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A Good Night's Sleep
Since he retired, Edward dreads going to bed at night. He’s afraid that when he turns off his light he will just lie there with his eyes open and his mind racing. “How can I break this cycle?” he asks. “I’m so tired – I need to get some sleep.” Just like Edward, you want a good night’s rest. Getting enough sleep helps you stay healthy and alert. But many older people don’t sleep well. If you’re always sleepy, it may be time to see a doctor. You shouldn’t wake up every day feeling tired. Sleep and Aging
Insomnia is the most common sleep problem in adults age 60 and older. People with insomnia have trouble falling and staying asleep. Insomnia can last for days, months or even years. If you’re having trouble sleeping, you may:
There are many causes of insomnia. Some of them you can control, but others you can’t. Insomnia may be a sign of other problems. If you are excited about a new activity or worrying over your bills, you may have trouble sleeping. Sometimes insomnia is a side effect of a medication or an illness. Often, being unable to sleep becomes a habit. Some people worry about not sleeping even before they get into bed. Worrying doesn’t help, and it may make insomnia worse. Older adults who have trouble sleeping may have memory problems, be depressed, have more nighttime falls, use more over-the-counter sleep aids, or feel very sleepy during the day. Using prescription medicines for a short time may help. But remember, these medicines aren’t a cure for insomnia. You need to develop habits that will help you get a good night’s sleep. Sleep Apnea Sleep apnea is another serious sleeping disorder. A person with sleep apnea pauses in his or her breathing while sleeping. These pauses may happen many times during the night. Waking up over and over each night makes you feel very tired the next day. You may not even know you have sleep apnea. But your loud snoring and gasping for air can keep other people awake. Feeling sleepy during the day and being told you are snoring loudly at night are signs that you may have sleep apnea. If you think you have sleep apnea, see a doctor who knows about sleep problems. Treatment may include learning to sleep in a way that keeps your airways open. Sometimes a medical device called Continuous Positive Air Pressure (CPAP), a dental device, or surgery can help. If not treated, sleep apnea can lead to other problems such as high blood pressure, stroke, or memory loss. Movement Disorders Restless legs syndrome and periodic limb movement disorder are common in older adults. Some people have both problems. These movement disorders can rob you of needed sleep. People with restless legs syndrome, or RLS, feel tingling, crawling, or pins and needles in one or both legs. It’s worse at night. Moving the legs brings some relief, at least for a short time. RLS tends to run in families. See your doctor for more information about a new medicine called ropinirole to treat RLS. Periodic limb movement disorder, or PLMD, causes people to jerk and kick their legs every 20 – 40 seconds during sleep. Some people have hundreds of these movements each night, which may result in loss of sleep and feeling tired and sleepy the next day. Medication, warm baths, exercise, and learning to relax can help. A Special Problem -Alzheimer’s Disease and Sleep Alzheimer’s disease often changes a person’s sleeping habits. For example, some people with Alzheimer’s disease sleep too much; others don’t sleep enough. Some people wake up many times during the night; others wander or yell at night. The person with Alzheimer’s disease isn’t the only one who loses sleep. Caregivers may have sleepless nights, leaving them tired and out of sorts. If you’re caring for a loved one with Alzheimer’s disease, there are steps you can take to protect his or her nighttime safety. Try the following:
Suggestions for a Good Night’s Sleep Being older doesn’t mean you have to feel tired all the time. There are many things you can do to help you get a good night’s sleep. Here are some ideas.
The Harvard Medical School Guide to a Good Night's Sleep Sound Sleep, Sound Mind: 7 Keys to Sleeping Through the Night RealSleep: Adults 40+/Ambient Music Safe Sleeping Try to set up a safe and restful place to sleep. Make sure there are smoke alarms on each floor and lock up the house before going to bed. Other ideas for a safe night’s sleep are:
Sweet dreams There are some tricks to help you fall asleep. You don’t really have to count sheep – just try counting slowly to 100. Some people find that playing mental games makes them sleepy. For example, tell yourself it’s 5 minutes before you have to get up and you’re just trying to get a few extra winks. Other people find that relaxing their body puts them to sleep. You might start with your toes, and tell yourself that your toes are relaxed and sleepy. Work your way up the rest of the body saying the same words. You may drift off to sleep before getting to the top of your head. Sleep problems can cause you to feel bad, but there are changes you can make to get a better night’s sleep. If you feel tired and unable to do the things you usually do for more than 2-3 weeks, see a doctor. |
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