What should I do about sleep problems in late stage Alzheimer's?

Sleep disturbances, including a complete reversal of the day-night cycle, is a troublesome behavior that may occur. And if your patient cannot sleep, you, as the caregiver, are not going to be able to sleep either, which will very quickly run you down physically and emotionally. You may need to get help from friends or relatives to care for the patient for some hours while you get some sleep.

Exercise or other physical activity during day time hours may be helpful in providing more regular sleep for the patient, but again, temporary use of sleep-inducing medication may be needed. This is not without risk, as sleeping medications can further impair the patient’s memory function and lead to unsteadiness of gait, day time drowsiness, and the risk of falls. Nothing could be worse for a patient with Alzheimer’s disease than to experience a hip fracture or similar mishap.

Rehabilitation from such injuries is very difficult in a patient with Alzheimer’s disease, and falls should be prevented by any means possible.

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