Strategies to Deal with Sleep Problems for Individuals with Alzheimer’s

While we know many people with Alzheimer’s experience sleep problems, experts are not sure why. They only know the changes in the person’s brain somehow seem to affect sleep patterns. Studies suggest the most severe changes happen in the later stages of the disease but some people can develop problems early-on.

Types of changes include waking up at night more often and staying awake for longer periods. Brain wave studies show a decrease in both dreaming and non-dreaming sleep stages in Alzheimer’s patients. The person may feel restless and unable to lie still, resulting in behaviors like wandering or yelling and calling out. 

In the later stages of Alzheimer’s, many “individuals spend about 40 percent of their time in bed at night awake and a significant part of their daytime sleeping.” In some cases, a person may reverse their sleep pattern completely by sleeping during the day and being unable to sleep at night.  

The condition known as “sundowning” can cause a person to begin to feel agitated as dusk approaches and can go on throughout the night. Symptoms include an increase in confusion, anxiety, pacing and disorientation. Other problems triggering sleep disruptions may be from depression, restless leg syndrome, and sleep apnea. Most medical professionals including the NIH agree non-drug treatments are the safest solution as sleep medications can result in falls and other risk factors such as faster cognitive decline and outweigh their benefits.  

Measures to encourage a good night sleep include keeping routine hours for meals and bedtimes. Use the bed only as a place to sleep, and try to expose the person to morning sunlight. Daily exercise should help the person feel tired at night but do it at least four hours before bed as well as avoid caffeine, nicotine and alcohol. Ensure the person is warm or cool enough and provide security items and nightlights.   

Our memory care facility, MorningStar at San Tomas, is dedicated to caring for seniors with memory impairment diseases. Please visit our website to learn more about our community, and to contact our team with questions you may have regarding holistic memory care. We open this spring and look forward to helping you reserve a select suite for your loved one as we are now leasing and offering Early Depositor Incentives.

Source: alz.org/alzheimers-dementia/treatments/for-sleep-changes