Etiology and Treatment
Physiology & Physiology
sundowning affliction: etiology and treatment
An escalation in disruptive behaviours in the late evening and early evening between institutionalized sufferers suffering from dementia and Alzheimer's disease has become a recognized phenomenon for over 6 decades (Bachman & Rabins, 2006). The time of the start disruptive behaviors has led to contacting this phenomenon sundowning, sundowning syndrome, and nocturnal delirium. Symptoms customarily associated with sundowning include improved motor activity, confusion, shouting, aggression, wandering, agitation, and anxiety (Scarmeas, Brandt, Blacker, Albert, & Hadjigeorgiou, 2007). In spite of this kind of long history, and a general consensus among clinician and medical books that sundowning is real, there is continue to a substantial amount of controversy among research workers whether it's more illusion than fact. The controversy arrives in part to the lack of a consensus description for sundowning. (Cohen-Mansfield, 2007) cites 3 different definitions in order to spotlight this lack of consensus: (1) " a syndrome of recurring confusion and elevating levels of frustration, which coincide with the onset of late evening and early on eveningвЂќ, (2) " the onset of exacerbation of delirium during the night time or nighttime, with improvement or disappearance of delirium during the dayвЂќ, and (3) " an exacerbation or appearance of symptoms indicating increased arousal or disability in late evening, evening or at night among elderly, demented individualsвЂќ (p. 396). These kinds of definitions disclose some of the differences that carry on and plague this place of research, including if to include nighttime episodes, which usually symptoms fit under sundowning, and if dementia is known as a prerequisite. These types of conceptual dissimilarities manifest themselves in various ways as sundowning research moves along, thus extending the controversy. (Bachman, & Rabins, 2006) In an attempt to make a...
References: Vance, D. At the., & Cowan, R. And. (2004). Activity therapy as being a vehicle intended for resetting the biological rhythm in adults with Alzheimer's disease. Activities, Adaption & Aging, 28. Recovered from http://www.informaworld.com/smpp/ftinterface~content=a903239629~fulltext=713
Scarmeas, D., Brandt, J., Blacker, G., Albert, Meters., & Hadjigeorgiou, G. (2007). Disruptive dehavior as a predictor in Alzheimer's disease. Archives of Neurolgy, 64. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690610/
Sterniczuk, R., Dyck, Ur. H., LaFerla, F. M, & Antle, M. C. (2010). Characterization of the 3xtg-ad mouse model of alzheimer is disease: part 1 . Brain Research, 1348. Retrieved by http://www.ncbi.nlm.nih.gov/pubmed/20471965
Volicer, L., Harper, D. G., Manning, N. C., Goldstein, R., & Satlin, A. (2001). Sundowning and circadian rhythms in alzheimer is actually disease. American Journal of Psychiatry, 158, 704-711.
Cohen-Mansfield, J. (2007). Temporal habits of frustration in dementia. American Record of Psychiatry, 15, 395-405.
Bachman, G., & Rabins, P. (2006). Sundowning and other temporally affiliated agitation claims in dementia patients. Twelve-monthly Review of Medicine, 57. Gathered from http://cursa.ihmc.us/rid%3D1GM097FD0-1SFSKL8-1FVH/sundowning.pdf