Sundowning Assessment: Helping Caregivers Understand and Manage Evening Confusion

Caring for someone with dementia or Alzheimer’s can be overwhelming, especially when challenging behaviors intensify during the late afternoon or evening hours. This phenomenon, commonly known as sundowning, can cause increased confusion, agitation, restlessness, and even aggression in loved ones. To support family caregivers facing this struggle, we created the Sundowning Assessment, a practical tool designed to help you identify triggers, track patterns, and implement effective strategies for managing sundowning behaviors.

Why the Sundowning Assessment Matters

Sundowning is more than just a “bad evening.” For many caregivers, it represents one of the most stressful times of day, when fatigue meets heightened behavioral challenges. By using this Sundowning Assessment, you’ll be able to:

• Identify patterns: Track what times, environments, or events make sundowning worse.

• Discover triggers: Pinpoint whether noise, hunger, overstimulation, or medication timing could be contributing factors.

• Record changes: Document daily moods, behaviors, and interventions so you can share accurate observations with healthcare providers.

• Create solutions: Learn what soothes or reduces episodes, whether it’s adjusting lighting, modifying routines, or offering calming activities.

When caregivers consistently use this tool, they gain a clearer picture of what works and what doesn’t, making each evening less chaotic and more manageable.

How the Sundowning Assessment Works

The Sundowning Assessment is easy to use, even on the most stressful days. Simply print or download the worksheet and fill it in daily as you observe your loved one’s behavior. It includes sections for:

• Time of day and activity

• Environmental notes (lighting, noise levels, visitors, etc.)

• Triggers identified

• Reactions (confusion, anger, pacing, withdrawal, etc.)

• Caregiver response and outcome

By tracking this information, you’ll be able to recognize consistent patterns over time. This record becomes invaluable when discussing care strategies with doctors, therapists, or family members.

Benefits for Caregivers

Using the Sundowning Assessment doesn’t just help your loved one—it also helps you as a caregiver. Some of the benefits include:

• Reduced stress and guesswork: Instead of reacting to sundowning episodes blindly, you’ll have a structured guide to help you anticipate and manage them.

• Better communication with healthcare providers: Bringing detailed notes to appointments shows professionals exactly what’s happening, leading to more accurate recommendations.

• Empowerment: Tracking behaviors and outcomes puts you back in control, helping you feel less helpless when sundowning occurs.

• Improved daily routines: Over time, you’ll discover what activities or adjustments improve evenings for both you and your loved one.

Additional Caregiver Support

Sundowning is one of many challenges caregivers face. That’s why we recommend pairing this assessment with other caregiving resources designed to make your journey easier. For example:

• The Organizational Planner – to keep medical, legal, and caregiving documents in order.

• The Caregiver’s Compass – to help reduce burnout and manage stress with proven strategies.

• The Caregiver’s Cashflow Plan – for building financial independence while caregiving.

Each of these tools complements the Sundowning Assessment, giving you a comprehensive support system.

Professional Resources

If you want to learn more about sundowning, dementia, and caregiving strategies, here are some trusted external resources:

• Alzheimer’s Association – Sundowning & Sleep Issues

• Mayo Clinic – Sundowning: Late-day Confusion

These organizations provide medical insights, professional advice, and additional tools that can further support your caregiving journey.

Take Control of Your Evenings

Sundowning doesn’t have to control your life or your loved one’s evenings. By using the Sundowning Assessment, you’ll gain clarity, reduce stress, and create better evenings filled with calm instead of chaos. Whether you are a new caregiver or an experienced one looking for fresh solutions, this tool provides the guidance you need to face sundowning with confidence.

👉 Start today and bring peace back into your evenings with the Sundowning Assessment.