Sundowning? Sundowning? | allnurses


  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. Visit  eeffoc_emmig profile page
    #1 0
    I have only heard that term and observed the behavior in geriatrics. May I ask what the patient's diagnosis is?
  4. Visit  chevyv profile page
    #2 1
    Never seen it in peds, but I don't work peds. Now in geriatrics.....lots and lots!
  5. Visit  CloudySue profile page
    #3 1
    With peds, change in mood to me suggests crankiness r/t nap time or bedtime!
  6. Visit  caliotter3 profile page
    #4 0
    Can't say that I've ever encountered this in ped hh.
  7. Visit  xoemmylouox profile page
    #5 0
    Not with Peds. Geriatrics all the time.
  8. Visit  systoly profile page
    #6 0
    Quote from xoemmylouox
    Not with Peds. Geriatrics all the time.
  9. Visit  Adele_Michal7 profile page
    #7 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.

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  10. Visit  caliotter3 profile page
    #8 0
    Good sleuthing. All those reasons sound like good possibilities.