Sundowning from the heart

Bakerst

Registered User
Mar 4, 2022
319
0
I don't know if it shows different symptoms in different people, but Hubby would start saying he was cold, felt ill and had pain all over, at the same time every evening. I had a feeling it was anxiety, maybe being frightened of not knowing or recognising anxiety. I got in touch with the dementia nurse and he arranged for anti anxiety medication for Hubby..GP didn't have a clue. The medication has really helped. Thank you Nurse ?
 

Sue.s

New member
Mar 14, 2022
1
0
I don't know if it shows different symptoms in different people, but Hubby would start saying he was cold, felt ill and had pain all over, at the same time every evening. I had a feeling it was anxiety, maybe being frightened of not knowing or recognising anxiety. I got in touch with the dementia nurse and he arranged for anti anxiety medication for Hubby..GP didn't have a clue. The medication has really helped. Thank you Nurse ?
I hope you don’t mind me asking, but what medication did the GP recommend?
 

Bakerst

Registered User
Mar 4, 2022
319
0
I hope you don’t mind me asking, but what medication did the GP recommend?
Sorry so late, GP sent sleeping tablets, but when I read the side effects I didn't give them to him, the alzheimer's nurse said I was right, they would make him more confused and unsteady..he had already fallen a couple of times at night. We started with 30mg Mirtazapine at bedtime, which helped a little with his sleep then was given 25mg of Trazodone to take at tea time, which helped him relax a bit more in the evening. We still have a few episodes, but only when he has stressed about something..visitors or having to go somewhere that's not in the norm. Hope it helps. My best wishes to you
 

Shedrech

Registered User
Dec 15, 2012
12,649
0
UK
hello @Sue.s
just to offer a warm welcome to DTP
now you've joined us, do keep posting ... maybe start your own thread to write whatever is on your mind ... sharing experiences helps
 

blueorchid

Registered User
Feb 18, 2016
85
0
Thank you for sharing this. It's so very useful and valuable to read. It's helped me enormously to understand what is happening with my Mum.
 

Maxxie

Registered User
Jul 21, 2022
12
0
Hi @Norrms, My OH has PDD and I've been reading your many informative posts which are very helpful to me in understanding to some extent this horrible disease, but how could anyone who doesn't have it? Sundowning is a huge issue with my man, every afternoon and often into the early part of the night - upending furniture (not angrily, just being 'helpful'), removing covers off chairs, putting plates in the freezer, going through wardrobes and souveniring whatever takes his fancy and disposing of it at the next place he finds something that takes his interest etc. No amount of diversionary tactics work on this 'man with a mission'.
I was wanting to find out as much as I could about why and what drives this activity and noticed you mentioned this briefly in your 'All you wanted to know but they didn't tell you' post, but wondering if the article in this thread elaborated on the subject. However the newspaper link (to your article) is now inoperative, and if you have a copy, are you able (copyright etc), and if so could you please post it for those of us wanting to know more, and what to do to help? My man gets so confused and manic during this period but has a sensitivity to most drugs so meds usually cause unwanted reactions. He has low BP and visio-spatial issues and subject to falls - but still persists.
Thank you for keeping us so well informed, it is very much appreciated.
 

Norrms

Registered User
Feb 19, 2009
5,631
0
Torquay Devon
Your very welcome , hope this helps xxxxxxxxx

These are the things YOU always wanted to know about dementia, but THEY were too AFRAID TO TELL YOU,



Norrms (Living With dementia myself)



Those with dementia MAY, and I have to STRESS, “MAY” show some of these symptoms



1. Confusion and repeated questions are very common, please remember they are not doing this to “WIND YOU UP” Every time they ask the question it is the very first time they have asked it, according to them.



2. Swearing and Anger, even though they may have never have sworn in their life, they have heard people swear many many times during their lifetime, they know the words and are very familiar with them, so don’t be so shocked, this may be a form of release because their inhibitions have changed.



3. Inhibitions, talking of which, some may start to walk around completely naked in front of others with no conscience whatsoever, they may also start to speak their mind and say exactly what they are thinking and feeling. They may be a lot sharper in tone, than usual, and lose their temper so quickly, all born out of frustration.



4. Violence, is a very tricky one but has to be spoken about, even the mildest mannered of people MAY lash out at loved ones and strangers at times, they may bite, scratch, nip punch, spit at you, kick out, or worse, please remember it’s not them, but the disease.



5. Incontinence, believe it or not SO MANY Drs etc DO NOT talk about this when giving a diagnosis, yes it does happen to all, but to those it does, it has a HUGE effect on everyday life. Always starts with small accidents, small damp patches etc and increases. Please remember the signal from the Bowel./ the bladder has been disrupted and cant tell the brain when they need to pee or poo. In all honesty, if they KNEW what was happening they would be MORTIFIED as would you, SO NO NEED TO CHASTISE AT ALL !!



6. Frustration, Imagine KNOWING you have this disease as in Lewy bodies and KNOWING there is no cure, no remedies, and the chance is, you will forget ALL that you hold dear but you can do absolutely NOTHING about it. ?? Wanting to scream and shout is a huge understatement and why it often happens for no apparent reason.



7. Speech, the loss of coherent speech is so familiar in some people with dementia, one of the most common is having a conversation with you that makes absolutely no sense whatsoever to you, but please remember, it does to them, and please also REMEMBER THIS, if you listen to them very carefully, sometimes, just sometimes you will hear the word “Thirsty” “Hungry” or “Painful ” repeated. This could help you understand a little more.



