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Patients with cognitive impairment are often most sensitive to sensory overload during the late evening. This sensitivity can be attributed to a combination of factors, including fatigue, decreased cognitive functioning as the day progresses, and potential disruption of circadian rhythms. As the day wears on, these patients may become overwhelmed by stimuli such as noise, light, and activity, leading to increased agitation or confusion.

In the late evening, individuals may also experience heightened distress due to the fading light and increased shadows, which can be disorienting. This time may coincide with the winding down of daily activities, resulting in a transitional period that can be challenging for those with cognitive impairments. Ensuring a calming environment during this time can help reduce the potential for sensory overload and promote a sense of safety and security.