Hannah Frazier, 87 years old, was admitted to the hospital with dehydration
Her family has been concerned with her increasing forgetfulness at home, but they are very distressed when they come to visit in the evening, and she is trying to climb out of bed and keeps screaming for help. Her daughter is very tearful because Mrs. Frazier was acting fine at lunch. What may be the explanation for this change in behavior?
a. Relocation trauma
b. Sundown syndrome
c. Reaction to medications
d. Dehydration
B
Sundown syndrome is an unexplained exacerbation of confusion in the evening and nighttime hours. Relocation (response A), medication side effects (response C), and dehydration (response D) all can increase confusion. The difference that defines this problem as sundown syndrome is the increased confusion at the end of the day.
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