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Sundowning

Hello, I’m very new to this group and confused on this newly diagnoses of Dementia for my mother! We are still going through a lot of appointments and tests and we don’t have a actual diagnosis of what type of dementia my mom has but they are leaning more towards Lewy body because she has a tremor on her hand!

My question is how does everyone deal with the sun downing and agitation, hallucinations! My mom is good all day until around 6-7pm she gets confused and asks for my dad when he’s sitting there with her! She asks what time is he off and how he’s getting home, she gets upset when we tell her he’s right there with her! Not sure if we are doing the right thing or not! I don’t know what to do! She eventually snaps out of it within an hour or two but sometimes it won’t be until the next day! It’s so sad to see this, it breaks my heart! Any advice would be really appreciated! Thanks in advance

Comments

  • SDianeL
    SDianeL Member Posts: 3,077
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    Welcome. Sorry for the reason you are here. Sorry about your Mom. Sundowning is common and so are hallucinations & delusions. Learn all you can about dementia. Start with the book “The 36 Hour Day” and then search online for dementia caregiving videos by Teepa Snow or Tam Cummings. What I learned here is that we never argue or try to correct someone with dementia. They can’t comprehend they have cognitive issues. The second thing I learned here is that “You can’t reason with someone whose reasoner is broken” so we learn to use fibs. Your Mom may no longer recognize your Dad. People with dementia get lost in their timeline. So when she asks about your Dad just say he’ll be home shortly. He’s working late, he stopped at the store, the distract or redirect. Sometimes a snack works. Ice cream worked for my husband. I remember I read tips for sundowning online so I’ll try to find those again. Getting a definite diagnosis is very difficult. So much is unknown. Once you get the final diagnosis be sure to provide the Neurologist with a detailed list of your Mom’s behaviors and ask for medication for hallucinations & delusions. Risperidone helped my husband for awhile. The best type of doctor to manage medications for dementia is a Geriatric Psychiatrist. Get a referral to one if you can. I would post under the Caring for a Parent category rather than this General Topics category. Also read old posts under the Caring for a Spouse or Partner. There are more posts there. Cone back often for info and support or to vent. We understand what you are going through.

  • SDianeL
    SDianeL Member Posts: 3,077
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  • H1235
    H1235 Member Posts: 1,657
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    Welcome. I cant speak to the sundowning. But one of the first recommendations the neurologist made was to see a lawyer. This is very important. Sorry you need to be here, but glad you found us.

  • ARIL
    ARIL Member Posts: 331
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    My stepmother was susceptible to hallucinations and delusions, often late in the day or the middle of the night. It was very scary. When I was staying in their home (in the years when I was trying to manage an impossible situation long-distance with frequent visits), I made the rookie mistake of trying to reason and explain. Oof. Definitely the wrong strategy. (I have horrors of those days.) What worked better was trying to calm her down by joining her reality as much as possible. Me, 2:00 am: “Your son wants you to pick him up? He’ll call back with the address. Why don’t you go back to bed for now? When he calls I’ll wake you up.”

    Trying to manage this by talking was only ever a stop-gap measure. But sometimes that’s all you’ve got. Hang in there!

  • sandwichone123
    sandwichone123 Member Posts: 1,182
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    When the person with dementia (pwd) believes something, it's rarely helpful to try to orient them to reality. So if she's sitting next to your dad wondering when dad will come home, it can be helpful to provide a story that will make sense to her, perhaps something out of the early years of their marriage, so you might say, "he's working overtime tonight—he'll be back later," or "he had to go out of town again—he'll be back tomorrow."

    If you tell her that he's right there (when she "knows" he's not), it does not help her understand, but it can make her stop trusting you and make care more difficult.

    At the same time, medication is key. Behavior can help with coping, but she will need medication to decrease her hallucinations and stress. Sometimes people don't want to medicate, feeling like "I don't want to drug her," but medications can help her be calmer and ease her suffering.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more