Living with Dementia Part 6- Disorientation [Video]

Understanding Disorientation to Time
1. Loss of Circadian Rhythm:
Individuals with dementia often experience disruptions in their circadian rhythms—the internal clock that dictates sleep-wake cycles. This disruption can lead to confusion between day and night, affecting when they feel awake or sleepy.

2. Environmental Cues:
Lack of exposure to natural light and inadequate engagement during the day can exacerbate disorientation. Without these cues, maintaining a normal daily routine becomes challenging.

Impact on Behavior
1. Increased Agitation and Anxiety:
The inability to distinguish day from night can lead to increased levels of agitation and anxiety. This confusion can make the evenings particularly difficult, a phenomenon often referred to as “sundowning.”

2. Sleep Disturbances:
Irregular sleep patterns are common, with individuals potentially becoming active during the night and sleepy during the day. This reversal of sleep times can disrupt household routines and increase the caregiving burden.

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