Dreading Sundown…

Posted by Gratia @gratia, 2 days ago

How do you manage sundowning behaviors? What works best for you? I realize each situation differs. I get a rush of adrenaline-anxiety each and every time it starts…usually about the dog…sometimes the ex husband (my father)
Distraction sometimes works…sometimes not.
Is the full moon making it worse?
Wishing all a peaceful evening and always sending supportive energy.
🤗

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Profile picture for bill9372 @bill9372

@judimahoney I give my wife a "sleepy time" capsule which is 10 mg Indica THC 5 mg CBD and 5 mg CBN (helps with sleep). She has had no problem sleeping. If she get agitated in the afternoon or evening I'll give her a 5mg Indica gummy. It helps settle her. I've been doing this for two years and it has really helped.

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@bill9372 this is helpful, I might try with my mom. It’s a little bit stressful to give someone something when you don’t know how they’ll react. We did use CBD for my mom before and she just got very relaxed which is great!

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Profile picture for judimahoney @judimahoney

@labrown
I've read a few folks on this site recommend gummies to take the edge off their loved ones challenging behaviors.
I may try this someday if my husband starts to sundown.

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@judimahoney I asked our doc about marijuana and she warned results are unpredictable. Scared me.

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If I remember to give my husband a Zanax it seems to help. I’ve also heard of giving melatonin.

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Profile picture for georgescraftjr @georgescraftjr

@labrown

It's amazing that you're just beginning to get worn out. You are a trooper.

I have been worn out and worn down for over a year, but I just pick myself back up and start a new day--hoping that it will be better but prepared that it might be worse than the day before. Caregiving might do me in, but at least I will die happy, knowing that I did my best. And as we keep reminding each other (and quoting Karla), with God's help: "We can do it!"

P.S. George's sundowning behavior has gone through different phrases during this past year. At first, I gave him a melatonin around 8 p.m. He would go to bed around 9 p.m. and sleep for two hours, wake up every hour on the hour after that, and then stay up for a three-hour interval every night. While he was awake, he got in and out of bed up to 16 times during that interval.

Now, on most nights, he refuses to come to bed because he's either afraid that his back will hurt too much, or that he won't be able to get back out of bed; so he insists on sleeping in his recliner, which is in another room. I still give him a melatonin at 4 p.m. and another one around 8 p.m. He falls asleep in his chair at 9 p.m., sometimes earlier. Around 3 a.m., he gets up and starts wandering around and hollering. I give him a drop of THC/CBD, which gets him to sleep for two hours. When he wakes up again, I give him a gummy and he'll sleep until 8 a.m.

One manifestation of George's anxiety is that he asks me all day long and at night right before bedtime: "Where's my wallet? Where are my keys? Where's my cell phone?" I got him a pouch for him to keep all those things together in one place, and I tell him to keep the pouch on top of his desk in his office. So, when he asks for one of those items, I tell him that it's in his pouch. I thought that would simplify our life; but now, he'll ask me where's his pouch, and I tell him that it's on top of his desk. Then he'll ask where's his desk, and I tell him that it's in his office. Then he'll say: "I don't know where that is." Did God choreagraph variations of a new dance for dementia partners? Is there humor in this somewhere? I must be missing it because the repetition drives me crazy--then I have to snap out of it.

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@georgescraftjr
Hi, just a pouch idea:
What if his pouch was a belly pack, and he just wears it around during the day with his items inside? That way, he always has it with him.

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Nice try. Thanks but as the saying goes, "You can't teach an old dog new tricks." I can't even get him to wear a back brace, even though I know it would help him walk better.

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Profile picture for georgescraftjr @georgescraftjr

@labrown

It's amazing that you're just beginning to get worn out. You are a trooper.

I have been worn out and worn down for over a year, but I just pick myself back up and start a new day--hoping that it will be better but prepared that it might be worse than the day before. Caregiving might do me in, but at least I will die happy, knowing that I did my best. And as we keep reminding each other (and quoting Karla), with God's help: "We can do it!"

P.S. George's sundowning behavior has gone through different phrases during this past year. At first, I gave him a melatonin around 8 p.m. He would go to bed around 9 p.m. and sleep for two hours, wake up every hour on the hour after that, and then stay up for a three-hour interval every night. While he was awake, he got in and out of bed up to 16 times during that interval.

Now, on most nights, he refuses to come to bed because he's either afraid that his back will hurt too much, or that he won't be able to get back out of bed; so he insists on sleeping in his recliner, which is in another room. I still give him a melatonin at 4 p.m. and another one around 8 p.m. He falls asleep in his chair at 9 p.m., sometimes earlier. Around 3 a.m., he gets up and starts wandering around and hollering. I give him a drop of THC/CBD, which gets him to sleep for two hours. When he wakes up again, I give him a gummy and he'll sleep until 8 a.m.

One manifestation of George's anxiety is that he asks me all day long and at night right before bedtime: "Where's my wallet? Where are my keys? Where's my cell phone?" I got him a pouch for him to keep all those things together in one place, and I tell him to keep the pouch on top of his desk in his office. So, when he asks for one of those items, I tell him that it's in his pouch. I thought that would simplify our life; but now, he'll ask me where's his pouch, and I tell him that it's on top of his desk. Then he'll ask where's his desk, and I tell him that it's in his office. Then he'll say: "I don't know where that is." Did God choreagraph variations of a new dance for dementia partners? Is there humor in this somewhere? I must be missing it because the repetition drives me crazy--then I have to snap out of it.

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@georgescraftjr

CAVEAT: You have to be careful about mixing CBD with prescription medications. The reaction varies from individual to individual. Before I started giving George CBD, I researched drug interactions, and read that mixing drugs or mixing drugs with CBD, especially in the case elderly patients, can lead to breathing issues, coma, and death.

I also made a list of all of George's prescription medications and consulted with a geriatric psychiatrist AND an MD who was an international cannabis expert. They were worth the out-of-pocket expenses and very reassuring.

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Profile picture for bayviewgal @bayviewgal

@gratia The couple of things that seemed to help with my Tom's sundowning was hit and miss from one night to the next but I wouldn't/couldn't give up. I know, it's easier said than done but I just had to keep trying because I thought that it would stick and then we could both move on with getting good nights rest. It seemed to help with his agitation as well. 1) turn the lights down low but keep a night light on in rooms where there was no light (i.e. bathroom, kitchen) 2) try a small lite snack. He enjoyed when I would make him pudding. A simple scrambled egg and jelly toast. Surprisingly these would calm him down and he would start to relax. These snacks sometimes had to happen at midnight or later because he just couldn't relax. The first time I tried these, i was elated because in no time we was falling asleep. 3) I tried to take away as much stimulation as I could, like bright lights or tv. He didn't know how to navigate the internet anymore so that wasn't an issue. I'd also put on soft music. 4) I would try to stop giving him food or drink a couple of hours before bedtime. Especially anything with caffeine, like hot chocolate ( which he loved) or anything with sugar. All the same stimulants that would keep any of us awake, right? 5) I also tried Melatonin as well, but that didn't work as well as I thought. ( I thought it would be that magical cure-all pill). 6) I would sometimes read to him as well.
Since there is no text book on what will always work, taking the advice from others on here is a starting point I believe that will help you find your answers. I truly believe you will your way for the both of you.
Strength, Love, Peace and Hugs

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@bayviewgal Thank you for sharing what has worked for you and your husband. I will hang on to those ideas.

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