Why is my grandfather with dementia calling for his mother in the middle of the night?

Grandpa’s Midnight Calls: Understanding Dementia’s Nighttime Confusion

If you’ve noticed your grandfather with dementia calling out for his mother in the middle of the night, you’re not alone. This behavior, known as sundowning, is common in people with dementia and can be distressing for both the person experiencing it and their caregivers[1].

Sundowning typically occurs in the late afternoon or evening and can continue into the night. It’s characterized by increased confusion, agitation, and behavioral changes. Your grandfather calling for his mother is likely a result of this phenomenon[2].

So why does this happen? Dementia affects the brain’s ability to process information and maintain a normal sleep-wake cycle. As the day progresses, your grandfather may become more tired and confused, leading to a blurring of past and present[3].

Several factors can trigger or worsen sundowning:

1. Fatigue from the day’s activities
2. Changes in lighting as night falls
3. Disruptions to the body’s internal clock
4. Unmet needs like hunger or thirst
5. Medications that affect sleep or behavior

When your grandfather calls for his mother, he may be seeking comfort or familiarity in a moment of confusion. His mind might be temporarily stuck in a past memory, causing him to call out for someone who represented safety and care[4].

To help manage these nighttime episodes:

1. Maintain a consistent routine
2. Create a calm, comfortable sleep environment
3. Limit caffeine and large meals before bedtime
4. Encourage daytime activities and exposure to natural light
5. Consider using night lights to reduce confusion in the dark

Remember, your grandfather isn’t doing this on purpose. Approach the situation with patience and compassion. Gently remind him where he is and who you are. Sometimes, simply sitting with him and offering reassurance can help[5].

If sundowning becomes severe or disruptive, consult with his doctor. They may recommend adjusting medications or suggest other strategies to manage symptoms[6].

Caring for someone with dementia can be challenging, but understanding behaviors like nighttime confusion can help you provide better support. Don’t forget to take care of yourself too – caregiver stress is real, and it’s okay to seek help when you need it.