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Caring for a loved one with Alzheimer’s or dementia can be physically and emotionally draining, especially when they have behavioral changes caused by their anxiety and confusion. Many advanced dementia patients lash out at their caregivers with unexpected aggression later in the day or at night. The phenomenon is referred to as Sundowners Syndrome or “sundowning” because the disruptive behavior usually occurs after the sun has gone down and feelings of paranoia, sadness, fear, or anger seep into the mind, sometimes accompanied by delusions or hallucinations. Sundowning is stressful for both persons living with dementia and their caregivers. However, our healthcare professionals are here to offer helpful tips for managing anger and Sundowners Syndrome in loved ones with memory loss.
One out of five dementia patients suffer from sundowning
Elder care presents many unique challenges to caregivers. If you’re feeling overwhelmed about your loved one’s late afternoon or nighttime mood swings, the most important thing to remember is that you aren’t alone. According to scientific studies, as many as one out of five people living with Alzheimer’s or dementia suffer from Sundowners Syndrome. Much mystery shrouds this condition, but experts believe the neurological changes caused by dementia affect the individual’s inner body clock. This confusion about the time of day often manifests itself in the person shouting, pacing, and acting in aggressive manners. Sadly, these anger issues tend to worsen as the person’s memory loss progresses.
Understand their anger isn’t directed at you or your actions
The first step to handling your loved one’s anger issues is to understand where this anger is coming from and recognize that it isn’t aimed at you or something you have necessarily done. Anger is usually caused by physical, emotional, or mental triggers. Your loved one may be angry because they cannot do the simplest tasks, such as tying their shoes or going to the grocery store. They could be experiencing physical fatigue, discomfort, or soreness you aren’t aware of, and they are unable to articulate how they are feeling.
Be aware that certain medications can cause behavioral side effects. Feelings of boredom or loneliness caused by their condition could also be the culprit for sudden outbursts. Memory loss and disorientation are often mental causes for aggression. Once you understand these underlying causes for your loved one’s anger, it may make it easier for you to cope and even avoid sources causing such behavior.
Observe what seems to trigger their aggressive behavior
Observing your loved one can provide valuable clues as to what’s prompting their aggressive behavior. Do they seem to lash out more when they’re hungry or haven’t had a restful night’s sleep? Sometimes, anger could be caused by overstimulation. Physical clutter, loud noises, bright lights, or lots of activity around them could cause this overstimulation. Consider light-blocking curtains to create a cozy atmosphere during the day, or on the flip side, surround your loved one with plenty of lights at night to alleviate fears when it’s time to go to sleep. Someone living with dementia may also become upset by anything that disrupts their day, such as diverting from their typical routine or switching caregivers. First-to-second shift rotations typically occur in the late afternoon or early evening hours at most group homes and could be the cause of disruptive patient behaviors.
Evaluate how you communicate with your loved one
Much of caring for a loved one with Alzheimer’s or dementia is learning how to communicate with them. Always speak softly and slowly with easy-to-understand instructions. Try not to say too much or ask too many questions at once, as this could lead to overstimulation. People often pick up on feelings of uncertainty or irritability, so it’s crucial to remain calm and reassuring at all times. Even if your loved one lashes out at you verbally or physically, try not to get upset. Never react with force or violence. If they’re in a safe place or someone else can keep an eye on them, walk away from the situation and give yourself time to think and calm down.
Consider defusing the tension with music or activities
Often, you can defuse anger and tension with a relaxing activity, such as massage or music. Try to redirect your loved one’s attention to something other than what triggered the behavior. Try putting on your loved one’s favorite TV show, suggest taking a walk, or doing something else you know they enjoy.
Remember to be kind and empathetic at all times
Above all, remember to be kind and empathetic at all times when caring for someone with Alzheimer’s or dementia. You care about this person and their well-being. They are suffering from a disease and often have little to no control over their thoughts, feelings, or actions. Never punish or reprimand them for bad behavior. It is not their fault, and they will likely not remember the scenario afterward. Seek help from their primary care physician or a support group to learn how to detect, defuse, and prevent angry outbursts.
