sleep aging and dementia l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Sleep, Aging and Dementia PowerPoint Presentation
Download Presentation
Sleep, Aging and Dementia

Loading in 2 Seconds...

play fullscreen
1 / 12

Sleep, Aging and Dementia - PowerPoint PPT Presentation


  • 189 Views
  • Uploaded on

Sleep, Aging and Dementia. Josepha A. Cheong, MD University of Florida Departments of Psychiatry and Neurology Chief, Division of Geriatric Psychiatry . Normal Sleep. Average adult needs ~ 8.3 hrs Sleep latency: time between going to bed till onset of sleep Average is 10minutes

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Sleep, Aging and Dementia' - bikita


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
sleep aging and dementia

Sleep, Aging and Dementia

Josepha A. Cheong, MD

University of Florida Departments of Psychiatry and Neurology

Chief, Division of Geriatric Psychiatry

normal sleep
Normal Sleep
  • Average adult needs ~ 8.3 hrs
  • Sleep latency: time between going to bed till onset of sleep
    • Average is 10minutes
  • 75% spent in Non-REM sleep
  • 25% spent in REM sleep
changes with age
Changes with Age
  • Decreased REM sleep
  • Increased awakenings and easy arousal
sleep difficulties in the elderly
Sleep Difficulties in the Elderly
  • Insomnia estimated to be in ½ of the Elderly
  • Women > Men
  • Risk factors for insomnia
    • Depression
    • Breathing difficulties
    • Poor health
sleep disturbance in dementia
Sleep Disturbance in Dementia
  • May lead to injury from wandering
  • Leads to difficulty for the caregiver
  • Exacerbates any pre-existing behavioral difficulties
  • A common reason for initiating nursing home placement
assessment of sleep difficulty in dementia
Assessment of Sleep Difficulty in Dementia
  • Careful review of all medications – prescription and over-the-counter meds
  • Examine the sleep environment
  • Review of recent events/changes that may be stressful to the patient
  • Evaluate for depression
  • Evaluate patient for obstructive sleep apnea
obstructive sleep apnea
Obstructive Sleep Apnea
  • Loud snoring
  • Nighttime restlessness
  • Increased daytime confusion
  • Daytime drowsiness
  • Waking up confused
  • 25% of elderly; 50% of dementia patients
treatment
Treatment

Continuous Positive Airway Pressure

  • A nosepiece connected to a hose
  • The hose is places positive pressure into the airway that keeps the airway open
treatment9
Treatment
  • Sleep Hygiene
    • Reduce intake of caffeine and fluids
    • Moderate exercise (walking)
    • Cool (68-72 degrees), dark and quiet room
    • Set times for sleeping and waking
treatment in dementia
Treatment in Dementia
  • Frequent Orientation during the day
  • Restrict napping
  • Provide access to daylight
  • Moderate exercise
medication management
Medication Management
  • Zolpidem or Sonata
  • Benzodiazepines: Ativan or Restoril
  • Monitor for falls
  • Stay away from anticholinergic medications – likely to exacerbating confusion
anticholinergic medications
Anticholinergic Medications
  • Atarax
  • Vistaril
  • Benadryl
  • Tylenol PM