BRAIN HEALTH AND RESTLESSNESS

Dementia-related restlessness, often manifesting as pacing, fidgeting, or agitation, is a common symptom stemming from cognitive decline, discomfort, or unmet needs. It frequently peaks in the late afternoon (sundowning). Effective management includes establishing routines, reducing caffeine, ensuring comfort, and using calm, empathetic communication.

Key Causes of Restlessness 

Physical Needs: Pain, infections (e.g., UTIs), constipation, hunger, or fatigue.

Environmental Factors: Overstimulation, noise, or unfamiliar surroundings.

Cognitive Decline: Confusion, fear, boredom, or frustration with tasks.

Medical Side Effects: Certain medications can increase agitation.

Management Strategies 

Create Routines: Maintain a consistent daily schedule to reduce anxiety.

Modify the Environment: Decrease noise, use calming music, and ensure proper lighting to reduce confusion.

Encourage Activity: Use physical activities like walking, or engagement through music and familiar hobbies.

Manage “Sundowning”: Limit daytime naps and caffeine to improve evening calmness.