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Becoming restless in the evening

Some people with dementia become more unsettled or confused in the late afternoon or evening. This pattern is often called “sundowning.” Always check for discomfort or other needs rather than assuming that is the cause.

Check first

  • Could they be hungry, thirsty, in pain, or needing the toilet?
  • Are they tired after a busy day?
  • Are shadows, reflections, or poor lighting confusing them?
  • Is the television loud, or are too many people talking?
  • Is this their usual pattern, or a sudden change?

Try this

  1. 1Make the surroundings calm. Turn on comfortable lighting before dusk to reduce shadows. Close curtains if reflections are upsetting. Lower television volume and reduce clutter.
  2. 2Offer familiar comfort. Sit nearby, speak gently, and try favourite music or a simple activity. If they want to walk, accompany them somewhere safe rather than insisting they sit.
  3. 3Keep evenings predictable. Follow a familiar order for supper, quiet activities, toileting, and bedtime. Plan demanding tasks earlier in the day. Encourage daylight and suitable activity during the day, and avoid caffeine late in the day.

Words to try

  • “I’m here with you.”
  • “Let’s walk together.”
  • “Would you like to sit with me and listen to some music?”
  • “You seem uncomfortable. Let’s see what might help.”

Emergency instruction

If there is immediate danger, call 911.

Keep it safe
  • Keep walking paths clear and well lit. Stay nearby if they are unsteady or trying to leave.
  • Avoid arguing, crowding them, or holding them down. Give them space and ask for help if you cannot keep everyone safe.
  • Do not add sleep medicines or calming supplements without checking with their healthcare provider.
What helped today?

Notice the time, what happened beforehand, and what brought comfort.

Your notes are saved in this browser on this device. They are not shared or backed up. Clearing browser data may erase them. Anyone who can access this browser may be able to read them. Avoid including names or other identifying details.

When to seek help
  • Seek prompt medical advice for sudden or much greater confusion, new pain, fever, or other signs of illness. Do not assume a sudden change is sundowning.
  • Speak with their healthcare provider if evening distress keeps happening, sleep is badly disrupted, or either of you is becoming exhausted.
A gentle reminder

You do not have to stop every movement or find the perfect activity. Focus on comfort, safety, and calm company. Your need for rest and support matters too.

General caregiving information; adapt it to your loved one’s needs and care plan.

These suggestions reflect Alzheimer’s Association and Alzheimer’s Society guidance on sundowning and behaviour changes. alz.org