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Rioishere, in your title you asked what is sundowning. My Dad had that. For him it would start around 4pm but he was able to remember to go to dinner, but as the night wore on, he would get more confused.
I remember a telephone call from my Dad, he was saying he was at a meeting and the meeting ran late, he missed his bus home, he will stay at the hotel. What was interesting about his call was that he had been retired for30 years.... last time he took a bus home from work was back in the 1940's... the hotel he was staying was his senior living facility. Thus, it did take me awhile to realize that one cannot correct such statements without the patient getting upset... therefore I learned to just play along.
Hi- caring for my father who fell May 15 down his porch steps (7 steep concrete steps) and suffered many injuries from the fall including a fractured C1, six broken ribs, and trauma to his head as he clearly landed on his head. He was in the ICU/hospital for a total of 74 days before being moved to rehab. When he was in the ICU they had him heavily, heavily sedated to prevent him from moving around due to his neck. In fact they used heavy medications like Haldol pretty much around the clock. He was hallucinating, didn’t know who we were, and was basically 100% confused. We brought up the possibility of him having hospital induced delirium seven. The hospital did not see very well versed in this very common vanilla, and continued to give him heavy sedating drugs despite our concerns. We brought up the possibility of him having hospital induced delirium seven. The hospital did not see very well versed in this very common, and continued to give him heavy sedating drugs despite our concerns.
After leaving the hospital for rehab/nursing center, we stopped all antipsychotic medications. His cognitive ability improved dramatically of course, and he now walks, talks and can feed himself. He gets around without any assistance.
What I do find is that since moving him into an assisted living community where he is in his own apartment (with a full assistance package) he has become very, very fearful and has episodes of extreme confusion - and obsessed and confused with the telephone (keeps dropping it and wondering why it’s not working, etc)
He will tell the other residents that his wife is upstairs not feeling well - when in fact his wife left him the year before the accident. His anxiety gets much worse at 8 pm. So, I have of course become very aware and familiar with the sundowning concept. However my question is, can the sundowning happen at different times?
I’ve witnessed similar anxiety attacks come on at different times and if he goes for a work out it helps a lot.
His neurologist seems to think that we are seeing the effects of a brain injury from his fall versus straight dementia. The neurologist seems confident that his brain is actually healing however I’ve watched him become very childlike in someways mainly in the evenings and very dependent on me. My question is can the sundown behavior happen during the day or if they are showing signs of sundowning but it’s only 1 o’clock in the afternoon for instance, does that signify something else going on? And for the record he does not have a UTI infection.
They prescribed Seroquel three times a day and a very low dose of 12.5 mg each. And it does seem to calm his anxiety down.
Any and all insisted are truly welcome. Thank you.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I remember a telephone call from my Dad, he was saying he was at a meeting and the meeting ran late, he missed his bus home, he will stay at the hotel. What was interesting about his call was that he had been retired for30 years.... last time he took a bus home from work was back in the 1940's... the hotel he was staying was his senior living facility. Thus, it did take me awhile to realize that one cannot correct such statements without the patient getting upset... therefore I learned to just play along.
Here is an article that I found here on Aging Care about sundowning: https://www.agingcare.com/articles/sundowners-syndrome-133187.htm
After leaving the hospital for rehab/nursing center, we stopped all antipsychotic medications. His cognitive ability improved dramatically of course, and he now walks, talks and can feed himself. He gets around without any assistance.
What I do find is that since moving him into an assisted living community where he is in his own apartment (with a full assistance package) he has become very, very fearful and has episodes of extreme confusion - and obsessed and confused with the telephone (keeps dropping it and wondering why it’s not working, etc)
He will tell the other residents that his wife is upstairs not feeling well - when in fact his wife left him the year before the accident. His anxiety gets much worse at 8 pm. So, I have of course become very aware and familiar with the sundowning concept. However my question is, can the sundowning happen at different times?
I’ve witnessed similar anxiety attacks come on at different times and if he goes for a work out it helps a lot.
His neurologist seems to think that we are seeing the effects of a brain injury from his fall versus straight dementia. The neurologist seems confident that his brain is actually healing however I’ve watched him become very childlike in someways mainly in the evenings and very dependent on me. My question is can the sundown behavior happen during the day or if they are showing signs of sundowning but it’s only 1 o’clock in the afternoon for instance, does that signify something else going on? And for the record he does not have a UTI infection.
They prescribed Seroquel three times a day and a very low dose of 12.5 mg each. And it does seem to calm his anxiety down.
Any and all insisted are truly welcome. Thank you.