Sleep Disturbances

The 29 sources listed below are each rated on how they can help caregivers better understand and deal with sleep disturbances in people with Alzheimer's disease or dementia.

The issue of 'Sundowning' is fully addressed in another section.

Sources are ranked from highest to lowest.
ALZSmart Score™ - Excellent85%

Coping With Behavior Change in Dementia: A Family Caregiver's Guide

Beth Spencer and Laurie White

Pages 104-109

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins by explaining sleep problems.  Has 9 bullet points on possible physical, medical, and emotional causes and 9 strategies for handling them.  6 bullet points of environmental causes and 9 strategies to deal with them.  12 other possible causes and 15 strategies to handing other causes of sleep problems.  Has 4 tips on allowing them to be up at night.  Also has 10 tips on sundowning.
Coping With Behavior Change in Dementia:  A Family Caregiver's Guide
ALZSmart Score™ - Very Good75%

Dementia Care Central (National Institute on Aging)

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

Discusses sleep issues of patients with Alzheimer’s or other dementia.  Looks at cause of sleep challenges.  Has 11 non-medication tips to help with sleep issues.
Alzheimer’s and Sleep Problems: Insomnia, Oversleeping, Restlessness and Treatments
ALZSmart Score™ - Very Good75%

WebMD

Geo Location: All

ALZSmart Review™ - Summary of Contents

Explains how sleep problems are more severe and happen more often in people with Alzheimer’s.  Lists 4 sleep problems.  Has 8 tips on changes to lifestyle and behavior to fix sleep problems.  Plus 8 tips for caregivers to get the rest they need.
Alzheimer's and Sleep Problems
ALZSmart Score™ - Very Good75%

A Place For Mom

Leslie Kernisan

Geo Location: All

ALZSmart Review™ - Summary of Contents

Explains why sleep problems are so common in dementia.  Has 22 questions you should be ready to answer to help doctors diagnose the underlying causes of sleep problems.  4 strategies that could  improve the sleep of a person with Alzheimer’s.  Also has information on a couple of medications that may be less risky.
A Geriatrician’s Advice on Sleep Problems and Dementia
ALZSmart Score™ - Very Good75%

Alzheimer’s Research Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

Reviews causes of sundowning and sleeplessness. Has 4 tips for reducing evening agitation and 5 suggestions for nighttime sleeplessness.  [Video 3:35]  Embedded video discusses 5 signs of sundowning, 6 causes, 5 strategies, and 3 things to consider when responding.
Sleeplessness
ALZSmart Score™ - Very Good75%

Dementia Australia

Geo Location: All (AU)

ALZSmart Review™ - Summary of Contents

Provides a list with 9 physiological or medical causes of sleeping problems and 7 things you can try.  Has 4 environmental causes and 9 things you can try.  Plus 8 other possible causes and 12 bullet points on what to try.
Sleeping
ALZSmart Score™ - Very Good75%

The 36-Hour Day (6th Edition)

Nancy L. Mace, MA and Peter V. Rabins, MD, MPH

Pages 150-153

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses numerous practical methods to respond to nighttime sleeping issues. Has information on the use of sedatives.
The 36-Hour Day (6th Edition)
ALZSmart Score™ - Very Good75%

Surviving Alzheimer's (2nd Edition)

Paula Spencer Scott

Pages 266-273

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with an examples of sleep disturbances.  Discusses why it happens including 7 possible causes.  18 bullet points on things to try; plus 3 ways to cope with sleep issues.  Follows up with a short chapter on too much sleep.
Surviving Alzheimer's (2nd Edition)
ALZSmart Score™ - Very Good75%

Confidence to Care (aka Home Instead)

Molly Carpenter

Pages 38-43

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with an example of a sleep problem.  Explains why this might happen.  Has 14 bullet points for care approaches.  Offers examples of how to communicate with a person who is having sleep difficulties.  Concludes with 4 tips on prevention.
Confidence to Care (aka Home Instead)
ALZSmart Score™ - Very Good75%

Tuck

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins by explaining the relationship between dementia and sleep disorders.  In-depth look at 6 sleep disorders.  Lists 12 questions that are essential for diagnosing sleep conditions in elderly people with dementia.  Has 5 ways to improve dementia-related sleep issues.  Also has links to additional resources.
Dementia and Sleep Disorders
ALZSmart Score™ - Very Good70%

Aging Care

Anne-Marie Botek

Geo Location: All

ALZSmart Review™ - Summary of Contents

This article has 6 common caregiver questions about sleep issues that are answered be medical experts.
Alzheimer’s and Sleep Disorders: Expert Answers to 6 Common Questions
ALZSmart Score™ - Very Good70%

A Caregiver's Guide to Dementia

Laura N. Gitlin, PhD and Catherine Verrier Piersol, PhD, OTR/L

Pages 91-92

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins by defining sleep disturbances and why they might occur.  Has 8 common triggers.  10 strategies for sleep disturbances.  Also has 5 changes in the home environment.
A Caregiver's Guide to Dementia
ALZSmart Score™ - Very Good70%

Alzheimer's Disease and Other Dementias: The Caregiver's Complete Survival Guide

Nataly Rubinstein, MSW, LCSW, C-ASWCM

Pages 240-244

Geo Location: All

ALZSmart Review™ - Summary of Contents

Review of the functions that sleep serves.  Has 19 steps you can take to help reduce sleep disorders.
Alzheimer's Disease and Other Dementias:  The Caregiver's Complete Survival Guide
ALZSmart Score™ - Very Good70%

