Dementia and sleep patterns
Sundowning is a term used to describe restlessness, confusion, agitation and anxiety, which often occurs in dementia patients, as the sun sets and it becomes dark outside. This, and other sleep disturbances, caused by a combination of old age and dementia, can have a detrimental impact on the wellbeing of your loved one. Find out more on how to help a dementia patient have a restful night’s sleep.
The link between dementia and sleep patterns
There are several causes that impact the sleep pattern of someone diagnosed with dementia. These include physical and mental exhaustion, reduced lighting and shadows which create confusion, inability to separate dreams from reality, as well as medication, low mood and more. Dementia can also upset a person’s internal body clock. When it comes to creating healthier sleep patterns, additional support for dementia patients with Lewy Body and Parkinson’s disease might be required, as they are at a higher risk of sleep disturbances. It’s important to consider your own wellbeing – many patients can pick up on their caregiver’s exhaustion or frustration, causing more confusion and anxiety.
Insomnia and dementia: how you can help
If you find a dementia patient to be awake and in distress, there are a few ways to help them feel assured enough to get back to sleep. Firstly, avoid disagreements or conversations that will make them even more agitated, be calm and patient in your approach. Provide reassurance that they are in a safe space, remind them of the time and find out if there is anything they need. You should absolutely avoid using physical restraint. Instead, supervise them if they wish to pace and, again, provide a caring environment, so they can eventually get back to sleep.
Supporting patients in dementia care and maintaining healthy sleep patterns
Sleeping and dementia are closely linked and having a good night’s slumber will improve their quality of life. Try looking after your loved one by implementing simple strategies to aid a restful night for both of you. First of all, it helps to identify the cause of sleep disturbance, so you can address it directly. Keep a familiar environment by surrounding them with photographs and cherished objects, wherever they are. Make sure their room is comfortable to sleep in, has the appropriate temperature and eliminates noise or bright lights. Stick to light snacks instead of heavy meals before bedtime and eliminate caffeine in the afternoon and evening. Provide support for dementia patients by keeping them engaged and active during the day and keeping a regular routine, so they sleep at night, not during the day. Consider a clock that shows day and night time next to their bed, accommodate to their toilet habits/continence aids. You could also use a night light and, if they need to get up, ensure the toilet is well lit and there aren’t any objects they could trip over. Finally, you could try putting on some relaxing music they enjoy, encourage them to have a bath or shower, or a warm drink that will help them settle in for bedtime.
If sleep disturbances persist or you suspect the dementia patient has become depressed, do seek help from a GP.
