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Definition Return to top
Sleep disorders in the elderly involve any disruptive pattern of sleep such as problems with falling or staying asleep, excessive sleep, or abnormal behaviors associated with sleep.
Causes Return to top
Sleeping problems are common in the elderly. In general, older people require less sleep, and their sleep is less deep than that experienced by the young. Some causes of and contributors to sleep disturbances include the following:
Symptoms Return to top
Exams and Tests Return to top
Treatment Return to top
The relief of chronic pain and control of underlying medical conditions such as frequent urination may improve sleep in some people. Effective treatment of depression can also improve sleep.
Sleep-promoting interventions such as a quiet sleep environment and a glass of warm milk before bed may improve the symptoms. Other ways to promote sleep include the following:
If you can't fall asleep after 20 minutes, get out of bed and do a quiet activity such as reading or listening to music.
The use of sleeping pills, such as benzodiazepines, to promote sleep is usually not recommended on a long-term basis, as these can produce dependence and lead to worsening sleep problems over time if used inappropriately.
However, other sleeping pills, such as Ambien and Lunesta, are relatively safe if used properly.
WARNING: The FDA has asked manufacturers of sedative-hypnotic sleep medicines to put stronger warning labels on their products so that consumers are more aware of the potential risks. Possible risks while taking such medicines include severe allergic reactions and dangerous sleep-related behaviors, including sleep-driving. Ask your doctor about these risks.
Outlook (Prognosis) Return to top
Most people see improvement in sleep with treatment or interventions. However, others may continue to have persistent sleep disruptions.
Possible Complications Return to top
A complication is alcohol use or drug abuse.
When to Contact a Medical Professional Return to top
Call for an appointment with your health care provider if a lack of sleep or too much sleep is interfering with daily living.
Prevention Return to top
Eliminating as many causes of sleep disruption as possible and encouraging regular exercise may help control sleep problems.
Update Date: 3/22/2007 Updated by: Updated by: A.D.A.M. Editorial Team: Greg Juhn, M.T.P.W., David R. Eltz, Kelli A. Stacy. Previously reviewed by Sandra W. Cohen, M.D. Private Practice specializing in geriatrics, Brooklyn, NY. Review provided by VeriMed Healthcare Network. (June 2006)
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Page last updated: 02 January 2008 |