Alzheimer's Basic Caregiving: An ABC Guide

Kathy Laurenhue, MA

Pages 93-103

Geo Location: All

ALZSmart Review™ - Summary of Contents

Explains 8 ordinary issues related to sleep.  Describes ways to prevent sleep disturbances.  4 common causes of sleep issues.  6 ways to enhance comfort and safety.  Ends with some thoughts on problem solving.
Alzheimer's Basic Caregiving:  An ABC Guide
ALZSmart Score™ - Very Good70%

Best Alzheimer's Products

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses the connection between the neurological effects of dementia and various sleep disorders.  Has 8 bullet points on the nature of sleep disorders.  5 factors or cause of sleep disorders.  14 tips to improve sleep.
Aging and Sleep Disorders
ALZSmart Score™ - Good65%

Alzheimer's Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses the causes to sundowning and sleep disturbances.  Has 6 factors that may contribute to sleep issues.  Offers 8 coping strategies.  Plus 6 things you can do if the person is awake and upset.
Sleep Issues and Sundowning
ALZSmart Score™ - Good65%

UCLA Alzheimer's and Dementia Program

Linda Ercoli, PhD

Geo Location: All

ALZSmart Review™ - Summary of Contents

[Video 5:04]  Scenario-based video that shows a caregiver and his mother dealing with sleep issues.  The video has four parts:  common response, expert explanation, recommended reponse, plus 9 tips for dealing with sleep disturbances.
Sleep Disturbances
ALZSmart Score™ - Good65%

Mayo Clinic

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses common Alzheimer's sleep problems.  Has 6 factors that might contribute to Alzheimer's sleep disturbances.  7 bullet points on ways to promote better sleep.  
Alzheimer's:  Managing Sleep Problems
ALZSmart Score™ - Good65%

Alzheimer Society Canada

Geo Location: All (CA)

ALZSmart Review™ - Summary of Contents

Discusses types of sleep disturbances.  Has 8 paragraphs on non-medication treatments for sleep issues.  Also has other resources listed at the end.
Sleep
ALZSmart Score™ - Good65%

Understand Alzheimer's

Pages 74-77

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists 3 sleeping problems that may be found in people with Alzheimer's.  Has 6 strategies to aid sleep and reduce sundowning.
Understanding Alzheimer's
ALZSmart Score™ - Good65%

The Dementia Caregiver

Marc E. Agronin, MD

Pages 146-149

Geo Location: All

ALZSmart Review™ - Summary of Contents

Explains medical conditions and medications that may contribute to sleep issues.  Has 10 bullet points on proper sleep hygiene.   Discusses different medications from psychiatrists perspective.
The Dementia Caregiver
ALZSmart Score™ - Good65%

When Reasoning No Longer Works (2nd Edition)

Angel Smits

Pages 155-159

Geo Location: All

ALZSmart Review™ - Summary of Contents

Has 11 bullet points to check physical needs. Offers 6 tips to use to check mental needs.  List of 3 environmental issues to check.
When Reasoning No Longer Works (2nd Edition)
ALZSmart Score™ - Good60%

Ahead of Dementia

Luciana Mitzkun

Pages 133-138

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses the stages of wakefulness. Explains sleep cycles and memory consolidation. Has 7 tips to implement healthy sleep habits.
Ahead of Dementia
ALZSmart Score™ - Good60%

Alzheimer's Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists a couple of common sleep changes that may occur in people with Alzheimer's.  Looks at 3 other contributing medical factors.  Has 10 bullet points for non-drug treatments for sleep changes.  Also discusses medications for sleep issues and their risks.
Treatments for Sleep Changes
ALZSmart Score™ - Average45%

National Institute on Aging (ADEAR)

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

Has 6 tips that may help caregivers manage sleep problems in people with Alzheimer’s disease.
6 Tips for Managing Sleep Problems in Alzheimer's
ALZSmart Score™ - Average45%

Alzheimer's Foundation of America

Geo Location: All

ALZSmart Review™ - Summary of Contents

Offers 7 suggestions to help ensure a good night's sleep.
Sleep
ALZSmart Score™ - Average45%

HelpGuide

Melinda Smith M.A., Jeanne Segal, Ph.D., and Monika White, Ph.D.

Geo Location: All

ALZSmart Review™ - Summary of Contents

This multiple topic article begins with a section on common causes.  That's followed by a section on creating a calming environment  About 3/4 of the way down the web page there's a section specifically on sleep problems.  Explains how brain disease often disrupts the sleep-wake cycle. Has 7 tips to reduce nighttime restlessness.
Alzheimer’s and Dementia Behavior Management
ALZSmart Score™ - Satisfactory35%

Learning to Speak Alzheimer's

Joanne Koenig Coste

Pages 104-107

Geo Location: All

ALZSmart Review™ - Summary of Contents

Focuses on how sleep issues by the person with Alzheimer's may lead to sleep deprivation of the caregiver and how that can become a major problem.  Uses couple of examples to show the need to find solution.
Learning to Speak Alzheimer's
ALZSmart Score™ - Satisfactory25%

National Sleep Foundation

Geo Location: All

ALZSmart Review™ - Summary of Contents

Overview of Alzheimer's disease and how it affects sleep.  Has 9 tips on coping with sleep issues.
Alzheimer's Disease and Sleep

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