Although widespread medications can temporarily increase the sleep disturbances of older adults, a number of numerous studies have found that prescription drugs usually do not improve overall ratings of sleep quality in more mature people, whether you live in their homes maybe in residential care. Thus, the procedure features about using sleep medications in those with dementia might not exactly outweigh the potential for loss. To boost sleep late these individuals, the U.S. National Institutes of Health (NIH) has encouraged technique nondrug measures described below instead of medication therapy unless the sleep disturbance is clearly related to a treatable medical condition. It’s important that this person experiencing insomnia be professionally assessed for medical or psychiatric causes for that sleep disturbance before applying any drug or nondrug interventions.
A number of nondrug treatments for insomnia have been shown to function in older adults. These treatments, which aim at improving sleep routine as well as the sleeping environment and reducing daytime sleep, are widely suited to use in those with Alzheimer’s disease. To create an inviting sleeping environment and promote rest for a person with Alzheimer’s:
- Maintain regular times for sleeping and arising.
- Generate a comfortable, secure sleeping environment. Focus on temperature and supply nightlights and/or security objects. Keep bedroom dark, quiet along with a little cool to find the best results. Re-locate any mirrors from your bed avoiding disturbing light reflection.
- Follow rituals that help you relax every night before bed. This could include specific things like a warm bath, an easy snack or possibly a short while of reading.
- Avoid wherever possible emotionally disturbing activities for a lot of hours before sleep time, like reading horror books, listening current events on radio, planning for uncomfortable phone conversation, etc.
- Don’t take your worries to bed. Bedtime is really a time and energy to relax, never to discuss the stresses during the day.
- Don’t relax in bed while awake; avoid utilizing bed for activities aside from sleep or intimacy.
- Should you awaken during the night, tend not to watch television.
- Overall, keep daily TV experience of a nominal amount, especially from the four-hour period before bedtime.
- Establish regular meal times.
- Usually do not hit the sack on empty stomach, once you learn that hunger may wake you up in the middle of night. However, stay with light meals only not to ever load your digestion to work hard during the night.
- Avoid alcohol, caffeine and nicotine. Caffeine in soda, tea, coffee or other products may promote sleeplessness, and alcohol can contribute to confusion and anxiety.
- Avoid excessive evening fluid intake and empty the bladder before retiring.
- Avoid daytime naps if you are having difficulty sleeping in the evening. When you must snooze, limit some time to lower than one hour no later than 3 p.m.
- Treat any pain symptoms.
- Seek morning sunlight exposure. Light therapy which has a specialized light box could possibly be helpful, too.
- Participate in regular daily exercise, but no later than 4 hours before going to bed.
- For cholinesterase inhibitors (tacrine, donepezil, rivastigmine or galantamine), avoid nighttime dosing.
- Administer drugs such as selegiline which could have a stimulating effect no later than 6 to 8 hours before going to bed.
- If sleep-disordered breathing is suspected, consider continuous positive airway therapy. This therapy necessitates the use of a unit that supplies the affected person that has a continuous stream of air. Research has shown this therapy to reach your goals among Alzheimer’s disease patients.
- If you’re able to’t go to sleep, leave your bedroom and take part in an abandoned activity. Resume bed only when you are tired.
Read more: Sleep Medications for Alzheimer’s Patients
Treatment of Alzheimer’s sleep problems