مريضة خرف في دار رعاية يزيد هياجها وتشوشها كل يوم مع الغروب. ما أنسب تدخل؟

A nursing-home resident with dementia becomes more agitated and confused each day at dusk. Which intervention is best?

1. Restraining her in bed from late afternoon until morning
2. More daytime naps so she is calmer in the evening
3. A consistent daily routine and good lighting in the evening
4. Changing her room often to stimulate her memory

Answer: C) A consistent daily routine and good lighting in the evening. Sundowning eases with a consistent routine, good lighting that reduces frightening shadows, and daytime activity. Restraint increases agitation, long daytime naps disrupt night sleep, and moving rooms increases confusion.