8. OUTBURSTS, A very important one, this can be caused by noise, or life, in general, being so busy around them, supermarkets shops etc, the volume of peoples voices is sometimes magnified a thousand times to people with dementia so its sounds absolutely deafening causing the person with dementia to shout SHUTUP !! Or worse !! Sometimes causing them to RUN out of the shop and try and escape to only they know where.



9. Wandering, The MOST important thing to remember is, that people with dementia never ever get lost!!! THEY know EXACTLY where they are going!! They just haven’t told you !!! They will often try all sorts of tricks to get out of the house, and please don’t be fooled into thinking because of their age or frailty they cant get far. NO ONE KNOWS where they get the strength from to walk such distances but they can, and please don’t forget they have bus passes and can use them. We had a lady from Torbay who was found in Scunthorpe thanks to her bus pass, never EVER underestimate those with dementia.



10. Hallucinations, Hallucinations are NOT DREAMS or NIGHT TERRORS lets get that out of the way first.



Hallucinations are usually connected with those who have Lewy Body, but people with Alzheimer’s and particularly vascular dementia because of lack of oxygen to the brain will, or may suffer from these (I will NOT apologise for using the word suffering because if anybody has them like i myself do believe me they are suffering!!) Day or night these can happen, it may, to you, like they are talking to themselves or wanting to chase people, in some cases they will kick and punch as if shadowboxing, you will not be able to see who they are doing this to? But believe me, it is so VERY REAL to them.



11. NIGHT TERRORS, Imagine your worst fear being played out right in front of your eyes, imagine the horror unfolding in front of you, piercing screams, grotesque faces, and being`s, clawing at you, biting you, then multiply this by 100,000! and you have a night terror. Also, imagine not being able to wake from this as it seems neverending.



Then imagine this happening every 30 mins of every night of every week? Hard I know but this is how bad it can get.



12. Feelings. This is a tough one, but I have seen with my very own eyes the hurt it brings when you may visit a loved one and they are holding hands, or have arms wrapped around a complete stranger in a care setting and don’t recognize you. You may well have been with this person a LIFETIME but please beware, this happens more regularly than some places care to admit.



13. Spatial awareness Is the person stumbling? Staggering like they are drunk for no apparent reason? Do the FALL “Upstairs” or downstairs? Banging their toes on doors, beds, etc? Are they missing the step down on the pavement, or more importantly walking into the road with no fear of oncoming Traffic?? This is because what you see they don’t, once again the signal from the eyes to the brain is distorted and wavey, this cause to see things very differently and miss the most important bits, very similar to having blind spots for all you drivers out there.



14. LOSS of APPETITE ?? or NOT ?? because of that signal (ONCE AGAIN) to the brain from the stomach and eyes not working properly some with Dementia may want to eat more as they have forgotten they have just had their meal. “What if they eat a lot? I hear you cry? “They must feel full I hear you say” but HOW can they feel full if the signals not working and they still feel starving ?? So you see, not their fault, they are not at fault at all because of this awful disease. Then there is the quandry of those not eating or drinking enough. this can be caused by many things but sometimes it really is just a case of putting water into a yellow cup or container, placing a small meal on a yellow plate instead of white, and doing the same with tea and coffee. People with dementia can sometimes see right through clear glasses and don’t see what's in front of them, we have proof this works on our other website.



15. Sundowning !!! And LAST but Certainly not LEAST? SUNDOWNING !! I would personally put this on the school curriculum if I had the chance !! Sundowning is easier to understand than you think, it does exactly what it says on the tin !! AS the sun goes down the person with dementia gets worse, becomes more confused, more agitated, and more frustrated, it really is as simple as that !! And what is, even more, simpler to help you and others including professionals, is to, QUITE SIMPLY change all their appointments with Drs, dentists, podiatrists, consultants, etc, to MORNING Appointments so the person with dementia is in a better place, it a lots easier on you to manage and the Drs etc don’t have a hard time treating then either, you see? It’s not that difficult, is it?

These are just 15 points of what you MAY come to expect after a diagnosis of dementia, WHY don’t they tell you this? and WHY has it taken so long to be told this? especially by a person who is LIVING with this disease ?? I have NO IDEA !!
 

Norrms

Registered User
Feb 19, 2009
5,631
0
Torquay Devon
Hi @Norrms, My OH has PDD and I've been reading your many informative posts which are very helpful to me in understanding to some extent this horrible disease, but how could anyone who doesn't have it? Sundowning is a huge issue with my man, every afternoon and often into the early part of the night - upending furniture (not angrily, just being 'helpful'), removing covers off chairs, putting plates in the freezer, going through wardrobes and souveniring whatever takes his fancy and disposing of it at the next place he finds something that takes his interest etc. No amount of diversionary tactics work on this 'man with a mission'.
I was wanting to find out as much as I could about why and what drives this activity and noticed you mentioned this briefly in your 'All you wanted to know but they didn't tell you' post, but wondering if the article in this thread elaborated on the subject. However the newspaper link (to your article) is now inoperative, and if you have a copy, are you able (copyright etc), and if so could you please post it for those of us wanting to know more, and what to do to help? My man gets so confused and manic during this period but has a sensitivity to most drugs so meds usually cause unwanted reactions. He has low BP and visio-spatial issues and subject to falls - but still persists.
Thank you for keeping us so well informed, it is very much appreciated.
Have replied please see below and hope it helps xx