Watching a loved one navigate memory loss can be emotional and overwhelming—especially when they begin experiencing behaviors that are unpredictable or hard to manage. One of the most common challenges for people with Alzheimer’s and other forms of dementia is sundowning, a state of increased confusion, restlessness, or agitation that tends to occur in the late afternoon and evening hours.
If you’re a family caregiver or exploring memory care near me or memory care Denton TX for someone you love, it’s important to understand how trained professionals handle sundowning and other behavioral changes. At Sage Oak Denton, our compassionate and well-trained memory care team is equipped with proven tools, techniques, and support strategies to make a meaningful difference in the lives of our residents and their families.
What Is Sundowning?
Sundowning, also known as late-day confusion, refers to a pattern of symptoms such as increased anxiety, disorientation, irritability, or aggression that typically begins around dusk. Though it can vary in intensity and duration, sundowning is a recognized and common occurrence among individuals with Alzheimer’s or other types of dementia.
Common signs of sundowning include:
- Pacing or wandering
- Restlessness or agitation
- Yelling or moaning
- Paranoia or suspicion
- Difficulty following directions
- Difficulty falling or staying asleep
These symptoms often lead to exhaustion and frustration—for both the individual and their caregivers.
Why It Happens
Although the exact cause of sundowning is not fully understood, several contributing factors have been identified:
- Disruption of circadian rhythms: The internal body clock that regulates sleep-wake cycles can become confused in people with dementia.
- Low lighting and shadows: As daylight fades, visual perception changes, often triggering fear or confusion.
- Fatigue: By late afternoon, individuals may be physically and mentally tired, which can worsen symptoms.
- Hunger or thirst: Unmet physical needs can contribute to agitation.
- Overstimulation or boredom: Too much or too little stimulation during the day can result in difficulty transitioning to the evening routine.
Understanding these causes is crucial for memory care teams when developing proactive strategies.
How Memory Care Teams Manage Sundowning
At Sage Oak Denton, we understand that sundowning requires a calm, consistent, and compassionate response. Our approach is based on proven techniques, individualized care plans, and a deep respect for each resident’s dignity.
1. Maintaining a Structured Routine
Routine is essential in dementia care. Residents thrive on predictability, and a structured day helps prevent overstimulation and confusion. At Sage Oak Denton, our team maintains a consistent schedule that includes regular meal times, restful breaks, and calming evening activities.
By offering familiar patterns throughout the day, we reduce the anxiety that often accompanies change. Residents know what to expect and when to expect it, which eases transitions and builds a sense of security.
2. Creating a Soothing Environment
The environment plays a key role in minimizing sundowning symptoms. Our memory care spaces are intentionally designed with soft lighting, soothing colors, and quiet areas where residents can retreat when needed.
During the late afternoon and early evening, we take extra steps to reduce environmental triggers:
- Dim lighting to ease the transition into night
- Minimized background noise and TV volume
- Closing curtains to block shadows and reflections
- Playing calming music or nature sounds
These subtle changes help residents feel more relaxed and less overwhelmed during sundowning hours.
3. Offering Personalized Redirection Techniques
Every individual is different, and there’s no one-size-fits-all solution to behavioral changes. That’s why our care plans at Sage Oak Denton are built around each resident’s personal history, preferences, and calming strategies.
When sundowning behaviors appear, our trained staff members gently redirect residents to preferred activities or comforting items. These might include:
- Folding laundry
- Looking at a photo album
- Listening to a favorite song
- Walking in a secure outdoor area
- Talking with a familiar staff member
Redirection keeps the resident’s mind engaged while preventing escalation.

4. Using Therapeutic Activities Throughout the Day
Purposeful activities during the daytime help prevent late-day restlessness. Our daily programming includes cognitive games, art therapy, physical exercise, and group interactions—all designed to promote mental and physical well-being.
These activities not only improve mood and reduce stress, but also help regulate sleep cycles, leading to more restful evenings and nights.
By keeping the mind and body engaged during the day, we help reduce the chances of agitation and confusion setting in later.
5. Addressing Physical Needs Proactively
Basic needs such as hunger, thirst, or discomfort often manifest as behavioral symptoms in individuals with dementia. Our caregivers are trained to monitor these subtle cues and address physical needs before they become emotional ones.
This includes:
- Ensuring residents are hydrated throughout the day
- Providing protein-rich, balanced meals
- Encouraging light snacks in the late afternoon
- Monitoring for signs of pain or discomfort
- Helping with toileting before evening transitions
When residents feel physically comfortable, they’re far less likely to experience sundowning behaviors.
6. Encouraging Healthy Sleep Habits
Sundowning is often connected to sleep disturbances, so promoting healthy sleep hygiene is a core part of our approach.
We focus on:
- Exposure to natural light in the morning
- Avoiding naps late in the day
- Reducing caffeine and sugar intake
- Creating a bedtime routine that includes warm lighting, soft music, or aromatherapy
- Encouraging the use of comfort items like favorite blankets or pillows
Over time, these practices help residents develop more consistent and restful sleep patterns.
7. Training and Compassionate Caregiving
One of the biggest advantages of professional memory care is the presence of trained and experienced caregivers. At Sage Oak Denton, our team undergoes ongoing education in dementia care best practices, including how to handle sundowning and other behavioral changes.
Our team members know how to:
- Stay calm and composed during emotional outbursts
- Use non-verbal cues and body language to offer comfort
- Avoid confrontation and validate emotions
- De-escalate situations with patience and empathy
This compassionate and informed approach gives residents the reassurance they need and gives families peace of mind knowing their loved ones are in good hands.

Why Choose Professional Memory Care for Behavioral Support
Sundowning and other behavioral challenges can be incredibly difficult to manage in a home environment. As dementia progresses, families often find themselves facing emotional exhaustion, disrupted sleep, and concerns about safety.
A dedicated memory care community like Sage Oak Denton offers:
- 24/7 supervision and support
- Personalized care from dementia-trained professionals
- Purpose-built environments that reduce stress and anxiety
- Activities and programs that promote well-being
- A built-in support system for both residents and families
If you’re searching for memory care near me or researching memory care Denton TX, it’s essential to choose a place that prioritizes compassion, communication, and consistent behavioral support.
The Sage Oak Denton Difference
At Sage Oak Denton, we believe that exceptional memory care means more than just managing symptoms—it means creating a life of dignity, joy, and connection, even in the face of cognitive decline.
Our approach to sundowning and behavioral changes reflects our deep commitment to every resident’s quality of life. We understand the science of dementia—but we also understand the emotional side. We listen, we adapt, and we care deeply.
Whether your loved one is newly diagnosed or in later stages of dementia, we’re here to walk with you, every step of the way.
Ready to Learn More?
If your loved one is experiencing sundowning or other memory-related behavioral changes, it may be time to explore professional support. At Sage Oak Denton, we provide compassionate, personalized memory care that honors each resident’s unique story.
Contact us today to schedule a tour or speak with our care team. Let us show you how Sage Oak Denton is redefining memory care—one peaceful evening at a time.