If you are caring for a loved one with dementia, you may be dealing with his/her circadian rhythm disorder. It is very common, especially in Alzheimer’s dementia, to see sleep disturbances. The most common struggle that I hear from caregivers is that their loved one sleeps during the day and is awake all night. Not only is this a strain for the caregiver who needs sleep, but it also can wreak havoc on the patient’s behavior.
Before resorting to medication, it is important to make a strong effort to reset the circadian clock, which for many reasons can be altered.
First, open the curtains in the morning and let the sun into the rooms! The brain needs sunlight to shut off melatonin production and awaken.
I hate walking in to someone’s home in the afternoon and seeing all of the curtains and blinds closed. Of course the brain doesn’t know what time it is! At sunset, start dimming the lights and closing the blinds to signal to the brain that it is time to start preparing for sleep.
Next, try to keep your loved one stimulated during the day with activities, music, coloring, reading, walks outside, etc. Try not to let him/her sit on the couch in front of the TV all day. The more engaged and active the brain is during the day, the more it will want to sleep overnight.
It is very important to keep the television and computers off in the bedroom and keep the room dark during the sleep hours. The blue light and electromagnetic frequencies from the screens are a major sleep disruptor for all ages. Set a reasonable bedtime and allow for 8 or more hours of sleep.
You can also use lavender essential oil in the room or on the body to help with calming. Some people also respond well to quiet slow rhythmic music.
And lastly, try to stick to a consistent schedule. Your loved one is already struggling with all of the chaotic disruptions in his/her brain. Routine and consistency go a long way for all involved!
Feel free to share your comments on what you have found helpful when dealing with your loved one’s sleep hygiene.
From my home to yours,
Dr. Christine Pluta
Schuylkill Medical Associates, LLC
A Concierge House Call Practice for Seniors and Homebound – we are accepting new patients