What Stage of Dementia is Sundowning?

Brian Callahan • April 23, 2024

What Stage of Dementia is Sundowning?


According to Mayo Clinic "the term "sundowning" refers to a state of confusion that occurs in the late afternoon and lasts into the night. Sundowning can cause various behaviors, such as confusion, anxiety, aggression or ignoring directions. Sundowning also can lead to pacing or wandering. Sundowning isn't a disease. It's a group of symptoms that occurs at a specific time of the day. These symptoms may affect people with Alzheimer's disease and other types of dementia. The exact cause of sundowning is not known."

Are You Searching for a Dementia Home Health Care Agency Near Me? 

Dementia is a progressive condition that affects millions of individuals worldwide, impacting not only their cognitive functions but also their daily routines and behaviors. One common phenomenon associated with dementia, particularly in its later stages, is sundowning. In this article, we will explore what sundowning is, which stage of dementia it typically occurs in, and how 7-Day Home Care, a New York-based home health care agency specializing in dementia care, can provide essential support during this challenging time.


Understanding Sundowning and Dementia

Sundowning, a phenomenon commonly associated with dementia, refers to a pattern of behavioral changes and increased confusion that often occurs in the late afternoon or early evening, continuing into the night. Individuals experiencing sundowning may exhibit a range of symptoms, including agitation, restlessness, anxiety, confusion, or even aggression. These symptoms can vary in severity and may present differently depending on the individual and the stage of dementia they are in. Sundowning can be particularly challenging for both the person with dementia and their caregivers, as it can disrupt daily routines, impair sleep patterns, and escalate stress levels. It often manifests as a heightened sense of disorientation or discomfort during the transition from daylight to darkness, leading to increased confusion and anxiety for the individual.


During sundowning episodes, individuals with dementia may become more vulnerable to environmental triggers such as changes in light, noise levels, or disruptions in their daily routine. Factors such as fatigue, hunger, dehydration, or medication side effects can also exacerbate sundowning symptoms. Caregivers may observe increased agitation or restlessness in their loved ones during these times, making it challenging to provide comfort and support. Understanding the triggers and patterns of sundowning is crucial for caregivers to effectively manage and mitigate its impact on the individual's well-being. Implementing strategies such as establishing a consistent daily routine, creating a calming environment, and providing reassurance and companionship can help alleviate sundowning symptoms and improve the overall quality of life for individuals with dementia.


The Relationship Between Sundowning and Dementia

The relationship between sundowning and dementia is intricate, as sundowning is often considered a symptom or manifestation of the cognitive decline associated with dementia. While sundowning can occur in individuals without dementia, it is more prevalent and pronounced in those with dementia, particularly in the middle to late stages of the disease. The exact cause of sundowning in dementia is not fully understood, but it is believed to result from a combination of factors, including disruptions in the circadian rhythm, changes in neurotransmitter levels, and underlying brain pathology. As dementia progresses, individuals may experience increasing difficulty in regulating their behaviors and emotions, leading to heightened sensitivity to environmental stimuli and disruptions in sleep-wake cycles, which can contribute to sundowning episodes. Understanding the relationship between sundowning and dementia is crucial for caregivers and healthcare professionals to provide effective support and management strategies for individuals affected by both conditions.


Identifying the Stage of Dementia

Identifying the stage of dementia with respect to sundowning involves recognizing patterns of behavior and cognitive decline that correlate with the progression of the disease. In the early stages of dementia, individuals may exhibit mild memory loss and cognitive impairment, with occasional episodes of confusion or disorientation. Sundowning symptoms during this stage may be less pronounced or infrequent. As dementia advances to the middle and late stages, cognitive decline becomes more pronounced, and individuals may experience increased difficulty with communication, daily tasks, and memory recall. Sundowning tends to become more prevalent and severe during these stages, often coinciding with other behavioral and psychological symptoms such as agitation, wandering, or hallucinations. Monitoring changes in behavior and cognitive function, along with consulting with healthcare professionals, can help caregivers identify the stage of dementia and tailor appropriate interventions to manage sundowning symptoms effectively.