Identify what caused the aggression so you can fix it
Try to figure out what happened right before the aggressive behavior, so you can take steps to correct it. Keeping a consistent log of your loved one’s behaviors and reactions can help you spot patterns and determine potential solutions. If you believe it’s the person’s diet, sleep pattern, surroundings, or medications, consult their physician to make adjustments as necessary to avoid anger triggered by these factors. Be on the lookout for any signs of discomfort or pain and seek immediate medical attention if you believe this is the cause of your loved one’s anger. Any time you are concerned about changes in your loved one’s behavior, habits, or moods, consult their primary care physician. They are there to provide professional support and information. Ask about the possibility of prescribing anti-anxiety or anti-depressant medications to modify behavior.
Consider professional elder care from BrightStar Care®
It’s important to recognize when you need help with caring for your loved one living with Alzheimer’s or dementia. BrightStar Care® has nurses, CNAs, and caregivers available around the clock to provide compassionate care in the comfort and familiar surroundings of home. Caring is more than a job to our nurses and caregivers – it’s their passion. Your family is our family! Contact us for help at 651-770-8427 or visit us at https://www.brightstarcare.com/locations/st-paul/
Aging rarely follows a predictable path. Learn how CareAparent helps Minnesota seniors remain at home with personal care, skilled nursing, therapy and support that evolves as care needs change.One month, an older adult may be living completely independently. Later, they may need a little help around the house, assistance after a hospital stay, physical therapy to regain strength, medication management or more advanced nursing support.For families, each change can bring another round of questions.Who should we call? What kind of care does Mom need now? Will we need to find another provider? Who will coordinate everything?Those questions can become especially stressful when a family is already dealing with a hospitalization, illness or sudden change in a loved one's abilities.That's why having a care provider that can adapt as needs change can make such a difference.For more than 10 years, CareAparent has helped Minnesota seniors and their families receive personalized care in the place many older adults most want to remaintheir own home. Today, CareAparent provides a continuum of in-home services throughout the seven-county Twin Cities metro area. CareAparentIt May Start With Just a Little HelpSometimes the first sign that an aging parent needs assistance is subtle.Maybe Dad isn't keeping up with housekeeping like he once did. Mom may be having difficulty getting dressed or safely taking a shower. Meals aren't being prepared regularly, medications are becoming confusing, or an adult child is spending more and more time helping with everyday tasks.That doesn't necessarily mean an older adult can no longer live independently.The right support can help make independence possible for longer.CareAparent provides personal care that can include assistance with bathing, dressing and grooming, as well as light housekeeping, laundry and medication reminders. Care can be customized based on the individual's needs rather than forcing the person into a predetermined schedule or level of service. CareAparentFor families, that flexibility matters.The goal isn't to take over someone's life. It's to provide enough assistance so the person can continue participating in it.Then Something ChangesA fall occurs.There's a hospital stay.A chronic condition becomes more difficult to manage.An older adult needs help recovering from surgery.Suddenly, the type of support that worked six months ago may no longer be enough.This is where continuity of care becomes particularly important.Instead of requiring a family to begin searching for an entirely different organization, CareAparent can provide skilled services through licensed medical professionals, including skilled nursing, medication management, wound care, physical therapy and occupational therapy. CareAparentThat allows care to evolve along with the person.Coming Home From the Hospital Can Be a Vulnerable TimeDischarge day can feel like a victoryand it is.But getting home doesn't necessarily mean the recovery is finished.There may be new medications to manage, mobility limitations, wounds requiring attention, exercises to complete or everyday activities that suddenly feel more difficult.Family members may receive discharge instructions but still wonder how they're going to manage everything once their loved one gets home.CareAparent specifically works with individuals transitioning home from hospitals, rehabilitation centers and other acute-care settings. Its skilled services are designed to support recovery and continuity of care in the home. CareAparentFor an older adult, recovering in familiar surroundings