Ask the doctor


Alzheimer's And Sleep

If you are the caregiver of someone withwhen giving them a night-time drink.
Alzheimer's, you may have noticed aIt is much more appropriate to keep the
change in their sleeping habits. Is thisAlzheimer's sufferer awake as long as
normal?possible during the day (though it is
People often assume that as we getoften tempting to let them sleep for
older, we need less sleep. This is truelong periods, as this gives the
for many people, but not for everyone.caregiver some time to do chores, have a
Even in old age everyone has their ownfew minutes to themselves, or even take
sleeping pattern which suits them best.a nap.
The sleep needs of an Alzheimer'sMake sure it isn't another problem that
disease sufferer may or may not change,is causing the restless nights. This
but what often happens is that theircould include incontinence, night
sleep cycle becomes reversed. In othercramps, or joint pain. Sometimes simply
words, they may sleep all day and begiving the patient two paracetamol just
wide awake at night.before bedtime can alleviate these
This isn't a problem in itself - thoughproblems, so it's worth checking out.
it can be very distressing, and tiringKeeping the Alzheimer's sufferer gently
for their caregivers. Especially if theyactive during the day is a good way of
become disruptive and noisy by movinghelping them to re-establish a sleeping
around in the main living areas actingpattern that allows them to settle again
as though it is daytime.at night.
It's very tempting to use medication toIf this proves to be unworkable, many
help the Alzheimer's disease suffererpeople use night sitting services. These
sleep at night. Though eventually it maycan be very useful as the Alzheimer's
become necessary, sedatives can oftensufferer is able to wander about closely
exacerbate their confused mental state,supervised, and the caregiver is able to
which then makes the person morehave a few nights of undisturbed sleep.
difficult to care for. It is a viciousEven if a service like this is only be
cycle.used for one or two nights a week, it
A small glass of their favoriteallows the caregiver to get some quality
alcoholic beverage is often a good idea,sleep. And a well-slept caregiver is
or perhaps a warm drink - though urinarymore likely to give good care.
incontinence may need to be considered



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