{"id":19040,"date":"2021-06-03T16:45:34","date_gmt":"2021-06-03T20:45:34","guid":{"rendered":"https:\/\/info.eugeria.ca\/quest-ce-que-le-syndrome-crepusculaire\/"},"modified":"2021-07-16T14:20:23","modified_gmt":"2021-07-16T18:20:23","slug":"what-is-sundowning-syndrome","status":"publish","type":"post","link":"https:\/\/info.eugeria.ca\/en\/what-is-sundowning-syndrome\/","title":{"rendered":"What is sundowning syndrome?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Does your loved one with cognitive impairment exhibit anxiety or agitation, especially at the end of the day? These behavioral changes are confusing for both the person experiencing them and their loved ones. Sundowning syndrome undermines quality of life. What is it? How do you deal with it? Our team answers your questions.<\/span><\/p>\n<h2>Sundowning syndrome, what is it?<\/h2>\n<p><span style=\"font-weight: 400;\">Sundowning syndrome, as the name suggests, occurs at the end of the day and in the evening. It involves changes in behavior that are seen in people with cognitive impairment, particularly in the moderate and severe stages.\u00a0 Sundowning syndrome is characterized by any of the following changes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">psychomotor changes, such as agitation or wandering<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">cognitive changes, such as increased confusion or disorientation\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">changes in language<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">delusions or hallucinations<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">affective symptoms, such as sadness, anxiety or aggression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">changes in wakefulness, such as drowsiness<\/span><\/li>\n<\/ul>\n<h2>What are the triggers?<\/h2>\n<p><span style=\"font-weight: 400;\">There is no single cause. However, some factors can trigger this phenomenon, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">increased fatigue at the end of the day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">anxiety due to a change in environment or routine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">low ambient light<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">disruption of the circadian cycle (the daily sleep\/wake cycle)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">more advanced cognitive impairment<\/span><\/li>\n<\/ul>\n<h2>What are the treatments?<\/h2>\n<p><span style=\"font-weight: 400;\">Although some medications (antipsychotics, antidepressants, melatonin) reduce symptoms, there is no pharmaceutical treatment to cure sundowning. Changes in your loved one&rsquo;s behaviour will seem alarming. By being attentive to the factors that seem to trigger them, you can make certain changes to lessen their impact.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We suggest a few strategies to put in place:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintain a routine and avoid big changes in the environment at the time of day that is more at risk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">favor pleasant and relaxing activities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Before the outside light fades, increase the ambient light<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">provide soothing music to encourage relaxation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">try to change their mind, reassure them with familiar objects or activities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">make sure\u00a0 they are comfortable\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">record your observations in a journal to note what seems to be causing the change in behavior<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Managing sundowning will require patience and creativity. We suggest that you try different approaches and keep the ones that work for your loved one. And don&rsquo;t forget to take care of yourself by giving yourself time off.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Est-ce que votre proche atteint de troubles cognitifs manifeste de l\u2019anxi\u00e9t\u00e9 ou une certaine agitation, particuli\u00e8rement en fin de journ\u00e9e? Ces changements de comportements sont d\u00e9routants, autant pour la personne qui les vit, que pour ses proches. Le syndrome cr\u00e9pusculaire -sundowning en anglais- mine la qualit\u00e9 de vie. De quoi s\u2019agit-il ? Comment y faire&hellip;<\/p>\n","protected":false},"author":8,"featured_media":18125,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is sundowning syndrome? - Eugeria<\/title>\n<meta name=\"description\" content=\"Sundowning syndrome, occurs at the end of the day. 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