Final answer:
When a patient is sundowning, a CNA should be especially aware of increased confusion and possible agitation at night. Symptoms can include restlessness, pacing, increased aggression, or shouting. There is an increased risk of falling, so it is important for the CNA to provide a safe environment and monitor the patient closely.
Step-by-step explanation:
When a patient is sundowning, a CNA should be especially aware of increased confusion and possible agitation at night. Sundowning is a phenomenon where patients with Alzheimer's or other forms of dementia experience heightened confusion and agitation during the evening hours. It is important for the CNA to monitor the patient closely and provide a calm and safe environment to prevent any harm or accidents.
Symptoms of sundowning can include restlessness, pacing, increased aggression, or shouting. It is crucial for the CNA to respond with patience and empathy, using non-confrontational techniques to de-escalate the situation. The CNA should also be alert to any signs of physical discomfort or pain that may be contributing to the patient's agitation.
One of the major risks for sundowning patients is an increased risk of falling. The CNA should take measures to minimize hazards and promote a safe environment, such as ensuring good lighting and removing obstacles that may cause trips or slips. Checking on the patient regularly and using assistive devices like bed alarms or bed rails can also help prevent falls.