can also mean sleeping in their own bed, following familiar routines and remaining close to the people and things that bring comfort.Therapy Can Help Restore IndependencePhysical and occupational therapy aren't simply about completing exercises.They can be important tools for maintaining independence.Physical therapists can work with older adults experiencing pain, injury, illness or age-related declines in mobility. Treatment can address strength, balance, endurance and safer movement.Occupational therapists look at everyday functionhelping individuals find safer and more effective ways to accomplish the activities that are important in daily life.Together, those services can help an older adult work toward a very meaningful goal:Doing more for themselves. CareAparentFamilies Need Support TooWhen someone needs care, the impact extends beyond that individual.Spouses and adult children frequently become caregivers themselvescoordinating appointments, checking medications, helping with meals, managing household responsibilities and worrying about what happens when they aren't there.Over time, those responsibilities can become overwhelming.Professional in-home care can provide something important for both generations.The older adult receives personalized assistance.The family gets to spend more time being family.That distinction matters.A daughter shouldn't always have to be the nurse, housekeeper or care coordinator. A spouse shouldn't have to handle every caregiving responsibility alone.Having trusted support can make the entire family's situation more manageable.Specialized Support for Minnesota VeteransVeterans and their families may also have access to services they don't realize are available.CareAparent serves veterans throughout the seven-county Twin Cities metro as a Home Health Community Provider. Depending upon eligibility and authorization, VA-supported services can include skilled nursing, therapy, respite care, homemaking and home health aide assistance. CareAparentFor families of veterans, understanding available benefits can be an important part of developing a long-term care plan.One Relationship as Needs EvolvePerhaps one of the most reassuring things a family can hear is:You don't have to figure out the next step alone.CareAparent's model is designed around continuity. Personal care, skilled nursing, therapy and additional support can work together so that when circumstances change, the care plan can change too. CareAparentThat can mean fewer unfamiliar faces, fewer transitions between organizations and less time for families spent searching for the next provider.Instead, there is one relationship and a care team that already understands the individual.Aging at Home Should Still Feel Like HomeUltimately, home care isn't simply about completing tasks.It's about helping someone continue living a life that feels familiar and meaningful.It's having coffee in your own kitchen.Sleeping in your own bed.Seeing neighbors you recognize.Following your own schedule.Having family visit without visiting hours.And continuing to make choices about how you live your day.CareAparent describes its approach as combining clinical care with hospitality and personalized attention. The organization has served Minnesota families for more than a decade and provides care throughout Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington counties. CareAparentAs needs change, the answer doesn't always have to be changing where someone lives.Sometimes, the answer is bringing the right care to where they already call home. Learn more about CareAparent's personalized in-home care services and find resources to help your family navigate changing care needs. Call us at 651-702-HOME (4663) or visit our website at www.careaparent.com
Discover how TruBlue Home Service Ally helps Minnesota families make aging parents' homes safer, easier to maintain and better suited for independent living. For many adult children, there comes a time when visiting Mom or Dad feels a little different.Maybe you notice a loose railing that hasn't been repaired. A lightbulb has been out for months because it's too difficult to reach. The bathroom could use a grab bar, the front steps are becoming harder to navigate, or the list of small home repairs seems to be getting longer.Individually, these things may not seem significant. Together, however, they can be signs that maintaining the home is becoming more difficult.For families who want to help an aging parent remain independent, one of the most important places to start is the home itself.The Home May Need to Change as We AgeA house that worked perfectly at age 50 may present very different challenges at 75 or 80.Stairs become more difficult. Reaching overhead becomes risky. Carrying items while navigating steps can be harder. Bathrooms may lack adequate support, and outdoor maintenance that was once routine can become physically demanding.That doesn't necessarily mean it's time to move.Often, relatively modest changes can make the home easier and