Managing Sundowning and Dementia at Home

Managing sundowning at home involves implementing strategies to create a calming and supportive environment for individuals with dementia during the late afternoon and evening hours when symptoms are most likely to occur. Establishing a consistent daily routine with regular meal times, activities, and bedtime rituals can help regulate sleep-wake cycles and reduce anxiety. Minimizing environmental stimuli such as noise, bright lights, or disruptions in the home environment can also help alleviate sundowning symptoms. Providing engaging and relaxing activities, such as listening to soothing music, gentle exercise, or sensory stimulation, can help distract and redirect the individual's attention away from distressing thoughts or behaviors. Additionally, ensuring the individual's physical comfort and addressing any underlying medical issues, such as pain or discomfort, can help prevent agitation and promote relaxation. Collaborating with healthcare professionals, including doctors and caregivers, to develop a personalized care plan tailored to the individual's needs and preferences is essential for effectively managing sundowning at home.


The Role of 7-Day Home Care in Dementia Care Near You

7-Day Home Care is a leading home health care agency in New York, specializing in dementia care services in Manhattan, Queens, Brooklyn, Nassau County, and Suffolk County. Our team of highly trained and experienced home health aides are equipped to provide personalized care and support tailored to the unique needs of individuals with dementia, including those experiencing sundowning symptoms.


Benefits of Highly Trained and Experienced Home Health Aides

Having a highly trained and experienced home health aide can make a significant difference in the quality of care provided to individuals with dementia, particularly during challenging times such as sundowning episodes. Some key benefits of working with a skilled home health aide include:

  1. Specialized Dementia Training: Home health aides at 7-Day Home Care undergo specialized training in dementia care, including techniques for managing sundowning behaviors with compassion and empathy.
  2. Personalized Care Plans: Each individual with dementia has unique needs and preferences. A skilled home health aide can develop personalized care plans tailored to the individual's specific symptoms and stage of dementia, ensuring the highest level of care and support.
  3. Monitoring and Observation: Home health aides are trained to monitor and observe changes in behavior or symptoms, including sundowning episodes. Their vigilant presence can help prevent accidents or injuries and provide timely intervention when needed.
  4. Emotional Support: Living with dementia can be emotionally challenging for both the individual and their family members. A compassionate and experienced home health aide can offer emotional support and companionship, helping to alleviate feelings of isolation or anxiety.
  5. Collaboration with Healthcare Professionals: Home health aides work closely with other healthcare professionals involved in the individual's care, such as physicians, nurses, and therapists. This collaborative approach ensures continuity of care and enhances the overall well-being of the individual with dementia.


Sundowning is a common and challenging symptom of dementia, often occurring in the middle to late stages of the disease. However, with the right support and care, individuals with dementia can experience improved quality of life and greater comfort at home. 7-Day Home Care, with our specialized dementia care services and highly trained home health aides, plays a crucial role in providing compassionate and comprehensive care to individuals with dementia and their families in New York. By understanding the stage of dementia and implementing effective strategies for managing sundowning behaviors, caregivers can create a safe and nurturing environment where their loved ones can thrive. To learn more about our specialized dementia care in ManhattanQueensBrooklyn, Nassau County, and Suffolk County, New York, please call 516-408-0034 or visit 7 Day Home Care.


