Homecare for Dementia: Best Practices for Compassionate Support

Caring for a loved one with dementia at home is one of the most meaningful responsibilities a family can take on. It brings moments of deep connection, but it also presents unique challenges, especially during the late afternoon and evening hours when sundowning becomes more noticeable. Sundowning refers to the increase in confusion, agitation, or restlessness that often appears between 3 PM and 7 PM. Studies show that nearly 20 percent of people with Alzheimer’s experience these symptoms, and this can make evenings stressful for both patients and caregivers.

At OllieCare, we believe that compassionate support and the right caregiving approach can bring comfort, safety, and peace to your loved one. The following practices can help families manage dementia symptoms more effectively while creating a calm and reassuring environment at home.

Five Best Practices for Compassionate Dementia Homecare

1. Maintain a Consistent Daily Routine

People living with dementia feel more secure when their day follows a familiar pattern. A steady routine reduces confusion and helps regulate the sleep and wake cycle. It is helpful to keep similar times for meals, medication, bathing, and other activities. Plan active or mentally demanding tasks in the morning when the mind is at its best and keep the later part of the day for quieter and more relaxing activities. This simple structure can reduce frustration and emotional overwhelm.

2. Improve Lighting to Reduce Confusion

Lighting plays a major role in how safe and comfortable a person with dementia feels. As daylight fades, shadows can increase confusion and make it harder for them to understand their surroundings. Using bright and evenly distributed lighting during late afternoons helps maintain clarity. Soft night lights in hallways, bathrooms, and bedrooms add reassurance and prevent nighttime accidents.

3. Reduce Evening Stimulation

As the day progresses, the brain becomes more tired and sensitive. Too much noise or activity in the evening can cause irritation or trigger agitation. Keeping the environment calm is important. Try to limit visitors during the later part of the day. Lower background noise, keep the television volume soft, and avoid fast paced or emotionally intense programs. Speak gently and slowly, one person at a time, so your loved one does not feel overwhelmed.

4. Encourage Calming Activities Before Sunset

Engaging in soothing activities before sundown can help maintain emotional balance. Soft music, especially familiar songs from earlier years, has a comforting effect. Gentle physical activities such as a short walk or simple stretching can help release tension without causing fatigue. Folding towels, organizing small items, or other simple tasks can also provide a sense of purpose. A warm blanket or a gentle hand massage can add a feeling of safety and relaxation.

5. Address Physical Needs Promptly

Sometimes restlessness is simply a response to an unmet need. Individuals with dementia may not always be able to express discomfort clearly. Regular checks for hunger, thirst, bathroom needs, or pain can prevent agitation. Make sure the room temperature is comfortable and clothing is not tight or irritating. Encourage hydration throughout the day and limit fluids in the evening to avoid sleep disruptions.

Supporting the Caregiver

Caring for someone with dementia requires emotional strength and patience. It is important for caregivers to care for themselves as well. Keeping notes on daily patterns can help identify what triggers sundowning. Short breaks, light exercise, and simple relaxation techniques can reduce stress. Connecting with support groups can also provide emotional comfort and valuable advice. When caregiving becomes overwhelming, respite care is a helpful option. It allows families to rest while ensuring their loved one receives professional support.

Compassionate Dementia Homecare with OllieCare

Supporting a loved one through dementia is like guiding them gently through the evening hours of the day. Calmness, reassurance, and thoughtful care can transform confusion into comfort. At OllieCare, our trained caregivers offer dedicated dementia support that focuses on safety, dignity, and emotional well-being. Whether you need daily assistance, help during evenings, or occasional caregiving support, we are here to bring peace and comfort to your home.

OllieCare is committed to delivering care with empathy, patience, and heart.