If you are caring for someone with memory loss, sleep disturbances might be a regular issue for both you and your care receiver. Many older adults have difficulties with sleep, but research has shown that people with dementia typically have an even harder time with sleep. Scientists do not fully understand why this happens, but as changes in memory and behavior occur, sleep changes also occur from the impact of Alzheimer’s on the brain.
Some common sleep changes that can occur with memory loss include difficulty sleeping and daytime napping, which can cause changes in the sleep-wake cycles. People may feel tired during the day and then be unable to sleep at night. “Sundowning” is also very common.
Some practice steps can be taken to help alleviate symptoms of sundowning and sleep issues:
Schedule appointments in the morning or early afternoon when the person living with dementia is more alert
Encourage a regular routine with waking up, eating meals, and going to bed.
When possible, spend time outside in the sunlight
Make note of things that occur before sundowning to identify triggers
Reduce stimulation during the evening (i.e. TV, chores, loud music)
Offer a larger meal at lunch and smaller meal at dinner
Keep the home well-lit in the evening to assist with decreasing confusion
Identify calming and soothing activities for the person living with dementia
Try to limit daytime naps
Remember that sleep changes as we age are normal; however, often more severe for individuals living with memory loss and dementia. Also consider talking with your care receiver’s doctor about changes in sleeping patterns or sleeping difficulties to assist with identifying possible causes and solutions.
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