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Sundowning can last for varying durations, typically occurring in the late afternoon or early evening and continuing until bedtime. The symptoms may last from a few hours to several hours, and the intensity can fluctuate from day to day. In some cases, it may persist for several months or longer, depending on the underlying condition, such as Alzheimer's disease or other forms of dementia. Managing the environment and routines can help reduce the duration and severity of sundowning episodes.

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Precaution in sundowning refers to proactive measures taken to minimize the effects of increased confusion and agitation in individuals, particularly those with dementia or Alzheimer's disease, during the late afternoon and evening. These precautions can include establishing a calming routine, ensuring adequate lighting to reduce shadows, and minimizing noise and distractions. Additionally, engaging individuals in calming activities and providing reassurance can help manage their anxiety and confusion during this challenging time.