safer to navigate while allowing an older adult to maintain the independence they value.For families in Plymouth, Maple Grove and surrounding communities, TruBlue Home Service Ally helps identify and address many of these everyday home concerns. TruBlue's services include home safety assessments, repairs, maintenance and modifications designed to support older adults who want to continue living at home. mn.gov // Minnesota's State PortalStart by Looking at the Home Through New EyesAdult children often know their parents' homes almost as well as their own. That familiarity can actually make potential problems easier to overlook.Instead of simply visiting, walk through the home while thinking about how your parent's needs may have changed.Are stairs adequately lit? Are handrails secure? Is getting in and out of the shower becoming difficult? Are frequently used items stored where they can be reached safely? Are there loose flooring, cords or other potential tripping hazards? Are exterior steps, decks and walkways in good condition?TruBlue's senior home safety assessment takes a more systematic approach. Minnesota's aging-services directory describes the company's assessment as covering dozens of areas, including walkways, garage access and lighting, porches and decks, doors, slipping and tripping hazards, water temperature, stairs and railings. mn.gov // Minnesota's State PortalThe goal isn't to completely remodel a parent's home. It's to identify practical improvements that can make everyday activities easier and safer.Don't Let the Small Repair List Keep GrowingOne of the biggest challenges for aging homeowners isn't necessarily a major renovation.It's the little things.A sticking door. A loose cabinet handle. A damaged step. A dripping faucet. A railing that wiggles. A light fixture that needs attention. Seasonal maintenance that keeps getting postponed.For an adult child, those tasks can quickly turn into another weekend "to-do" listespecially when you're also balancing your own home, career, children and other responsibilities.This is where having a trusted home service professional can make a significant difference.Rather than waiting until small problems become larger ones, families can have repairs and maintenance handled proactively.Home Safety Is About Independence, Not Just RepairsA grab bar isn't simply a piece of hardware.A sturdy railing isn't simply a home improvement.For an older adult, these improvements can provide confidence.Being able to move around the home comfortably, use the bathroom more safely, enter and exit the house with greater ease and keep the property maintained can all contribute to a person's ability to remain independent.That distinction is important.Aging-in-place improvements aren't about making a home look "medical." They're about adapting the environment so it continues to work for the person who lives there.Give Adult Children Peace of Mind, TooSupporting an aging parent from across townor across the countrycan be stressful.Adult children may wonder whether the house is being maintained, whether something needs repair or whether their parent is attempting projects that are no longer safe for them to tackle.Having a reliable local resource can relieve some of that pressure.TruBlue's approach combines handyman services, senior home modifications, home safety and ongoing maintenance. The Plymouth and Maple Grove operation describes its role as helping homeowners maintain their homes through different stages of life. LinkedInThat can allow adult children to spend less time worrying about the house and more time simply being a son or daughter.Have the Conversation Before There's a CrisisFamilies sometimes wait until after a fall, hospitalization or other major event before evaluating the home.A better approach is to start earlier.Ask your parent what has become difficult around the house. Walk through the home together. Talk about the chores they no longer enjoy or feel comfortable doing. Look for simple changes that could make daily life easier.Most importantly, involve your parent in the decisions.Aging in place works best when older adults feel that changes are helping them maintain control and independence, rather than taking those things away.A Trusted Home Ally Can Make a DifferenceHelping a parent remain at home doesn't have to mean doing everything yourself.For families throughout Plymouth, Maple Grove and surrounding Twin Cities communities, TruBlue Home Service Ally provides professional home repairs, maintenance, home safety assessments and senior-focused modifications that can help make aging at home more manageable. mn.gov // Minnesota's State PortalSometimes the best way to help Mom or Dad remain independent isn't a major life change.It may simply begin by making sure the home they love continues to work for them. Learn more about TruBlue Home Service Ally Plymouth & Maple Grove through their Seniors Blue Book profile, or contact their team at 763-400-3748 to discuss home safety, maintenance or aging-in-place needs.
