon or evening. It’s not a separate disease but a collection of symptoms. Your loved one may become increasingly restless and confused and may pace, experience mood swings, yell, or have trouble communicating. These symptoms can be distressing for both the individual and those around them.

While sundowning is more common among individuals with Alzheimer’s, it’s not exclusive to this condition. Older adults without cognitive decline might also experience sundown syndrome, especially in hospitals or anywhere with sensory deprivation.

Experts aren’t entirely sure what causes it, but several factors may play a role. Fatigue from a full day of activity, changes in natural light, increased shadows, overstimulation, or even basic unmet needs like hunger or discomfort can all contribute to these late-day episodes. Internal body clocks may also shift with age or illness, disrupting natural sleep-wake rhythms.

It’s essential to understand sundown syndrome because it affects more than just mood. It can impact safety, sleep quality, and the overall well-being of seniors and their caregivers. With consistent, thoughtful support and strategies in place, it’s possible to reduce its effects and create a more peaceful evening for everyone.

Creating a Calm and Comfortable Environment

Evenings can feel unsettling for those experiencing sundown syndrome, but a thoughtfully designed environment can make a significant difference. Simple changes can ease confusion, reduce anxiety, and promote relaxation during this vulnerable time of day. Use the ideas below to create an environment that feels comfortable and safe. 

• Adjust lighting. Keep rooms evenly lit as daylight fades to soften the transition to evening. Close blinds gradually, turn on lamps before dusk, and use warm, indirect light to reduce disorientation and minimize harsh shadows that may cause fear or confusion. 

• Limit noise and distractions. Lower the volume on TVs or radios and avoid crowded, chaotic environments that can heighten anxiety or trigger agitation or restlessness. Choose soothing music and guide conversations to quieter areas, away from competing sound sources. 

• Create familiar, soothing spaces. Stick to consistent layouts with furniture arranged in familiar patterns to ensure pathways remain predictable. Include comforting items like family photos, soft blankets, or favorite decor to create a sense of security. 

Structuring the Day for Predictability 

A steady, reliable daily schedule can ease anxiety and reduce episodes of sundowning. Predictable routines give individuals with Alzheimer’s disease a sense of control and security, helping them move through the day with more confidence and fewer surprises. Consider these sundown syndrome management strategies. 

• Create consistent daily routines. Stick to regular times for waking up, meals, programs, and bedtime. Familiar patterns help the body and mind anticipate what comes next, reducing confusion and restlessness as the day progresses.

• Avoid late-day naps and caffeine. Limit naps in the late afternoon and avoid coffee, soda, or other stimulants after lunch. These simple steps can improve sleep quality and reduce nighttime wakefulness.

• Support gentle transitions to evening. As daylight fades, switch to quiet, calming activities like listening to music, working on puzzles, or reading together. These peaceful moments help signal that the day is ending, and it’s time to relax. 

Encouraging Physical and Mental Activity 

Keeping the body and mind engaged during the day can help reduce evening agitation and support healthier sleep patterns. Activities don’t need to be strenuous. Instead, keep them consistent and uplifting. 

• Daytime exercise. Incorporate gentle movement like walking, chair yoga, or light stretching into a loved one’s daily routine. Physical activity burns off excess energy, reduces restlessness, and promotes deeper, more restful sleep at night. 

• Cognitive engagement. Offer mentally stimulating yet soothing options like memory games, art projects, or music therapy. These activities help maintain cognitive function and stimulate the brain in positive ways without overwhelming the senses. 

• Outdoor time and natural light. Spend time outdoors during the day, especially in the morning or early afternoon. Natural sunlight helps regulate the body’s internal clock, reinforces daytime alertness, and can minimize the confusion that contributes to sundowning.

Memory Care at The Landing

The Landing Alexandria offers a high-end, thoughtfully crafted Memory Care experience that blends modern design with supportive, personalized care. Residences are intentionally laid out to reduce confusion, with clear designs, secure environments, and calming elements that promote a sense of ease. Every detail, from lighting to layout, is chosen to help residents feel safe, empowered, and at home.

Our trained, compassionate team members understand the complexities of sundown syndrome management and respond with empathy and care. They’re equipped with techniques to gently de-escalate agitation, redirect anxious behavior, and provide reassurance when confusion arises.

Memory Care residents benefit from daily routines and supportive programs tailored to individual interests and abilities. These enriching experiences are designed to provide structure and comfort while helping maintain cognitive function and emotional well-being.

Family involvement is a key part of care at The Landing. From collaborative care planning to support groups and regular updates, families are welcomed as partners. This inclusive approach promotes consistency, strengthens connections, and helps manage sundown syndrome symptoms both on-site and at home.

Finding Peaceful Evenings Through Thoughtful Care

While sundown syndrome may be distressing, it can be effectively managed with the right environment, structured routines, and compassionate care. At The Landing Alexandria, residents living with memory loss benefit from a program designed to reduce confusion and maximize peace of mind. Families seeking expert support and a calm, welcoming setting will find comfort and confidence in the Memory Care team at The Landing.

Contact us at 571-568-7621 to discover how The Landing helps create meaningful days and serene evenings for you and your loved one.