SunDowner's Syndrome
A featured article from the November 2003 Issue of the
Country Side Living Newsletter

EManay caregivers who care for elderly residents with Alzheimer's disease or other dementia's may notice that their residents/loved ones become irritable, confused and may display obstinate behaviors in the late evening, especially after the sun goes down. This state of increased confusion and agitation is termed Sundowner's Syndrome.

One of the most prevalent problems associated with Sundowner's is sleeplessness. A good way to encourage a good night's sleep is to be sure regular exercise is provided during the day. A frequent walk outdoors in the bright light not only provides exercise, but it also exposes them to much needed sunlight. Research has shown that residents sleep better and longer if they receive adequate daily sunlight exposure. Bright light increases the secretion of the melatonin in the brain. Melatonin regulates the daily rhythms of sleep, body temperature, blood pressure and heart rate. Research has found that many people suffering from Alzheimer's have low blood levels of melatonin, so it is even more important to increase melatonin production by bright light exposure daily. At Country Side Living, we use a Bio Light for two hours each morning to supplement the sunshine.

Looking at the resident's diet may be another way to help them have a good nights sleep. Limiting sugar and caffeine to the morning hours as well as serving an early dinner and offering a light meal before bedtime are all things that can really help.

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