It often happens gradually. A pot left on the stove. A door found open in the middle of the afternoon. A phone call from a neighbor who found your husband walking down the street, unsure how to get home. And then one day you realize: he can't be left alone anymore.If you're caring for someone living with Alzheimer's disease or another form of dementia, this moment can feel overwhelming. You may still work. You may have doctor appointments of your own, errands to run, or grandchildren to see. And you may be exhausted. The good news is that you have more options than you might think."Not Ready for Memory Care" Is a Real StageMany families find themselves in the middle ground. Their loved one needs supervision during the day but isn't ready to move into a memory care community, and the family isn't ready for that step either. Staying at home, in familiar surroundings, is still the right choice. What's missing is safe, engaging support during the daytime hours.That's exactly what a dementia-focused adult day program provides.What to Look for in a Dementia Day ProgramTrained staff. Team members should understand how dementia affects communication, mood, and behavior, and respond with patience and redirection rather than correction.A secure environment. Doors, exits, and drop-off and pick-up procedures should be designed so no one wanders off unnoticed.Meaningful activities. Busywork isn't enough. Look for programs built around music, movement, art, and reminiscence, which research links to reduced anxiety and better engagement for people with memory loss.Nursing support. On-site nurses can manage medications and notice changes in health before they become emergencies.Support for you. The best programs care for the caregiver too, with support groups and education.How Town Square University Parkway Approaches Dementia CareTown Square University Parkway in Sarasota was designed with memory in mind. People living with dementia often hold on most strongly to memories from their teens and twenties. For many of today's seniors, that was the mid-1900s. So the center is built as a nostalgic town square, with 15 themed storefronts that spark conversation and recognition.Staff are trained and compassionate, and the team includes bilingual professionals experienced in dementia care. Medication management and nursing oversight are included in the daily rate, and on-site primary and psychiatric care can help with the behavioral and mood changes that often come with dementia. Many families say their loved one looks forward to going, which makes each morning's drop-off far easier.What It Means for CaregiversAdult day care doesn't just keep your loved one safe; it gives you back hours of your day. You can work, rest, see your own doctor, or simply sit in a quiet house with a cup of coffee. Many caregivers find that this regular break is what allows them to keep their loved one at home longer.Town Square also hosts weekly caregiver support groups and monthly education classes, free of charge, and offers free respite while you attend.You Don't Have to Figure This Out AloneIf your loved one can't safely be alone anymore, start with a conversation. Town Square University Parkway offers free assessments and tours for families in Sarasota, Bradenton, Lakewood Ranch, and throughout Manatee County.About Town Square University ParkwayTown Square University Parkway is an adult day center serving families in Sarasota, Lakewood Ranch, Bradenton, and throughout Manatee County. It offers a nostalgic setting, purposeful programming, nursing oversight, on-site medical services, and free caregiver support. Call today to schedule a tour or a free assessment.Town Square University Parkway8450 Lockwood Ridge Road, Unit 55, Sarasota, FL 34243Phone: 941-277-5048Web: seniorsbluebook.com/senior-resources/town-square-university-parkway
One of thefoundations of BrightStar Home Care Burnsville / South St Paul is ourcommitment to helping clients maintain independence by delivering personalizedcompanion care services. Our compassionate and experienced professionals arewell-equipped to meet your loved one's specific emotional and practical needs.Whether yourelooking for ongoing in-home senior companion care or need occasional respiteservices, your loved ones care will be overseen by our Director of Nursing, aRegistered Nurse (RN) who creates each clients personalized plan of care.CompanionCare ServicesAvailable forclients of all ages, our services include around-the-clock care including: In-home support Light housekeeping and help with laundry Meal planning and cooking Respite for family caregivers Help with shopping and errands. Adult and senior transportation to and from doctor appointments and social events Travel companionship Sitter servicesIn-HomeSenior Companion CareAs part ofBrightStar Home Care Burnsville / South St Pauls commitment to person-centeredcare, we take the time to get to know each clients history, personality, andgoals, as well as overall family circumstances. Our senior companion careservices focus on improving the health and well-being of your aging loved onesso they can remain independent and experience dignity throughout their days.Committed toproviding services that are stimulating and enjoyable, we offer a variety ofin-home companion care services to help you achieve the quality of life you oryour loved one desire. We can: Assist with writing letters and other correspondence. Help connect with loved ones through email, texting, video chat and social media. Engage in stimulating activities such as crafts, games, puzzles and reading. Create customized grocery lists to meet dietary needs and preferences. Facilitate visits with friends and neighbors. Plan outings, activities, and trips Facilitate and assist with daily schedule. Provide respite and family relief.HospitalCompanion Care for ChildrenWhen a child ishospitalized, it affects the whole family dynamic and energy level. Itsimportant to care for yourself so that youre able to support your hospitalizedlittle one. Our reliable and gentle professionals can provide any variation ofthe following: In-hospital childcare assistance In-hospital companionship for your child Hourly or around-the-clock companionship Respite care for family or friendsComprehensiveCompanion Care AssessmentsEach BrightStar HomeCare Burnsville / South St Paul client receives a personalized, in-depthassessment conducted by our Director of Nursing to understand the clientshealth, personality, and needs. This process helps us ensure the right fitbetween our clients and their caregivers. It also enables us to quickly modifya clients plan of care as needs evolve so we can deliver the highest qualitycare to the individuals and families we serve.
