Hi - My mother is having issues with Sundowning at the facility she's just been admitted to (7 weeks ago). While her medicine is being adjusted, (Seroquel) is there some way I can reach her to reassure her she's where she needs to be? I know she won't remember what I tell her 5 minutes later so I was wondering if there was a different approach I could take when i visit. The staff is very good and it's a specialized Alzheimer's unit. It's been a tuff transition for us both. Thanks -

Dear Beth in Indiana,

Thank you for using the Alzheimer's Association Online Community.

The decision to transition a loved one into a residential facility is a very difficult one. I am glad you were able to find a specialized AD unit where the staff is very good. It sounds like you're doing a very good job in caring for your mother.

Sundowning is very challenging for both the person with demenia and her caregivers. You didn't mention whether her sundowning was one of the reasons for her being moved into the facility or whether that behavior became pronounced once she moved there, during the past seven weeks. Unfortunately, finding the proper medication in the optimum dosage is often a trial and error process that takes time. At the same time, your mother is becoming acclimated to a new environment with unfamiliar people and routines. This can contribute to her behavioral problems.

During this difficult time, while her medications are being adjusted, I would suggest that you make a special effort to be patient. Offer her verbal reassurance and physical affection. Acknowledge her feelings. Let her know that you love her and will be there for her. Explain that she needs to be in the facility to get the best care. Having a nurse, doctor or social worker explain to her that being in the facility is what she needs can sometimes be helpful. Ask the doctor to write, on a prescription form, that she needs this level of care. Show this to her while you are explaining why she is there.

Physical touch is important. Holding her hand, stroking her arm, hugging her are all good. If she is able to walk without difficulty it can be helpful to take walks with her when she is upset. Walks outside, if possible, can sometimes help calm a person. You said your mother won't remember what you tell her 5 minutes later so you may find yourself repeating the same responses. It's not easy and a good deal of patience is required.

If you would like to discuss this matter with one of our care consultants you can reach us on our 24-hour helpline at 800-272-3900. Or you can get feedback from others on the Caregivers Forum on this website.

Thanks again for using the Alzheimer's Association Online Community.

Good luck!

Regards,

Charlie

Thanks Charlie - yes, my Mother did have Sundowner's before we moved her. I always talk to her 'where she is' that day, and lots of hand holding and hugs. In some ways, it was helpful to know these behaviors come with the disease and not just the transition to a facility. It helped reassure her family she's getting the care she needs. Just want to bring her some peace if that's possible.