While we know many people with Alzheimer’s disease 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.
At MorningStar at Bear Creek, a memory care assisted living community in Colorado Springs, we have 48 suites devoted to the care of those with Alzheimer’s disease and other types of dementia. Our holistic care is individualized for each resident and designed to stimulate or calm in response to a particular mood or situation. Each day is filled with activities that incorporate music, dance, art, aromatherapy, or animals to heal and comfort residents. Please contact us or visit our website for more information.
MorningStar is guided by a culture rooted in our mission of honoring God, valuing seniors, and investing in our team, which allows us to deliver services with warmth, sincerity and depth of purpose. We have built a reputation for creating homes filled with an atmosphere of love and community. Please contact us to learn more about our memory care assisted living in Colorado Springs.
Source: alz.org/alzheimers-dementia/treatments/for-sleep-changes
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