Managing Anger & Sundowners Syndrome in Loved Ones With Memory Loss

Author

BRIGHTSTAR CARE MN

For more information about the author, click to view their website: BrightStar Care

Posted on

Mar 19, 2023

Book/Edition

Minnesota - Twin Cities Metro Area

Share This

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/

Other Articles You May Like

Aging with Purpose: The Power of Meaningful Engagement with Society

As we all continue to age, the question of how to ensure a fulfilling and healthy life for older adults becomes increasingly important. Recent research, including a comprehensive analysis by the McKinsey Health Institute (MHI), underscores the pivotal role of societal engagement in promoting well-being in old age.The Foundation of Well-being: Good Relationships The cornerstone of a fulfilling old age lies in cultivating meaningful relationshipswith others and with society at large. The MHI survey of adults aged 55 and older across 21 countries affirmed this, with purpose in life and meaningful connections emerging as vital factors in promoting the health of older adults worldwide. Personal fulfillment and social bonds were frequently cited as key motivators for work or volunteering, underscoring the intrinsic value of engagement.The Health Dividends of Societal Engagement Engagement in societal activities emerges as a powerful catalyst for older-adult health. Those who participate experience a notable boost in overall perceived health, according to MHI survey data. This aligns with extensive academic research, revealing six key health benefits of societal participation: reduced mortality rates, decreased cognitive disability, lower functional disability and frailty, decreased loneliness and depression, increased physical activity, and heightened meaning and quality of life.The Harvard Study of Adult Development stands as a compelling testament to the pivotal role of relationships in healthy aging. Good relationships emerged as the strongest predictor of happiness and health in old age, affirming the profound impact of meaningful connections.Breaking Down Barriers to Participation Despite the evident benefits, numerous barriers hinder older adults from active engagement. Outdated beliefs regarding age, isolated efforts across sectors, inequitable access, gaps in structural support, limited data, and an under-researched landscape all contribute to this challenge. Addressing these barriers requires a fundamental shift in societal attitudes and infrastructure, extending across social, physical, and political realms.Societal participation holds the key to unlocking a vibrant, healthy future for older adults. By breaking down barriers, empowering older individuals, encouraging collaboration, and investing in support structures, we can pave the way for a more inclusive, engaged society. The collective effort of governments, employers, communities, and older adults themselves is essential in building a world where aging is synonymous with purpose, fulfillment, and vitality. Together, we can usher in a new era of healthy, purposeful aging for all.About the Author: Deb Taylor is the CEO of Senior Community Services, a local nonprofit with a mission to empower people as they age, through serving compassionately, connecting communities, and supporting independence.  

Planning for the Later Years: Senior Care Preparation

Every parent knows the urgency of waiting for the arrival of a newborn. They have nine months to plan and prepare. There are purchases to make: furniture, stroller, car seat, informational books, and such. Work plans and childcare often must be arranged. Significant planning goes into this important life event, but what about the other end of life, the later years?More than 90 percent of all moves to a senior living facility are driven by a crisis: a fall, reduced mobility, poor diet, cognitive challenges, and other illnesses. And families are often caught in the gap between an effective response and feeling ill-prepared. Unlike the blissful parents of newborns, the caregiver of an older adult may feel caught off-guard, stressed, and confused.Among Minnesota seniors still living independently in their own homes, over 90 percent of their care is handled by family and friends, often with little or no experience and understanding of whats required of a caregiver. Its the classic on-the-job training, with plenty of potential mistakes to be made without adequate preparation. While taking care of a loved one is a valuable and honorable role, it can be an overwhelming and exhausting responsibility without adequate support services.Thankfully, Minnesota families facing senior care decisions have helpful resources available. Experts are available to help you better understand the care needs and help you connect with the support thats right for your situation. Local nonprofit Senior Community Services www.seniorcommunity.org, is one such resource.The range of services includes assistance with resources, hourly consultation, family meetings, needs assessment of the senior, and caregiver coaching (similar to the format of life/career coaching). All of these services are designed to reduce caregiver stress and improve the caregivers ability to provide care longer, in a way thats healthier for them and the senior for whom they care.Studies have shown that services to support caregivers can allow them to delay nursing home placement for loved ones. This is so important because seniors prefer to live independently for as long as possible at their own homes in the communities they love. And, frankly, the cost of staying at home is usually much less than living in a more restrictive senior care community.Like planning for a newborn, getting the best information ahead of time when the situation starts to change can help avert a senior care crisis. If an older adult struggles with household chores, maintaining a nutritionally balanced diet, and making the best healthcare decisions, an effective care plan with the right support services eases many challenges in a respectful and dignified way. As the familys helping role increases, the appropriate caregiver services can better equip them to care for the older adult as well as for themselves.Just like arming parents-to-be with the resources they need to parent, we all benefit by taking care of the caregivers and ensuring support is in place for aging adults. Lets reimagine aging so that our community is as accommodating of the needs of seniors as it is for children. A place where walkers and wheelchairs are as welcome as bikes, strollers, and scooters. A community where all generations can enjoy the best of this time we call the later years, with less stress and more promise. Are you ready?About the Author:Deb Taylor is the CEO of Senior Community Services, a local nonprofit with a mission to empower people as they age, through serving compassionately, connecting communities, and supporting independence.

Why Elder Financial Abuse Goes Unreported

Elder financial abuse occurs when someone illegally or improperly appropriates money or belongings from an older person for their own personal use. While this financial exploitation takes many forms, including online scams, according to the National Adult Protective Services Association (NAPSA) the vast majority of reports involve perpetrators who are related to or in a trusting relationship with the victim.NAPSA reports financial abuse of elders is costing older Americans and their families billions every year, though occurrences are thought to be grossly underestimated, with only 1 in 44 elder financial abuse cases even reported. This suggests were only seeing the tip of the iceberg when it comes to the actual devastation older adults and their families are experiencing the wake of abuse. So why are the majority of cases going unreported? The abuser is a trusted family member or caregiver Even if the victim becomes aware of the abuse, choosing to pursue a case against a loved one may be an impossible and heartbreaking decision for many older adults, especially if they are dependent on the abuser in some way. Many abusers have provided some form of assistance or caregiving to the older adult and can convincingly argue they are owed compensation, while the truth is they have abused the victims trust for personal financial gain, with little regard for the victim. The abuse takes place little by little over time Financial abuse often occurs over months or years. It can be a slow, steady process of siphoning off small amounts at a time through check requests, bank withdrawals, wire transfers, recurring credit card payments, etc. The perpetrators are methodical and measured. They dont ask for or take amounts significant enough to trigger suspicion in financial institutions or be questioned by family members or friends of the victim. Unfortunately, by the time the abuse is discovered, there may be little chance of reversing the financial damage. Shame and fear As with many acts of abuse, the victim may feel a great deal of shame. If taken advantage of, older adults often worry that relatives will feel they can no longer take care of their own financial affairs. With financial exploitation there is often an illusion of consent on the part of the victim, but its propped up by manipulation, deception, or blatant misinformation. Despite this, the victim may fear they will be seen as mentally unfit for allowing themselves to be exploited and that reporting the abuse will lead to a loss of independence or autonomy. They dont know how or where to report the abuse to In the wake of a financial violation, finding resources can be an overwhelming task, further complicated by a lack of trust because of the abuse. But reporting financial abuse is imperative to gain knowledge of how abusers operate and to understand the full scope of the damage they cause in order to enact the measures necessary to break the cycle.If you think you or a loved one is a victim of elder financial abuse, contact these trusted organizations to find resources and file a report:justice.gov/elderjustice National Elder Fraud Hotline: 1-8333728311The Minnesota Adult Abuse Reporting Center 1-844-880-1574elderjusticemn.org 651-440-9312  

Local Services By This Author

BrightStar Care South Minneapolis

Memory & Dementia Care 8900 Penn Ave S Ste 301, Bloomington, Minnesota, 55431

It can be heartbreaking to suspect or learn that your loved one has Alzheimers or dementia. As you begin to think about ways to keep them healthy, safe and happy, it may feel overwhelming, but you can turn to BrightStar Home Care Burnsville / South St Paul for guidance.The First SignsAlzheimers disease is a neurological disorder that often begins slowly with mild symptoms that gradually advance. Although some memory loss or changes in function are normal as we age, if symptoms move quickly or become more frequent, it could potentially indicate the onset of Alzheimers or another form of dementia.Here are some things to watch out for:The inability to remember words, details, directions, people and events.  Difficulty performing simple tasks (such as nutrition, personal hygiene or grooming)Depression or lack of motivationForgetfulness and confusionUncharacteristic irritabilityPoor decision making or judgmentIts also important to note that those who have Alzheimers may be at a greater risk of falling or accidentally injuring themselves.Finding the Help You NeedBrightStar Home Care of Burnsville /South St Paul is here to answer your questions and create a plan that works for your loved one and the rest of the family. We know that most people are happier when theyre able to remain at home, especially since being in familiar surroundings can provide comfort and a sense of stability.Nurse-Led Care Delivers Quality and Peace of Mind.  Our local Director of Nursing, a Registered Nurse (RN), will evaluate your loved one and their needs, as well as discuss your familys goals before putting together a customized plan of care. Our mission is to provide the individualized support needed for your loved one to:Live with dignity and purpose safely and securely in their own home.Maintain connections to the people, places, things, and memories that matter most to them.Enjoy optimal health and emotional well-being.The Director of Nursing provides ongoing oversight of our professional care staff and will periodically meet with you to make sure we are meeting your expectations.  We have experienced dementia care staff who have undergone extensive background and credentials checks.Following our proprietary, science-backed Alzheimers and Dementia Care Path, our team is trained to better understand and manage dementia-specific behaviors, as well as recognize changes in your loved ones condition. Our caregivers are patient, gentle and empathetic, giving you peace of mind that your loved one will be treated with kindness and dignity.  Responsive 24/7 Communication and Support.  The knowledgeable team at BrightStar Home Care of Burnsville / South St Paul collaborates transparently with clients, family and healthcare providers. Our 24/7/30 touchpoints ensure that everyone remains informed and involved with the care of your loved one.Education and Support for Care PartnersWe are your partner in your loved ones care. We offer education for family members, including a wide range of materials that give insight into Alzheimers and dementia, along with self-care and wellness tips for family members.  There is a wide range of effects of Alzheimers or dementia for each person, which means that needs vary greatly. Because BrightStar Home Care Burnsville / South St Paul provides a nurse-led care plan and we offer services across the spectrum of dementia, you can rest assured that our care will adapt to meet your loved ones changing needs.  Our ultimate goal is to provide compassionate care at whatever level is needed so you can spend quality time with your loved one. We are proud to deliver person-centered Alzheimers and dementia care to help people in our community live with dignity in the comfort of their own home.

BrightStar Care of Burnsville

Rehabilitation Services 12400 Portland Avenue, Burnsville, Minnesota, 55337

When you or a loved one are recovering from a hospitalization or are being discharged from a rehabilitation center such as a skilled nursing facility (SNF), you may need short-term transitional home care. Our nurse-led care and team-focused approach are designed to optimize your health and well-being.Even if your loved one is receiving skilled nursing care from another agency (such as a Medicare-approved group), the companion care and personal care services we offer through BrightStar Home Care Burnsville / South St Paul provide a wonderful supplement. These services can help meet basic needs such as light housekeeping, companionship, family respite, dressing, personal hygiene, and ambulation (walking and moving around).  Professionally delivered care can help reduce undesirable outcomes such as re-hospitalization, medication errors and falls; it may even reduce long-term healthcare costs by helping to prevent the health conditions from getting worse.Short-Term Transitional Home Care ServicesA Registered Nurse (RN) from BrightStar Home Care Burnsville / South St Paul oversees the plan of care to help provide a safe transition back home. Our team provides a wide range 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. Care Paths Deliver Superior OutcomesOne of the unique services we offer is Care Paths for Falls and Change of Condition. Although care paths are common, weve taken this approach farther by building person-centered and condition-specific Care Paths based on your loved ones unique needs, current conditions and past medical history.Using our proprietary technology, our caregivers can help predict and prevent a fall or worsening of your family member's current condition. When a change of condition is identified, we will communicate that information immediately to the supervising nurse at BrightStar Home Care Burnsville / South St Paul and/or your loved ones physician so any needed action can be taken.   

BrightStar Care St Paul

Non-Medical 2785 White Bear Avenue, Maplewood, Minnesota, 55109

Our BrightStar Care Team in St Paul, led by a Registered Nurse Director of Nursing, provides expert, compassionate, and person in-home care.  Our mission is to go above and beyond to deliver a Higher Standard of Care and nothing less.  Your loved one deserves care thats nothing less than extraordinary. At BrightStar Care of St. Paul, our experienced, trustworthy, and compassionate care professionals provide a full range of services in the comfort and safety of home. From personal care to companion care, BrightStar Care offers quality home care services for children, adults, and seniors.Our services provided are: Transitional Care, Skilled Nursing Care, Senior Care, Personal Care, Companion Care, Physical Therapy, Occupational Therapy, Home Support + Outside Services and Child Care.  Please call us at 651-770-8427 for an assessment of your needs.