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sonia022
New Member


Date Joined Nov 2006
Total Posts : 6
   Posted 11/10/2006 3:50 PM (GMT -6)   
Will someone please tell me about "sundowning".  My step-father was just moved to a nursing home and has been acting up at night.  I don't really understand this.  During the day he is fine and pretty lucid.  At night he gets totally confused, thinks people are stealing his things, loses control of his emotions...etc.  Then, the next day, he has no memory of any of it.  Will somone please explain this...

SnowyLynne
Veteran Member


Date Joined Apr 2004
Total Posts : 1539
   Posted 11/10/2006 5:54 PM (GMT -6)   
That's it.
SnowyLynne


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/11/2006 9:42 AM (GMT -6)   
This is when the patient or person with Alzheinmers is "sundowning"
It is called this as it happens when the sun goes down and the light of day disappears
Not all AD ppls hve this but it is known to strike a few of them
I am so sorry for you step dad
If you need any more quetions answered please do post
Lyn
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         Don't Comprimise Yourself :you are all you have    
 Never Give up on Yourself ,Your True friends nor your Dignity
   


sonia022
New Member


Date Joined Nov 2006
Total Posts : 6
   Posted 11/11/2006 5:20 PM (GMT -6)   
Thank you. I still do not understand what causes sundowning. Can anyone explain why it happens?

SnowyLynne
Veteran Member


Date Joined Apr 2004
Total Posts : 1539
   Posted 11/11/2006 6:54 PM (GMT -6)   
Overstimulation can cause Sundowning,esp.in the afternoon.A nap after lunch is a good idea,an hour or two.Being too tired can keep them from sleeping.
SnowyLynne


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/12/2006 12:12 PM (GMT -6)   
Thanks Snowy
Lyn
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         Don't Comprimise Yourself :you are all you have    
 Never Give up on Yourself ,Your True friends nor your Dignity
   


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/19/2006 4:47 AM (GMT -6)   
bump
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 One thing I know for sure is we have each other and in times of need no one could be better off IMO
 
    Never Comprimise self nor Dignity for with that and Friends you have  it all
 
       Lyn
 


luvdogs
Regular Member


Date Joined Jan 2005
Total Posts : 184
   Posted 11/20/2006 1:25 AM (GMT -6)   

Hi Sonia.  I'm sorry that your stepfather is experiencing Sundowners now.  I have befriended a lady in a local nursing home, and about one month ago, she also began experiencing symptoms of Sundowners Syndrome.  Much like your stepfather, she started becoming extremely agitated when it became dark, and during the middle of the night, she also believed that people were entering her room and stealing her things.

I did some research after my friend developed Sundowners because I also wanted to know why she was having so many problems at night.  For the most part, it is not yet clearly known why Alzheimer's patients have increased problems at night.  Recent research has speculated that the damaged nerve pathways in Alzheimer's patients disrupts the part of the brain which control circadian rhythms.  Circadian rhythms control the sleep - wake cycles in our brains.  So, as a result, the internal clocks in the Alzheimer's patients are very messed up.  People without Alzheimer's are tired and sleepy at night, but the reverse seems to happen to the Alzheimer's patient.  That feeling of sleepiness is replaced with feelings of extreme agitation.

Also, because Alzheimer's patients tire easily, they often become more agitated at night, when they are most tired.  After my friend in the nursing home developed Sundowners, the doctor suggested that she take more naps during the day, in an effort to curb her increased agitation at night.

In addition, it is believed that Sundowners is exaggerated by a lack of sensory stimulation at night.  During the day, the activity and noises can sometimes provide a secure feeling to the Alzheimer's patient.  In the nursing home that I visit, almost all of the Alzheimer's patients sleep well during the day, possibly because they feel more secure when there is activity around them.  During the night, however, it is usually very quiet and dark, and that can lead to increased restlessness in some patients.   

My friend in the nursing home also is very scared that she will be left alone.  This feeling has only been intensified now that she has developed Sundowner's.  It seems like she doesn't understand what's happening to her, and that is leading to even more problems of agitation. 

