While medication can be prescribed to treat specific symptoms, other efforts may be successful in minimizing the issues, such as:
Observing what a person’s triggers are. Watch to see if symptoms appear when the person is tired or at a certain time of the day.
Maintaining a routine is incredibly important. Structuring activities throughout the day can help keep the internal clock in sync. It’s a good idea to keep the first half of the day busy while the second half of the day can be used for relaxation and winding down close to bedtime to promote better rest at night.
Skipping naps during the day.  Sleeping only at night can help keep the internal body clock in sync.
Managing the sleep environment. keep it simple and without added stimulation. Night lights may be helpful to deter disorientation that can occur in complete darkness.
Using distractions. A favorite object, snack, or activity may be able to keep some of the symptoms at bay. There’s no benefit to arguing about the reality of the situation, so see if you can get the person to focus on something else for a bit.
Implementing light therapy. Since symptoms have a lot to do with light exposure, light therapy keeps the person’s internal body clock and hormone levels at consistent and healthy levels.
People with dementia will often be aware that something isn’t right with their behavioral patterns. Paying attention to behavior changes may help caregivers prevent sundowning episodes and plan daily routines accordingly.
Many patients with sundowning symptoms are also dealing with Alzheimer’s Disease or dementia. Underlying conditions can add to the confusion, anxiety, and disorientation that these symptoms cause. Sticking to a consistent routine is extremely beneficial