امرأة عمرها ٨١ سنة عندها زهايمر، تعيش في دار رعاية. في الصباح هادئة، لكن قرب المغرب تصير مضطربة ومشوشة أكثر، وتمشي في الممرات وتحاول الخروج. لا توجد حرارة أو ألم أو احتباس بول. أي تدخل مناسب؟

An 81-year-old woman with Alzheimer’s lives in a care home. She is calm in the morning but near sunset becomes more agitated and confused, wandering the corridors and trying to leave. There is no fever, pain or urinary retention. Which intervention is appropriate?

1. Restraining her in a chair until she settles
2. Turning the lights off early so she sleeps
3. A steady routine, good lighting and calm evening activities
4. A strong sleeping pill every evening without assessment

Answer: C) A steady routine, good lighting and calm evening activities. Sundowning is common in dementia. Routine, good lighting, less noise, daytime activity and addressing pain and thirst help. Sedatives and restraints increase confusion and falls.