Sundowning Trigger Tracker for Activity Directors | Fillable PDF for Memory Care & Dementia Programming

Help your seniors experience calmer evenings with the Sundowning Trigger Tracker — an 8-page fillable PDF designed for activity directors, life enrichment coordinators, and memory care professionals working with residents living with Alzheimer's, dementia, and related cognitive conditions.

Sundowning episodes don't happen in a vacuum. Lighting, noise, sugar intake, nap length, medication timing, weather, visitors, and afternoon activity choices can all play a role — and those triggers look different for every resident. This tracker gives your team a structured, repeatable way to record what's happening before and during an episode so patterns become visible over days and weeks instead of staying hidden in shift-change shuffle.

Perfect for activity professionals who want to coordinate with nursing, family members, and the interdisciplinary care team using real observational data — not guesswork.

What's Inside (8 Pages)

• Cover & Overview — explains the purpose of pattern tracking
• How to Use Guide — when to fill it in, what to look for, accuracy tips for shared use
• Daily Log (4 pages) covering:
  • Episode time, duration, severity (1–10 scale), and behaviors observed
  • Lighting & environment between 2–4 PM
  • Noise, stimulation, and visitor activity
  • Food, sugar, caffeine, and hydration tracking
  • Medication timing, pain, illness signs
  • Sleep quality and nap patterns
  • Physical activity and outdoor time
  • Emotional and social context
  • Temperature and physical comfort
  • What helped vs. what made it worse
  • Caregiver notes and observations
• Weekly Pattern Summary — analyze 7 days of logs to spot trends
• Activity Interventions Tried — checklist of evidence-informed calming strategies organized by category (lighting, sound, comfort, movement, verbal reassurance, redirection, touch, and medical)

• 📱 Fillable on Any Device

  This is a true fillable PDF — no printing required unless you want to.

  • ✅ Fill it in on iPad, iPhone, or Android using the free Adobe Acrobat Reader app
  • ✅ Fill it in on a desktop or laptop directly in your web browser (Chrome, Edge, Safari, Firefox)
  • ✅ Print it for clipboard use at the nurses' station or in resident rooms
  • ✅ Save and share completed logs with care team members, family, or physicians
  • ✅ Reuse forever — print or duplicate as many copies as you need for your community

• Great for shift handoffs, IDT meetings, family conferences, and physician appointments.

  Who This Is For

  • Activity Directors and Life Enrichment Coordinators
  • Memory Care Program Managers
  • Assisted Living and Skilled Nursing activity staff
  • Adult Day Program coordinators
  • Dementia care consultants and educators
  • Family caregivers working alongside professional staff

• ⚠️ Important Disclaimer

  This tracker is an observational and programming tool, not a medical device or diagnostic instrument. It is not intended to diagnose, treat, cure, or prevent any medical condition. It does not replace clinical assessment, medical advice, or care from a licensed healthcare professional. Any concerning changes in behavior, cognition, or health should be reported to the resident's physician or nursing team. Always follow your community's policies, your state regulations, and your scope of practice when documenting resident behaviors.