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My husband takes an afternoon nap around 3:30 pm that is lasting until at least 10pm, missing meals and meds. Should I let him sleep? He is late stage demetia.
Jane471, in a previous posting you mentioned that your husband is in Memory Care. I would speak with the Staff at the Memory Care facility regarding your husband missing meals and meds.
I would. It is true of elders in general, with or without dementia, that more sleep and less eating is the norm. With dementia, some more than others there can be really an enormous amount of sleep. I cannot see a reason, if there is adequate waking time for exercise and moving about, why sleep should be disturbed. This is a sleep pattern in the brain that cannot be changed by management overall very successfully.
When he wakes up does he go to bed for the night at a "normal" time? Does he wander the house at night keeping you awake? If he takes long naps and then goes to bed for the night at a typical time and sleeps through the night and wakes at a usual morning time there does not seem to be a problem with letting him sleep. If the medications are necessary can the times given be adjusted to his sleep schedule?
My Husband went from sleeping a typical 7 to 8 hours a night to sleeping 12 hours and this was early in his diagnosis as he declined he went from 12 hours of sleep at night to 16 or 18 hours in a 24 hour time and the last year he was sleeping 20 to 23 hours. I would wake him to change him, reposition him and he would wake to eat (sometimes) Waking him was not a "problem" he fell back to sleep within minutes. I did adjust his meals. His larger meal and more filling one was in the morning when he was more awake and participatory the rest of the "meals" were small more like snacks when he was awake. By this time his meals were all pureed and liquids were thickened.
Sleeping longer, more often is one of the declines that Hospice will take into account when recertifying a patient for Hospice.
So I guess the answer to your question is Letting him sleep is not "wrong" If he is still mobile and if his sleeping during the day prevents him from sleeping at night and YOU are not getting sleep because he is up and either wandering around or trying to get your attention then I would wake him during the day and try to keep him awake.
As long as the napping and meal skipping doesn't cause him to be awake at night, doing things that are disruptive (talking to you when you want to sleep, doing things that are not safe, etc)
Late stage dementia means different things to different people so it's hard to say based on that alone. I believe it is helpful for the caregiver to keep some king of routine, waking him up would not only allow you to get his dinner (and no doubt medications) but ensure his incontinence product is taken care of, his moving about more will also help avert pressure sores. And as others have already mentioned, taking care of all those things earlier means also you aren't taking care of them from 10 o'clock on when he does wake up, because your quality of life matters too.
As one nears end of life it is very normal that they sleep more, and eat less, so I would just let him sleep. If he's hungry when he wakes up, he will let you know. I hope by this point that you have hospice on board, as they can answer any questions you may have, and be extra eyes on him as well.
My late husband who had vascular dementia slept about 16 hours/day the last year of his life and about 20 hours/day as he got closer to the end of his life. I wish you well as you take this final journey with your husband.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Does he wander the house at night keeping you awake?
If he takes long naps and then goes to bed for the night at a typical time and sleeps through the night and wakes at a usual morning time there does not seem to be a problem with letting him sleep.
If the medications are necessary can the times given be adjusted to his sleep schedule?
My Husband went from sleeping a typical 7 to 8 hours a night to sleeping 12 hours and this was early in his diagnosis as he declined he went from 12 hours of sleep at night to 16 or 18 hours in a 24 hour time and the last year he was sleeping 20 to 23 hours. I would wake him to change him, reposition him and he would wake to eat (sometimes) Waking him was not a "problem" he fell back to sleep within minutes.
I did adjust his meals. His larger meal and more filling one was in the morning when he was more awake and participatory the rest of the "meals" were small more like snacks when he was awake. By this time his meals were all pureed and liquids were thickened.
Sleeping longer, more often is one of the declines that Hospice will take into account when recertifying a patient for Hospice.
So I guess the answer to your question is
Letting him sleep is not "wrong"
If he is still mobile and if his sleeping during the day prevents him from sleeping at night and YOU are not getting sleep because he is up and either wandering around or trying to get your attention then I would wake him during the day and try to keep him awake.
I believe it is helpful for the caregiver to keep some king of routine, waking him up would not only allow you to get his dinner (and no doubt medications) but ensure his incontinence product is taken care of, his moving about more will also help avert pressure sores. And as others have already mentioned, taking care of all those things earlier means also you aren't taking care of them from 10 o'clock on when he does wake up, because your quality of life matters too.
I hope by this point that you have hospice on board, as they can answer any questions you may have, and be extra eyes on him as well.
My late husband who had vascular dementia slept about 16 hours/day the last year of his life and about 20 hours/day as he got closer to the end of his life.
I wish you well as you take this final journey with your husband.
Towards the end they often start sleeping more and more and eating less.
My concern is you, when do you get to sleep?