Sleep Disorders in Older Adults
Sleep disorders in the elderly involve any disruption of their sleep pattern. This can comprise problems falling or staying asleep, excessive sleep, or unusual behaviors concerning sleep.
Causes of Sleep Disorders
Sleep problems are not uncommon in older adults. The amount of sleep required stays constant throughout our adult years. It is suggested that adults get seven to eight hours of sleep every night. In the elderly, sleep is less deep and spottier than sleep in those that are younger.
Sleep disorders in older adults may be the result of any of the following:
- Alzheimer’s disease
- Use of alcohol
- Changes in the body’s natural sleep/ wake cycle, causing some of those to fall asleep earlier in the evening
- Chronic disease, like heart failure
- Specific medicines, supplements, herbs, and recreational drugs
- Depression (this is a common cause of sleep issues in the old and young alike)
- Brain and nervous system ailments
- Not being very active
- Pain caused by diseases like arthritis
- Stimulants like caffeine and nicotine
- The need to urinate during the night
Symptoms of Causes of Sleep Disorders in Older Adults
Symptoms that may occur include:
- Trouble falling and staying asleep
- Difficulty distinguishing night and day
- Waking up early in the morning
- Waking up throughout the night (for instance, to use the bathroom)
Examinations and Test
Your healthcare provider is going to revisit the timeline and carry out a physical examination to ascertain it there are any medical causes and establish which type of sleep disorder is causing the issue.
Your healthcare provider may suggest you start keeping a sleep diary or that you have a sleep study (polysomnography) carried out.
Treatment For Sleep Disorders in Older Adults
Alleviating chronic pain and managing medical conditions like nocturia or frequently going to the bathroom may improve sleep in some people. Treatments for depression are going to often improve sleep.
Going to sleep in a quiet room, that is the perfect temperature and having a peaceful bedtime routine could help promote symptoms. Other ways to encourage sleep include this healthy way of living tips:
- Stay away from large meals shortly before going to sleep. A small bedtime snack could be beneficial. A lot of people find that warm milk promotes sleepiness, because it contains a natural, sedative-like amino acids.
- Stay away from stimulants like caffeine for at least three or four hours prior to bed.
- Exercise at regular times every day, however, not within three hours of your bedtime.
- Head for bed and wake up at the same time each day.
- Avoid taking naps.
- Stay away from TV or using your computer, cell phone, or tablet in the bedroom.
- Avoid tobacco products, particularly prior to sleep.
- Only use the bed for sleeping or sexual encounters.
If you are unable to fall asleep after twenty minutes, get out of bed and do a quiet activity like reading or listening to soothing music.
Sleeping Pills and Sleep Disorders
If possible, stay away from the use of sleeping pills to help you go to sleep. They could result in addiction and can make sleep issues worse over time if you don’t use them the correctly. Your healthcare provider should evaluate your risks of daytime sleepiness, mental side effects, and falls prior to you start taking sleep medicines.
- If you believe you require sleeping pills, consult with your healthcare provider concerning which ones are safe for you when taken correctly. Particular sleeping pills shouldn’t be taken for longer than directed.
- Avoid drinking alcohol at all times when taking/ using sleeping pills. Alcohol can enhance the side effects of every sleeping pill, making them worse.
WARNING: The FDA has petitioned manufacturers of particular sleep medicines to put more powerful warning labels on their products in order for consumers to be more aware of the possible dangers. Potential dangers while taking these medicines include a risky allergic reaction and dangerous sleep-associated behaviors, which could include sleep-driving. Ask your healthcare provider about these risks.
Outlook (Prognosis) of Sleep Disorders
For a lot of people, sleep improves using some type of treatment. Nevertheless, others may continue to have sleep disorders.
Possible Complications of Sleep Disorders in Older Adults
Possible complications could be:
- Alcohol and/ or drug use
- Increased risk of falling (because of frequently urinating at night)
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