University of North Dakota UND Scholarly Commons Nursing Capstones Department of Nursing 2-4-2018 Sundowning Behavior and Nonpharmacological Intervention Migmar Wangchuk Follow this and additional works at: https://commons.und.edu/nurs-capstones Recommended Citation Wangchuk, Migmar, "Sundowning Behavior and Nonpharmacological Intervention" (2018). Nursing Capstones. 276. https://commons.und.edu/nurs-capstones/276 This Independent Study is brought to you for free and open access by the Department of Nursing at UND Scholarly Commons. It has been accepted for inclusion in Nursing Capstones by an authorized administrator of UND Scholarly Commons. For more information, please contact
[email protected]. Running head: NON-PHARMACOLOGICAL INTERVENTION FOR SUNDONWING 1 Sundowning Behavior and Nonpharmacological Intervention Migmar Wangchuk Master of Science in Nursing, University of North Dakota, 2018 An Independent Study Submitted to the Graduate Faculty of the University of North Dakota in partial fulfillment of the requirements for the degree of Master of Science Grand Forks, North Dakota January 2018 NON-PHARMACOLOGICAL INTERVENTION FOR SUNDOWNING BEHAVIOR 2 Abstract Dementia patients commonly experience sundowning behavior which includes the following symptoms: restlessness, agitation, aggression, anxiety, swearing and confusion (NIH, 2013). Bachman and Rabins (2005) claim that in the U.S., 13% of dementia patients who experience sundowning behavior live in nursing homes and 66% live in community dwellings. Disruptive behaviors can burden caregivers and eventually institutionalize clients. The etiology of sundowning behaviors is unknown and there may be multiple factors such as, unmet physiological, emotional and psychological needs (NIH, 2013). American Psychiatric Association (APA) guidelines (2014) for the treatment of dementia recommend the use of psychosocial interventions to improve and maintain cognition, mood, behavior and quality of life.