Sundowning: What Families Can Do
Why late-afternoon confusion and agitation happen with dementia, and calm, practical ways to ease it at home.
Many people living with dementia become more confused, restless or upset in the late afternoon and evening. This pattern is often called sundowning. It can be one of the hardest parts of caregiving, but small changes to the day often help.
Keep a steady rhythm
- Wake, eat and go to bed at about the same times each day.
- Plan outings, appointments and baths for the morning when possible.
- Keep afternoons calm and predictable.
Light and environment
- Open blinds and get daylight early in the day. In Colorado winters, when it gets dark early, turn lights on before dusk.
- Reduce noise and clutter in the evening: lower the TV, limit visitors.
- Use night lights so hallways and bathrooms are easy to find.
In the moment
- Stay calm and speak softly. Your tone matters more than your words.
- Don’t argue or correct. Acknowledge the feeling (“You want to go home. Tell me about home.”).
- Redirect to something soothing: familiar music, a snack, a short walk, folding towels.
When to call the doctor
Sudden changes in behavior can be caused by pain, infection (such as a urinary tract infection), medication side effects or poor sleep. Let your loved one’s physician know if sundowning starts suddenly or gets much worse.
You don’t have to cover every evening
Evening and overnight care can give you a break during the hardest hours, with a caregiver trained in calming techniques.
This article is general information, not medical advice. Talk with your loved one’s physician about their specific needs.