Which of the following is a factor that may contribute to sundowning in patients with Alzheimer's Disease?

Lack of stimulation is a significant factor that may contribute to sundowning in patients with Alzheimer's Disease. Sundowning refers to increased confusion and agitation that occurs in the late afternoon and evening. During this time, patients may experience a decline in cognitive function, leading to heightened anxiety and restlessness.

When patients do not have sufficient stimulation throughout the day, whether physical, social, or cognitive, they can become bored, frustrated, or confused. This lack of engagement can exacerbate feelings of disorientation as day transitions into night. Ensuring that patients have appropriate stimulation can help mitigate these symptoms and create a more calming environment as evening approaches.

Understanding the impact of daily activities on patients can help caregivers and healthcare professionals develop strategies to reduce sundowning, such as incorporating structured daytime activities that promote engagement and mental stimulation.