Brian Callahan

7 Day Home Care


Senior woman with dementia receiving compassionate home care assistance from a caregiver in a NYC
By Brian Callahan 7 Day Home Care April 30, 2025
Most families are surprised to learn that Medicare provides little to no coverage for non-medical home care services, especially when it comes to help with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, toileting, and meal preparation. These essential services, which help seniors with dementia remain safe and comfortable at home, are typically considered “custodial care” and are not covered by Medicare. As a result, non-medical dementia care is generally a private pay experience. That’s where 7 Day Home Care comes in. As an award-winning and leading private pay home care agency in New York, we specialize in compassionate, highly personalized support for dementia patients—delivered by certified, experienced caregivers trusted by families across Manhattan, Queens, Brooklyn, and Long Island. 7 Day Home Care provides part time to 24/7 in-home care services in Manhattan , Queens , Brooklyn , and Long Island, New York. To learn more about our award winning and specialized Alzheimer's and dementia home health aide care services near you, please call 516-408-0034.
if you are concerned about the legal risks of leaving a dementia patient alone, call 7 day home care
By Brian Callahan 7 Day Home Care April 28, 2025
At 7 Day Home Care, one of the most serious concerns families bring to us is this: Is it illegal to leave a dementia patient alone? Beyond the immediate danger to the individual — including wandering, falls, and medical crises — leaving a person with dementia unsupervised can also pose significant risks to others in the community. Accidental fires, traffic incidents, and public safety emergencies are real possibilities when cognitive impairment goes unmanaged. Across New York City, Long Island, and surrounding areas, elder neglect laws hold caregivers legally responsible for protecting vulnerable adults. But beyond the legal risks, there is a deeper ethical obligation: ensuring the dignity, safety, and well-being of both our loved ones and the communities we live in. In this article, 7 Day Home Care explores the  legal, ethical, and safety implications — and how we can help you protect what matters most. 7 Day Home Care is New York's leading private pay home care agency, providing 24/7 home care services in Manhattan , Queens , Brooklyn , and Long Island, New York. To learn more about our award winning and specialized Alzheimer's and dementia in-home care services near you, please call 516-408-0034.
7 day home care home health aides love being caregivers
By Brian Callahan 7 Day Home Care April 24, 2025
The 7 Day Home Care difference lies in our belief that truly exceptional care starts with home health aides who genuinely love being caregivers. Our team is made up of individuals who view caregiving not just as a job, but as a calling—bringing warmth, compassion, and purpose to every interaction. This passion translates into higher quality care, stronger client relationships, and greater peace of mind for families across NYC and Long Island. Whether assisting with daily routines, offering companionship, or providing specialized support for conditions like Alzheimer’s or post-surgical recovery, our caregivers are fully engaged and deeply committed to the well-being of those they serve. It’s this unmatched dedication that sets 7 Day Home Care apart. Are you searching for a home care agency near you that understands the life-changing impact of a home health aide who truly loves being caregiver? 7 Day Home Care prioritizes home health aides who love being caregivers and provides 24/7 home care services in Manhattan , Queens , Brooklyn , and Long Island, New York. To learn more about our award winning senior in-home care services near you, please call 516-408-0034.
7 Day Home Care is the top 24/7 Home Care agency in NYC.
By Brian Callahan 7 Day Home Care April 23, 2025
Best 24/7 In-Home Senior Care in NYC: Alzheimer's & Dementia Help 7 Day Home Care proudly delivers exceptional 24/7 in-home care services across New York City and Long Island, setting the standard for reliability, compassion, and clinical excellence. Recognized for our person-centered approach, we go beyond basic care by tailoring every service to the unique needs, preferences, and cultural backgrounds of the individuals we serve. Our thoughtful client-caregiver matching ensures continuity, trust, and comfort—especially vital for those facing memory loss or chronic conditions. Families throughout Manhattan, Brooklyn, Queens, Nassau, and Suffolk counties consistently turn to 7 Day Home Care for one key reason: our team is the most responsive in the industry, always available to provide support, guidance, and peace of mind at any hour of the day or night. 7 Day Home Care provides 24/7 home care services in Manhattan , Queens , Brooklyn , and Long Island, New York. To learn more about our award winning elder in-home care services near you, please call 516-408-0034.