I hope that your stepfather is able to find some peace soon.  I'll be thinking of both of you, and take care.


"The most pathetic person in the world is someone who has sight but no vision."  Helen Keller
 
 


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/20/2006 4:52 AM (GMT -6)   
WEll good to hear from you first time I dont bump your thread you are here lol
I am so sorry Carolyn is now experiencing and going thru this as well '
I know you love her dearly
Thanks for all the info on this hun it is great that you did the research into it
Please keep yourself helathy and enjoy the Holidays as much as possible
Dad is geting worse too so I know how you feel
Take care
Hoping to hear from you again
    Contribute today to support Healing Well Forums...Donate @
 
 One thing I know for sure is we have each other and in times of need no one could be better off IMO
 
 Never compromise your self nor your dignity...with that ...My God
 Family and Great Friends ........I have it All
 
        Lyn
 


sonia022
New Member


Date Joined Nov 2006
Total Posts : 6
   Posted 11/20/2006 7:38 AM (GMT -6)   
Thank you luvdog and to everyone else who replied to my post.  My step-father has been in the nursing home for over a week now.  Some nights he seems okay while other nights he is totally confused.  It is so hard to decide if we should keep him there because he has so many lucid moments.  The reason he was placed there in the first place is because he fell 3 times over the weekend and got a concussion.  After having him taken to the ER in an ambulance, the doctors decided it would be better to keep him in a home because he was so dizzy and could not walk very well.  To this day, he says he is still dizzy but seems to be walking fine.  The problem is that my mother is 66 and they live in a split level house with 3 dogs (I live 2 streets away).  We are scared he will fall down the stairs or something like that.  They have had seperate bedrooms for many, many years now and my mother is scared he will start wandering off during the night.  His short term memory is gone and gets confused very easily.  One day he took a butcher knife to his room and was trying to cut his toenails with it when my mother caught him.  They have not had a good marriage over the past 18 years, he cheated on her numerous times, spent all of their money, never saved a dime for retirement and neglected to get any type of insurance after he was forced to retire because of the Alz.  He was a control freak so my mother never knew any of this until it was to late.  Now she is stuck having to care for a man she no longer loves but feels guilty about leaving him in the nursing home.  It is a terrible situation and only seems to be getting worse as the days progress.  Right now, Medicare is paying for the home but in another week they will stop.  We are trying to see if they qualify for Medicaid but are concerned about the monthly allowance they will leave my mother with.  Things just seem to be getting worse and worse.  His daughters will have nothing to do with him and will not help in any way (because of the way he has treated them their entire lives). 

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/20/2006 2:27 PM (GMT -6)   
Sonia I am going to bump a thread on Nursing homes check them out
Also this is a tough one you are facing
Yor mom although abused mentally all there lives will feel guilty BUT she has to do what is best for him
My heart goes out to you it really does
Please please keep in touch okay
I hope this can be resolved and that medicade will be enough for your mom if not perhaps the siblings will kick in for HER
God Bless
    Contribute today to support Healing Well Forums...Donate @
 
 One thing I know for sure is we have each other and in times of need no one could be better off IMO
 
 Never compromise your self nor your dignity...with that ...My God
 Family and Great Friends ........I have it All
 
        Lyn
 


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/21/2006 5:05 AM (GMT -6)   
Bump
    Contribute today to support Healing Well Forums...Donate @
 
 One thing I know for sure is we have each other and in times of need no one could be better off IMO
 
 Never compromise your self nor your dignity...with that ...My God
 Family and Great Friends ........I have it All
 
        Lyn
 


sonia022
New Member


Date Joined Nov 2006
Total Posts : 6
   Posted 11/21/2006 9:38 AM (GMT -6)   
Howlyncat, I am sorry to bother you but I am confused to the Bump messages. Am I supposed to see something? I don't see any link to anything. Please help...

