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26 - Sleep in nursing home residents

from Part 3 - Sleepdisorders in the elderly

Published online by Cambridge University Press:  04 August 2010

By
Jennifer L. Martin
Edited by
S. R. Pandi-Perumal ,
Jaime M. Monti  and
Andrew A. Monjan
S. R. Pandi-Perumal
Affiliation:
Somnogen Inc, New York
Jaime M. Monti
Affiliation:
Universidad de la República, Uruguay
Andrew A. Monjan
Affiliation:
National Institute on Aging, Bethesda, Maryland
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Summary

Sleep patterns of nursing home residents are extremely fragmented. This is manifested not only as disrupted night-time sleep, but also by frequent daytime sleeping. Poor sleep represents more than a mild annoyance for nursing home residents. Nursing home residents often suffer from multiple medical and psychiatric co-morbidities and are often in poor physical health. Circadian rhythm changes contribute to sleep problems in nursing home residents. Real change will require administrators and other staff to recognize that sleep is important and encouraging better sleep would benefit both residents and staff over the long term. Sleep disturbance is associated with negative outcomes among nursing home residents. While data to support the use of pharmacotherapy for sleep in the nursing home are limited, there is some suggestion that disturbed sleep improves with non-pharmacological treatments; however, these treatments have not been adapted for implementation into routine care.

Keywords

agingbladder capacitycardiac diseasesobesitypolyurianocturiaedemasdiabetessleep apnea
Type
Chapter
Information
Principles and Practice of Geriatric Sleep Medicine , pp. 280 - 288
Publisher: Cambridge University Press
Print publication year: 2009

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