Sundowning?

  1. 0
    I'm sure many of you are familiar with the term "sundowning."

    Has anyone observed this phenomenon in the pediatric home care population? Is that possible? I know it's more commonly associated with Alzheimer's patients.

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  2. 8 Comments...

  3. 0
    I have only heard that term and observed the behavior in geriatrics. May I ask what the patient's diagnosis is?
  4. 1
    Never seen it in peds, but I don't work peds. Now in geriatrics.....lots and lots!
    NutmeggeRN likes this.
  5. 1
    With peds, change in mood to me suggests crankiness r/t nap time or bedtime!
    dirtyhippiegirl likes this.
  6. 0
    Can't say that I've ever encountered this in ped hh.
  7. 0
    Not with Peds. Geriatrics all the time.
  8. 0
    Quote from xoemmylouox
    Not with Peds. Geriatrics all the time.
    ditto
  9. 1
    Thanks for the replies, all.


    After talking to the PCG and another nurse on the case, I think this behavior is more closely related to one of the following:

    1.) side effects related to Keppra (pt has been on Keppra about 2 years and this behavior started shortly after.)

    2.) Possible DX of depression

    3.) Related to the family stopping all interaction shortly after patient was trached.

    Sent from my iPhone using allnurses.com
    systoly likes this.
  10. 0
    Good sleuthing. All those reasons sound like good possibilities.


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