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/21/2006 11:14 AM (GMT -6)   
It just means that I am "Bumping " the thread back up for ppl to see thats all
Sorry about that
How are you doing
Lyn
    Contribute today to support Healing Well Forums...Donate @
 
 One thing I know for sure is we have each other and in times of need no one could be better off IMO
 
 Never compromise your self nor your dignity...with that ...My God
 Family and Great Friends ........I have it All
 
        Lyn
 


sonia022
New Member


Date Joined Nov 2006
Total Posts : 6
   Posted 11/21/2006 4:01 PM (GMT -6)   
Got it! Boy am I a dork!!!
My step-father is very confused, of course. He forgets to do everything, from showering the changing his clothes. Even though he is in a nursing home (which is one of the very best ones in NE Tenn) they don't seem to make the patients take care of their personal grooming. Now, I know they only take showers 3 times a week, but couldn't they at least make him change his clothes and underwear? I guess not. They have more important things to do I am sure.
He calls either me or my mother every night to say "You have to come get me tomorrow. I am ready to go home". Do they ever stop wanting to go home? Do they ever consider the nursing home as their new home? This is all just so strange to me. I have never been in a nursing home in my life and now I go to one every day. And, to make it all the worse, I have so much resentment built up for this man and yet I have to be sweet and loving. At least he can't tell that I am faking it. Half the time he forgets that I was even there.
As for his daughters, they want nothing to do with him. He has ignored them for the past 20 years, including their children (his grandchildren) so I guess they figure...well, he was never there for us so why should we be there for him...I am sure that is what they think. I would probably do the same. Well, maybe not. As for them helping my mother, that will never happen. They basically said...well, you married him so you are stuck with him! You should have divorced him when you had the chance!...Of course, that is what we all think, it's hard not to, including my mom thinking that! So, in the end, we will care for him and visit him for as long as he is here with us. He has always put himself first, even before God, so maybe this is God's way of saying...you are not number 1!...I don't know. It's just so very strange how this has all worked out.
We meet with the Medicaid person on the 28th. I pray that goes well!
Thanks for caring. You are so very sweet!!! God bless you...sonia

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/22/2006 4:48 AM (GMT -6)   
Sonia
I bumped up a thread called "Nursing Homes.....Check it out " and if you look in there you will find the NH he is in ..........
It rates the homes and quality of care from staff how the residents are treated ect.,,,,,I was in total shock when I saw these reports .
NO hun they wont ever stop saying they want to go home , they will continually want that or if not that then something else .My mom was like that at the end ( she passed away 9 mths ago) but I had her at her house and looked after her ( I am retired geriatric nurse)
I now am looking after my dad ( step) but he was GOOD and always was great with us kids when he came into my life at 8 yrs old as well he loved mom dearly and was not mentally nor physically abusive .
How is your mom holding up thru all this hum it has to be hard,why can the children he had forget what happened yrs ago and HELP her out now
I truly believe God see's it all and acts accordingly ya know
I am proud of you for going there each day even though he has hurt you and there is resentment
there .......still you go .......
I really would check out the NH he is in something ios not sitting too well within me about the care he is NOT getting .....yes clothes especially under garments need and should be changed daily ...Please read the thread about the homes and find the one he is in you might just be suprised and even as shocked as I was
Hoping you post often and if you need to talk my info is under my name feel free to add me to yahoo or MSN I would enjoy talking with you
You are a special person as is your mom
God Bless and keep you both in His arms
Luvs
Lyn
    Contribute today to support Healing Well Forums...Donate @
 
 One thing I know for sure is we have each other and in times of need no one could be better off IMO
 
 Never compromise your self nor your dignity...with that ...My God
 Family and Great Friends ........I have it All
 
        Lyn
 


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 3/27/2007 12:41 PM (GMT -6)   
How are you doing Sonia
Long time no see
Worried bout ya
LYN
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 **When you Feel Anothers Pain ....You Are Humbled**
 
 
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Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 4/2/2007 5:14 PM (GMT -6)   
My HS internet server is down on dial up and it is so slowwwwwww
To the top for newbies
    Contribute today to support Healing Well Forums...Donate @
 
 
 **When you Feel Anothers Pain ....You Are Humbled**
 
 
Co Mod... Crohns        
Co Mod..Anxiety /Panic 
Moderator ...Alzheimers
                             
 
                                  
                          
                                  

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