What behavior is Mrs. Dowling exhibiting when she becomes agitated in the evening?

Mrs. Dowling's agitation in the evening is indicative of sundowning, a phenomenon often observed in individuals with dementia or other cognitive impairments. Sundowning typically occurs when confusion and agitation increase in the late afternoon or evening, leading to restlessness or behavioral changes. During this time, individuals may experience heightened anxiety or difficulty distinguishing between day and night, which can result in increased agitation or confusion. Recognizing sundowning is important for caregivers, as it allows them to implement specific strategies to help alleviate discomfort during these times. This may include providing a calming environment, engaging the person with activities that promote relaxation, or ensuring they receive adequate lighting and routine to establish a sense of security as evening approaches. Understanding and addressing this behavior can significantly help in managing care for individuals like Mrs. Dowling.