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Alzheimer's: Managing sleep problems

Common Alzheimer's sleep problems

Many older adults have problems sleeping, but people who have Alzheimer's often have an even harder time. Problems include waking up more often, staying awake longer in the night and feeling drowsy during the day. People with Alzheimer's might also experience a state of confusion occurring in the late afternoon and spanning into the night (sundowning). Sleep disturbances often increase as Alzheimer's progresses and can promote behavioral problems.

Factors that might contribute to Alzheimer's sleep disturbances include:

  • Mental and physical exhaustion at the end of the day
  • Changes in the body clock, causing people with Alzheimer's to mix up day and night
  • A need for less sleep, which is common among older adults
  • Disorientation
  • Reactions to nonverbal cues of frustration from exhausted caregivers at the end of the day
  • Reduced lighting and increased shadows, which can cause people with Alzheimer's to become confused and afraid