Sleep plays a vital role in both physical health and emotional wellbeing, but for those living with dementia, getting a good night’s rest can become increasingly difficult. The link between sleep and dementia is well recognised, with disrupted rest often being one of the most challenging aspects of care for families and carers, both at home and in a care setting. At B&M Care, we understand how deeply sleep issues can affect not just individuals with dementia, but also their families. That’s why promoting restful nights is a core part of the personalised support we offer in each of our homes.
Understanding the Link Between Sleep and Dementia
It’s estimated that up to 60–70% of people living with dementia experience sleep disturbances. These might include difficulty falling asleep, frequent waking during the night, or becoming disoriented in the early hours. Some may sleep more during the day and struggle to rest at night, phenomenon often known as “sundowning”, where confusion or agitation worsens in the late afternoon or evening.
Certain types of dementia are more likely to impact sleep than others. For example:
- Frontotemporal dementia may be associated with restlessness or changes in activity levels that affect sleep cycles.
- Alzheimer’s disease often disrupts the brain’s circadian rhythm, leading to reversed sleep patterns or fragmented rest.
- Lewy body dementia and Parkinson’s disease dementia may cause vivid dreams or physical movements during sleep, known as REM sleep behaviour disorder.
These disruptions can contribute to daytime fatigue, irritability, reduced concentration, and even a faster progression of cognitive symptoms. That’s why recognising and addressing poor sleep is essential for quality of life.
Signs of Sleep Difficulties to Watch Out For
If you are caring for a loved one with dementia, some signs of sleep problems may include:
- Daytime drowsiness or dozing
- Increased confusion or agitation in the evening
- Frequent night-time waking
- Wandering or trying to leave the house at night
- Difficulty getting up or engaging in morning routines
These signs might suggest poor quality sleep, and this could mean a review is needed of the person’s environment, routine, or medication needs.
Tips for Better Sleep in People with Dementia
Supporting better sleep doesn’t always require medication. Small, consistent changes to daily life can make a big difference:
- Limit overstimulation before bed, this might include loud noises, bright lights, or too many visitors late in the day.
- Establish a calm, regular bedtime routine to help signal that it’s time to sleep. Less light, a relaxing music or even a bath before bed can be very calming.
- Encourage daylight exposure in the morning and early afternoon to regulate the sleep-wake cycle.
- Create a peaceful, dimly lit bedroom with minimal noise and soft lighting. A dementia friendly clock that signals ‘night’ or ‘day’ can minimise feelings of disorientation.
- Avoid caffeine and alcohol in the evening, and keep dinner light so they do not feel uncomfortable. Light snacks before bed such as yogurt can prevent waking in the night due to hunger.
- Participate in an engaging daytime activity, such as a walk in the garden. This can also be helpful in reducing stress.
How B&M Care Supports Restful Nights
In our dementia care homes, sleep support is woven into our person-centred approach. Each individual has unique needs, so we tailor their environment and routines accordingly. This includes:
- Comfortable, homely bedrooms designed to feel safe and calming. We encourage our residents to fill their rooms with familiar items.
- All staff are trained to recognise signs of sundowning or sleep disruption in line with our Rose Model of Dementia Care.
- Flexible care routines that adapt to the resident’s natural rhythm, supporting their individual needs and habits.
- Access to outdoor spaces and fun, varied activities that support a healthy sleep-wake cycle.
- Night staff who are trained to support residents discreetly and compassionately, helping them settle without distress and offering comfort and care if they do have a restless night
When someone is living with dementia, a good night’s sleep can be very beneficial in reducing confusion and boosting energy in the day time. The link between sleep and dementia is clear – improving sleep can lead to noticeable improvements in mood, memory, and quality of life. By prioritising rest and recovery, we help residents feel more comfortable, connected, and engaged throughout the day.
If your loved one is struggling to rest, or you’re seeking a care home that truly understands the importance of sleep in dementia care, B&M Care is always here to help. Contact us directly to find out more.