Sundowning can occur during which part of the day?

• A. In the late afternoon or evening
• B. In the morning
• C. At noon
• D. Late at night

Answer: (A)

Sundowning is the pattern of symptoms like confusion, agitation, or restlessness that worsens as daylight fades. Because of this, the period most affected is the late afternoon into the evening. This timing relates to changes in the body’s internal clock and decreasing light, which can heighten confusion and irritability in people with dementia. Understanding this helps caregivers plan ahead: keep a steady routine, maximize daylight exposure earlier in the day, ensure good lighting in the late afternoon and evening, and provide a calm, comforting environment as the day ends. While some individuals may experience evening or night symptoms, the hallmark timing is late afternoon to evening rather than morning or noon.