Sundowning in Dementia: A Caregiver's Guide from Filipino Homecare

June 5, 2026  ·  3 min read  ·  Filipino Homecare
Sundowning in Dementia: A Caregiver's Guide from Filipino Homecare

Caring for a loved one with dementia is a journey filled with unique challenges and profound love. Among these challenges, one phenomenon often stands out, causing distress for both the person experiencing it and their family caregivers: sundowning. At Filipino Homecare, we understand the emotional and practical complexities this brings, and we're here to offer compassionate support and expert guidance to families across Ontario.

As the long, bright days of an Ontario summer gradually transition into cooler evenings, the shift in light can sometimes trigger a noticeable change in behaviour for individuals living with dementia. This isn't just typical evening tiredness; it's a distinct pattern known as sundowning.

What is Sundowning?

Sundowning, or 'sundowner's syndrome,' refers to a state of increased confusion, agitation, anxiety, disorientation, or other behavioural changes that begin or worsen in the late afternoon or evening as daylight fades. It's not a disease itself, but rather a common symptom experienced by many individuals with Alzheimer's disease and other forms of dementia.

Imagine the world becoming more confusing as shadows lengthen, familiar routines lose their meaning, and the body's internal clock goes awry. For someone with dementia, this can manifest as:

Witnessing these changes in a loved one can be heartbreaking and incredibly stressful. It's important to remember that sundowning is not intentional, and it's not a reflection of your caregiving abilities. It's a symptom of the disease, and with understanding and the right strategies, its impact can be significantly lessened.

Why Does Sundowning Happen? Understanding the Causes

The exact cause of sundowning isn't fully understood, but it's believed to be a combination of factors, often exacerbated by the progression of dementia. These can include: