What Is Sundowning in Dementia?
Dementia symptoms can change throughout the day. Someone who seems relatively calm and comfortable in the morning may…
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A dementia diagnosis is life-changing, not just for the individual, but for the whole family. Early stages can be very gradual and often easily managed at home. However, dementia is unfortunately a very progressive condition.
Care facilities can provide specialised dementia care that will support the individual through this progression. This is tailored care that assists with day-to-day needs and adapts to this shifting condition.
Dementia care is a mix of clinical care and general residential support. Many neurological and physical changes occur during dementia progression that can be extremely difficult to deal with individually.
Confusion is a huge issue for someone who is independent. Losing track of time can be a serious problem when taking medications. This can even affect your ability to wash, dress, and do simple chores. Managing your health and your home whilst navigating this confusion can be incredibly difficult and scary. Dementia care will assist individuals in managing their time, medication and daily chores through gentle reminders and scheduled assistance that will not create more distress and confusion.
Some people with dementia also develop weight loss and dehydration. When confusion affects their conception of time, eating and drinking can easily become forgotten. By having scheduled meal times and prepared food tailored to specific nutritional needs or weight gain, this side effect can easily be avoided.
Dementia can also have much more intense behavioural and psychological effects. This is more broadly known as BPSD, or Behavioural and Psychological Symptoms of Dementia, which affects around 90% of dementia sufferers. BPSD can include:
Trained dementia specialists will be able to de-escalate these behavioural episodes in a safe and comforting way. “Sundowning” refers to the increased anxiety and behaviours that many dementia sufferers experience in the evening. A care facility will have a scheduled way to prevent this issue from affecting its dementia residents as much as possible.
Residential care supports residents with daily living tasks. It is ideal for those who are mostly independent but require assistance with chores such as washing, dressing, cooking and managing their medication.
Regarding dementia care, residential options are tailored for those in the early to mid-stages of dementia. They may be physically mobile without additional health issues, but it is no longer safe for them to live alone. This care will mainly focus on:
Some of our homes feature a resident’s kitchenette, which brings a sense of normalcy. Simple tasks such as making their own cup of tea will make a huge difference in fighting against the symptoms and progression of dementia.
At White Rose House, Claremont House, Castle Grange and Southfield Court, we have a team of dementia specialised care assistants. They provide exceptional care that fights against the progression and symptoms of dementia.
Nursing care supports residents with complex medical needs alongside residential assistance. It is ideal for those with high-dependency needs, physical disabilities, or chronic illnesses. This care will manage medical needs, provide close monitoring of unstable health conditions, and provide quick medical responses with a 24-hour team of qualified nurses.
For those with mid to late stages of dementia, or those who also suffer from additional complex physical illnesses, nursing dementia care will be required. In these homes, specific clinical help will be provided for:
At Southfield Court, we have a 24-hour team of dementia specialised nurses who provide exceptional care for those with complex dementia.
| Feature | Dementia Residential Care | Dementia Nursing Care |
|---|---|---|
| Ideal For | Early to mid-stages of dementia. Those who are physically mobile/medically stable, but can no longer live safely alone. | Mid to late stages of dementia. For those experiencing complex physical illnesses or severe distress. |
| 24/7 On-Site Staffing | Trained care assistants who are specialised in dementia management. | Qualified nurses supported by specialist care assistants. |
| Clinical Support | Basic daily routines, such as medication prompts, health monitoring, and general well-being. | Complex medical assistance that must be completed by a medical professional. |
| Mobility Assistance | Guided independence. Assisting with daily tasks while encouraging independence. | High dependency on full physical assistance for those who cannot move independently. |
| Behavioural Support | Easing anxiety, confusion, or “sundowning” through predictable schedules and therapies. | Clinical de-escalation to manage BPSD with advanced clinical and therapeutic techniques. |
| Core Philosophy | Maintaining identity and independence by protecting autonomy, reducing loneliness, and stopping symptoms from worsening. | Clinical assistance and safety that will provide medical peace of mind and advanced pain management in an environment that feels like home. |
Due to dementia’s progressive nature, a person’s needs can change over time. If you have decided that a residential dementia home is the correct care for your loved one, it may be worth planning for the future. Although some homes are exclusively residential or nursing homes, it’s a good idea to research dual-registered homes when it comes to dementia care.
Although your loved one may be in the early stages of dementia and still mostly independent, unfortunately, this may worsen. By planning and choosing a home with nursing facilities available, you can make the progression of this condition much easier to deal with. Remaining in a familiar home with the same friends and staff will make dementia progression a lot simpler to understand.
Our home, Southfield Court, provides both specialised residential and nursing care for residents with dementia. If you are concerned about the worsening of your loved one’s dementia and are looking for some advice, please get in touch with our team today.
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