When Dementia Makes Sleep Hard

As we age, our sleep needs change. Older adults need far less sleep than children, for instance. Sleep issues also increase with age. Conditions like sleep apnea or restless leg syndrome occur more often with age. Other diseases and even prescription drugs can affect sleep. These common problems, though, paired with dementia, make sleep even more difficult. Some things can help those with dementia get a better night's sleep.

Dementia and Sleep

While sleep problems are common in older adults, they're even more common in those with dementia. According to the Mayo Clinic, 25% of those with mild to moderate Alzheimer's experience sleep disturbances, while 50% of severe cases do.

Dementia is a progressive disorder that slowly affects all brain functions. This decline includes the part of the brain that regulates the body's circadian rhythm, or internal clock. This also leads to a decrease in melatonin production, the hormone that regulates the sleep-wake cycle.

Poor sleep is a problem at any age, but for those with dementia, it can lead to an increase in symptoms. Being tired can lead to increased confusion, anxiety, and agitation. For the one with dementia, a good night's sleep is important for their comfort.

What To Do During the Day

Certain routines added to the day can make sleep at night easier. Add more movement and daylight to your loved one's day. Movement can be light and gentle! An easy walk is perfect. Let them help out with chores. Even light physical activity can contribute to natural nighttime sleepiness.

Try to cut out, or at least cut down, stimulants throughout the day. Yes, that includes coffee! Be sure also to check all medications and supplements. Some prescriptions can cause sleep disturbances. There are blood pressure medications that decrease melatonin production, while some SSRIs increase alertness.

Older adults, those with and without dementia, tend to take daytime naps. Naps aren't always a problem, but they can be. Try to curb naps, especially during the afternoon or long periods of time. It's best to stick to quick cat naps.

What To Do At Bedtime

Sleep hygiene is an important factor in getting rest. Keep your loved one on schedule for bedtime and waking up - same times every day. Cut out liquids near bedtime to decrease chances of waking up for the bathroom.

Try to eliminate screens an hour before sleep. Blue light from TVs or devices can disturb melatonin production. A warm decaf beverage, a book, or soft music are better options because they aren't so stimulating.

If lifestyle changes don't help, medications can be considered. In the later stages of dementia's progression, medicine may be needed. It is best to consult a physician before starting anything over-the-counter. A doctor may also have prescription options for you.

Conclusion

Everyone needs a good night's sleep, especially those who suffer from dementia. Lifestyle changes during waking hours can help lead to a better night's sleep. Medications can be considered as well, under a physician's direction.

Is your sleep also being affected? If you are in need of overnight care for your loved one, give us a call for a free consultation. Call 240-744-0674!