What is a recommended action to reduce sundowning syndrome in a client with Alzheimer's disease?

Providing the client with a relaxing backrub at bedtime is recommended to reduce sundowning syndrome in individuals with Alzheimer's disease. Sundowning refers to increased confusion, agitation, and restlessness that can occur in the late afternoon and evening hours. Creating a calming bedtime routine can help ease anxiety and promote relaxation, making it easier for the patient to transition to sleep. A backrub can be soothing and serve as a form of tactile comfort, which may alleviate some of the distress and agitation associated with sundowning.

Engaging in soothing activities, like a backrub, aligns with the need to create a peaceful environment during the more challenging times of the day for individuals with Alzheimer's. The act of physical touch in a non-threatening manner can also foster a sense of security, potentially decreasing agitation and enhancing overall well-being.

On the other hand, increasing physical activity in the evening may actually lead to heightened energy levels and further disrupt the sleep-wake cycle, potentially exacerbating symptoms of sundowning. Limiting vitamin intake does not directly address the emotional or psychological causes of sundowning and may not provide any benefit to the client's comfort in this context. Similarly, reducing room temperature could lead to discomfort if the individual prefers a warmer environment, which might