7 Day Home Care provides the top home health aides for Alzheimer's and dementia care in queens, NY
By Brian Callahan 7 Day Home Care April 17, 2025
Best Alzheimer's and Dementia Home Care Services in Queens, New York The highly trained and experienced Home Health Aides from 7 Day Home Care provide enormous benefits to families seeking compassionate, reliable Alzheimer's and dementia in-home care throughout Queens, New York. These professionals are specifically trained in memory care techniques, enabling them to manage behavioral changes, reduce agitation, and support cognitive engagement—all while preserving the dignity and routines of each client. Their deep understanding of the progression of Alzheimer’s and dementia allows them to recognize subtle changes in condition and adapt care strategies accordingly, ensuring both safety and emotional well-being. From assistance with daily activities like bathing, dressing, and meal preparation to companionship and redirection techniques that ease confusion and anxiety, 7 Day Home Care’s aides become trusted extensions of the family. Supervised by registered nurses and following detailed, personalized care plans, these caregivers provide consistent, person-centered support that allows seniors to remain comfortably and safely at home. Their presence not only improves quality of life for individuals living with memory loss, but also offers families peace of mind, knowing their loved one is in the capable and caring hands of the leading home care agency in Queens, NY. 7 Day Home Care provides Alzheimer's and dementia home care services in Manhattan , Queens , Brooklyn , and Long Island, New York. To learn more about our award winning elder in-home care services, please call 516-408-0034.
Standby assistance for seniors is critical for fall prevention
By Brian Callahan 7 Day Home Care April 14, 2025
What is Standby Assistance in Home Care? A Guide for Families At 7 Day Home Care, we believe that standby home care offers an invaluable service for seniors and their families—one that balances safety, dignity, and independence. By having a trained caregiver present to supervise and intervene only when necessary, we help manage fall risk before it turns into a crisis, preserving mobility and confidence in the home. This proactive approach not only provides families with peace of mind, but also helps seniors avoid the dangerous spiral of a fall leading to hospitalization, followed by rehabilitation, exposure to infections, and potentially accelerated cognitive decline. With standby care, clients are empowered to maintain their daily routines while staying protected—an essential middle ground between total independence and full-time hands-on assistance. It’s thoughtful, preventative care that supports aging in place with strength, stability, and grace.  Rise describes standby assistance as follows: "we all use some form of insurance, but not many of us know what it is to BE insurance. To provide stand-by assist is to be there, just in case someone needs you to help prevent a fall or injury. Stand-by assistance is for clients who can physically function on their own, but may not be safe without someone around to help in case of an emergency. Also, besides safeguarding the client against fall or injury, a stand-by assistant may set up needed equipment or supplies for the client ahead of time, while not participating in the activity. A person who provides stand-by assistance is a literal support person. The 17th-century poet Milton, in Paradise Lost, said it best: “They also serve who only stand and wait.” Stand-by assistants, by their very presence, provide a sense of added safety, security, and calm to clients. Clients know they are not alone, and if something bad happens, someone who knows what to do is right there." 7 Day Home Care provides standby home care services to manage fall risk in Manhattan , Queens , Brooklyn , and Long Island, New York. To learn more about our award winning elder in-home care services, please call 516-408-0034.
home health aide providing stand-by walking assistance for elderly at home
By Brian Callahan 7 Day Home Care April 9, 2025
How In-Home Care Reduces Fall Risk for Seniors at Home Falls are one of the most serious health risks facing older adults at home, often leading to a cascade of complications that extend far beyond the initial injury. A single fall can result in fractures, head trauma, or internal injuries—many of which require hospitalization and lengthy stays in skilled nursing facilities or rehabilitation centers. These disruptions can severely impact a senior’s independence, mobility, and mental health, sometimes triggering a decline in overall well-being that is difficult to reverse. According to American Academy of Family Physicians , The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. In addition to the physical toll, fall-related injuries frequently lead to increased reliance on long-term care, elevated stress for family caregivers, and significant financial burden. Preventing falls is not just about safety—it’s about protecting a senior’s health, dignity, and quality of life. A fall in an elderly person can trigger a cascading effect , leading to a decline in physical and cognitive function, increased fear of falling, social isolation, and reduced quality of life, potentially leading to further falls and injuries. 7 Day Home Care is your top home care agency in Manhattan, Queens, Brooklyn, Nassau County, and Suffolk County, New York. Please call us today at 516-408-0034 to learn more about fall prevention strategies, and explore the prospects for home care services for your loved one.
