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Addressing Sleep Issues in the Elderly: Strategies for Live-in Carers

Understanding the Sleep Patterns of the Elderly

Contrary to popular belief, getting older doesn’t mean we require less sleep. Rather, what happens is the quality and structure of sleep undergo significant changes.

While the need for sleep doesn’t decrease, sleep patterns do shift, leading to differences in sleep architecture and duration. Furthermore, older people are more susceptible to certain sleep disorders that can disrupt their nightly rest.


Top Causes of Sleep Deprivation in Elderly People

It’s crucial for caregivers to differentiate between normal sleep changes and potential clinical conditions. Red flags to watch out for include recurring difficulty falling asleep, frequent awakenings during the night, excessive daytime sleepiness, and disorientation or confusion upon waking.

Understanding the underlying causes of sleep issues in older people can be vital in order to support them. Several key factors that can contribute include:

Physiological changes: as people age, they may experience a shift in their circadian rhythm, causing them to go to bed earlier and wake up earlier.

Medications: certain medications can interfere with sleep, causing drowsiness during the day or making it hard to fall asleep at night.

Medical conditions: like restless leg syndrome, sleep apnea, and frequent nighttime urination can disrupt sleep.


Issues Caused by Lack of Sleep

Sleep deprivation is a pervasive issue with profound physical and mental health consequences. Physically, chronic lack of sleep can lead to weakened immunity, higher risks of diseases like hypertension, heart disease and diabetes, and weight gain due to fatigue and hormonal imbalances.

Mentally, sleep-deprived individuals often experience mood swings, depression, and heightened anxiety. Perhaps most importantly, sleep is pivotal in memory and cognitive functions. The brain consolidates memories during deep sleep, making them stronger and more accessible. Sleep deprivation impedes this process, leading to forgetfulness and reduced cognitive abilities.

Furthermore, sustained lack of sleep can impair problem-solving skills, creativity, and critical thinking, leading to greater difficulties with daily functioning. 

Therefore, the implications of consistently poor sleep are vast. Elderly people suffering from disrupted sleep might face challenges with emotional wellbeing, with recalling recent events, concentrating, or making decisions.


Ways to Resolve Sleep Issues

Creating a conducive sleep environment and understanding the role of various factors in sleep quality is crucial if one is going to maximise the quality and duration of sleep.

Here are some medically-backed insights covering diet, exercise, routine, and the sleep environment itself:


Sleep Environment

Temperature: maintain a cool room, typically between 60-67 degrees Fahrenheit (15-19 degrees Celsius). A cooler room helps promote deep sleep due to our bodies lowering in temperature during the night.

Darkness: make the bedroom as dark as possible using blackout curtains or a sleep mask. 

Darkness increases melatonin production, a hormone that regulates sleep.

Noise control: keep the bedroom quiet or use white noise machines, earplugs, or apps that play calming sounds.

Comfortable bedding: Invest in a good quality mattress, pillows, and bedding. This can have a profound effect on sleep quality.

Limit screen time: The blue light from screens can inhibit melatonin production, which in turn tells the brain to stay awake. Try to avoid screen use at least an hour before bedtime.

Ambience: consider using calming scents like lavender, which can promote relaxation. Also, ensure that the bedroom is clutter-free and inviting.

Association: our brains are good at making connections. Try to use the bedroom for night-times only. This can help us associate going to bed with going to sleep. 



Caffeine: limit intake, especially in the latter part of the day. It can stay in the system for several hours and impact sleep quality.

Alcohol: while it might initially make you sleepy, alcohol can disrupt the sleep cycle, especially the REM phase, meaning you will get poorer quality sleep.

Heavy meals: avoid heavy or large meals within a couple of hours before bedtime. This can cause discomfort and indigestion.

Balanced diet: ensure a diet rich in magnesium, calcium, and tryptophan, which are associated with better sleep quality. Foods like almonds, yoghurt, and turkey can help.

Hydration: drink enough water throughout the day but reduce intake closer to bedtime to minimise nighttime awakenings for bathroom trips.



Consistency: regular physical activity can help regulate sleep patterns and improve sleep quality.

Timing: while exercise is beneficial, it should be avoided too close to bedtime. The increased adrenaline can make it harder to fall asleep.

Type: incorporate a mix of cardio, strength training, and flexibility exercises. Yoga can be especially helpful for relaxation.



Consistent sleep schedule: going to bed and waking up should be at the same time every day, even on weekends. This helps regulate the body’s internal clock.

Bedtime rituals include calming activities like reading, taking a warm bath, or practising relaxation exercises.

Avoid naps: or try to keep them short (20-30 minutes) and not too late in the day.

Limit stimulants: beyond food and drink, be cautious about stimulating activities or discussions too close to bedtime.

Ultimately, sleep quality can impact mental clarity, mood, energy levels, and overall health. It’s worth creating the ideal sleep environment and adopting habits that support good sleep hygiene. Experiment with the above suggestions to see what works best. If persistent sleep problems occur, consider seeking advice from a sleep specialist.


How Live in Care Can Help Provide Better Sleep

Live-in care offers elderly individuals a tailored approach to better sleep. Caregivers collaboratively establish consistent bedtime routines, including calming activities and promoting a sense of tranquillity.

Crucially, they vigilantly monitor medication schedules and potential side effects that may disturb sleep. Through open communication, caregivers provide reassurance, addressing nighttime anxieties. This consistent presence ensures comfort, fostering confidence in the elderly that they’re safe and supported, paving the way for more restful nights.


Find the Support You Need With The Live In Care Company

Sleep issues among the elderly are multifaceted. However, with the right support and understanding, it’s possible to mitigate many of the challenges faced. The Live In Care Company is dedicated to providing top-notch care tailored to the unique needs of each individual.

Whether it’s helping establish a sleep-friendly environment, monitoring medication, or providing reassurance during nighttime, our caregivers are trained to ensure the elderly receive the restful sleep they deserve. Get in touch today to learn more about how The Live In Care Company can assist with the sleep issues discussed above.

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