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Steve Macfarlane, Head of Clinical Services, Dementia Support Australia, & Associate Professor of Psychiatry, Monash University

What is 'sundowning' and why does it happen to many people with dementia?

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The term “sundowning” is sometimes used to describe a tendency for people living with dementia to become more confused in the late afternoon and into the night.

At the outset, I should emphasise the term “sundowning” is overly simplistic, as it’s a shorthand term that can encompass a vast number of behaviours in many different contexts. When assessing changed behaviours in dementia, it’s always better to hear a full and accurate description of what the person is actually doing at these times, rather than to just accept that “they’re sundowning.”

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