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What is sundowning?  How can a nurse aide assist a resident experiencing it?

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What is sundowning?  How can a nurse aide assist a resident experiencing it?

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Sundowning, also known as sundown syndrome, is a term used to describe a pattern of confusion, agitation, and disorientation that typically occurs in the late afternoon or evening in some individuals with dementia or Alzheimer's disease. The exact cause of sundowning is not known, but it may be related to changes in the brain that affect the internal body clock.

Here are some ways a nurse aide can assist a resident experiencing sundowning:

  1. Maintain a consistent routine: Keeping a regular schedule for meals, medication, and bedtime can help reduce confusion and agitation.

  2. Limit caffeine and sugar: These substances can contribute to agitation and interfere with sleep.

  3. Create a calm environment: Reducing noise, clutter, and the number of people in the room can help reduce agitation.

  4. Keep the resident active during the day: This can help the resident sleep better at night and reduce sundowning symptoms.

  5. Provide reassurance: If the resident becomes agitated or confused, the nurse aide can reassure them that they are safe and cared for.

  6. Use light therapy: Exposure to bright light or sunlight during the day can help reset the resident's internal body clock and reduce symptoms of sundowning.

  7. Consult with a healthcare provider: If sundowning symptoms are severe or causing distress, the nurse aide should consult with a healthcare provider. There may be medications or other treatments that can help.

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