Clock Change Poses Challenges for People with Dementia
As the clocks prepare to turn back an hour on October 29, many of us welcome the extra hour of sleep. However, for those living with dementia, this change can bring about unexpected challenges. The Alzheimer's Society, a leading charity supporting individuals with dementia, has issued a warning about the potential disorientation and distress that the time change can trigger for them.
Dementia is characterised by a progressive decline in brain function, with Alzheimer's disease being one of its most common forms. This condition affects memory, thinking speed, mental sharpness, and emotional regulation.
“Sundowning”
As days get shorter and the darkness sets in earlier, individuals with dementia may experience a phenomenon known as "sundowning.” This leads to changes in behaviour, often characterised by increased distress and confusion in the late afternoon. The change in time disrupts their daily routines, making it challenging to adapt sleep patterns to the darker winter mornings. It also takes longer for them to regulate their circadian biological clock compared to those without dementia.
This year's time change could also have specific challenges due to decreased sunlight hours. For individuals with dementia, interpreting light and shadows differently can lead to various reactions, such as changes in walking speed, increased anxiety, and a desire for more lighting. Setting the clock back an hour can lead to confusion about mealtimes, questions about when family members are coming home, and disruptions to sleep schedules.
Advice for Caregivers
To help caregivers navigate this transition and minimise disruption to the daily routines of individuals with dementia, the charity offers some practical advice:
- Maintaining a consistent daily routine, including meal and exercise times, can help regulate the disrupted body clock.
- Going outside in the morning or using a lightbox can assist in setting the person's body clock and promoting sleepiness in the evening.
- Avoiding sleep disruptors like caffeine and excessive napping can contribute to a smoother adjustment.
The key to facilitating an easier transition lies in validating the person's feelings and understanding their underlying needs. It's important to recognize that their responses may be rooted in their memories and experiences, making it necessary to provide the appropriate support and environment.
While the clock change may seem like a minor inconvenience for most, it's crucial to remember that for those living with dementia, it can be a significant disruption. Understanding these challenges and providing the necessary support can make a world of difference during this twice-a-year adjustment.