Alzheimer's and dementia care at home is very difficult for families
By Brian Callahan 7 Day Home Care April 3, 2025
7 Tips for Alzheimer's and Dementia Care at Home: A Family Guide Caring for someone with Alzheimer’s diseas e, dementia, or any form of cognitive impairment at home is among the most demanding forms of caregiving due to the condition’s progressive nature, emotional complexity, and the constant need for vigilance. Unlike other medical conditions that may have clear treatment paths or predictable routines, cognitive decline affects every aspect of a person’s identity—memory, communication, behavior, and judgment—often changing day to day. At 7 Day Home Care, we understand that this kind of care requires not only physical assistance but also deep emotional patience, consistency, and specialized skills to manage wandering, sundowning, confusion, and challenging behaviors, all while preserving the person’s dignity and autonomy. The emotional toll on family caregivers can be immense, especially when a loved one no longer recognizes them or becomes increasingly withdrawn or aggressive. Our highly trained caregivers are equipped to meet these challenges with empathy and expertise, offering families the support they need to navigate one of life’s most complex caregiving journeys. 7 Day Home Care provides best home care agency services near you in Manhattan , Queens , Brooklyn , Nassau County, and Suffolk County, New York. To learn more about our specialized in-home care Home Health Aide services near you, please call 516-408-0034.
10 Signs Your Aging Parent Needs Home Care and What to Do Next
By Brian Callahan 7 Day Home Care March 31, 2025
10 Signs Your Aging Parent Needs Home Care and What to Do Next Being proactive with an aging parent’s care can make the difference between a manageable situation and a preventable crisis. Waiting until an emergency—like a fall, hospitalization, or sudden cognitive decline—can lead to unnecessary stress, higher medical costs, and longer recovery times. Recognizing early warning signs and engaging home care services sooner rather than later allows families to maintain control, safety, and dignity for their loved one. At 7 Day Home Care, we specialize in providing compassionate, reliable, and comprehensive in-home support tailored to each individual's unique needs. Our services range from personal care assistance, medication management, and meal preparation to companionship, light housekeeping, and skilled nursing care under the supervision of licensed registered nurses. We proudly serve families across New York, including Manhattan, Queens, Brooklyn, Long Island, Nassau County, and Suffolk County. Whether it’s a few hours a week or around-the-clock care, our certified home health aides and care coordinators work seamlessly to ensure seniors can live comfortably, safely, and independently at home. 7 Day Home Care is a top in-home care agency service provider in Manhattan, Queens, Brooklyn, Nassau County, and Suffolk County, New York. Please call us today at 516-408-0034 to explore the possibilities for home care services for your parent.
Best home care services in NY to help maintain an elderly loved one's independence
By Brian Callahan 7 Day Home Care March 27, 2025
When Relying on Home Care Services Increases a Senior's Independence At 7 Day Home Care, our outstanding team of certified home health aides is dedicated to providing compassionate, professional support that empowers seniors to live safely and confidently in the comfort of their own homes. Each caregiver is carefully trained and supervised by registered nurses to ensure the highest standard of care, with personalized services tailored to meet the unique needs of every client. Whether assisting with daily activities, medication reminders, or simply offering companionship, our home health aides play a vital role in helping your elderly loved one maintain their independence, dignity, and quality of life at home. 7 Day Home Care provides outstanding home care services in Manhattan , Queens , Brooklyn , and Long Island, New York. To learn more about our top home health aide care services who can assist with helping your loved one maintain their independence at home, please call 516-408-0034.
Show More