During what time of day do symptoms of sundowning typically worsen?

Sundowning is a phenomenon commonly associated with dementia and other cognitive impairments where a patient experiences increased confusion, agitation, or distress during the late afternoon or evening hours. This pattern is attributed to several factors, including changes in the natural light available, fatigue accumulated throughout the day, or disruptions in the individual's circadian rhythm.

Understanding this, evening is the time of day when symptoms generally worsen, as these individuals may become more tired, which can exacerbate their confusion and agitation. The transition from day to night can also heighten feelings of insecurity or disorientation, leading to more pronounced behavior issues. Recognizing this pattern is critical for caregivers and healthcare providers to implement strategies that can help reduce distress and manage symptoms effectively.