HOME CARE'S BEST AND BRIGHTEST!At BrightStar Care, we only hire the best and the brightest because thats what our clients and their families deserve! In addition to possessing superior skills and experience, our team is made up of people who demonstrate respect, compassion, and empathy. We call it a higher standard.WHAT A HIGHER STANDARD MEANSIt's more than a goal. It's our daily commitment to clients, and it's the reason we exist. A higher standard means being there for the client when we show up at their home, in every sense of the word. We do the little things that make a big difference. We treat every client as we treat our own families. Our dedication to detail means everything, which is why we've earned The Joint Commission's Enterprise Champion for Quality Award every year since 2013. Some of the communities that we serve include: Burnsville, West St Paul, Inver Grove Heights, Lilydale, Apple Valley, South St Paul and Mendota Heights. Please call us today for your complimentary in-home assessment at 612-435-7390
When you or a lovedone are recovering from a hospitalization or are being discharged from arehabilitation center such as a skilled nursing facility (SNF), you may needshort-term transitional home care. Our nurse-led care and team-focused approachare designed to optimize your health and well-being.Even if your lovedone is receiving skilled nursing care from another agency (such as aMedicare-approved group), the companion care and personal care services we offer throughBrightStar Home Care Burnsville / South St Paul provide awonderful supplement. These services can help meet basic needs such as lighthousekeeping, companionship, family respite, dressing, personal hygiene, andambulation (walking and moving around). Professionallydelivered care can help reduce undesirable outcomes such as re-hospitalization,medication errors and falls; it may even reduce long-term healthcare costs byhelping to prevent the health conditions from getting worse.Short-TermTransitional Home Care ServicesA Registered Nurse(RN) from BrightStar Home Care Burnsville / South St Paul oversees the plan ofcare to help provide a safe transition back home. Our team provides a widerange of services to support a variety of health needs such as: COPD (Chronic Obstructive Pulmonary Disease): Well coach proper inhaler use, provide medication reminders and support habits to improve wellness. Diabetes: We will conduct foot inspections and perform blood glucose level checks, as well as provide family education. Heart Attack/AMI (Acute Myocardial Infarction): Well provide education and support to develop new lifestyle habits that promote heart health. Heart Failure: Well help manage medication adherence, diet, and exercise. Pneumonia: Well provide RN-led medication management, help manage oxygen therapy and offer personal care. Post-Operative: We will assist with surgical recovery in the comfort of home. Stroke: We will help with activities of daily living (ADLs) like eating, dressing and mobility, as well as promote fall safety, offer medication reminders and provide transportation to physician appointments or therapy (physical, occupational and/or speech). Therapy for Post-Op or Stroke: We also have physical, occupational and speech therapists who can provide rehabilitation in your home.CarePaths Deliver Superior OutcomesOne of the uniqueservices we offer is Care Paths for Falls and Change of Condition. Althoughcare paths are common, weve taken this approach farther by buildingperson-centered and condition-specific Care Paths based on your loved onesunique needs, current conditions and past medical history.Using ourproprietary technology, our caregivers can help predict and prevent a fall orworsening of your family member's current condition. When a change of conditionis identified, we will communicate that information immediately to thesupervising nurse at BrightStar Home Care Burnsville / South St Paul and/oryour loved ones physician so any needed action can be taken.