Sleep disorders in the elderly

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Sleep patterns in the young and aged

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:

• Have a specific bedtime and awakening time each day.
• Do not take naps during the day.
• Use the bed only for sleep or sexual activity.
• Exercise early in the day.
• Avoid large meals shortly before bedtime.
• Avoid stimulants such as caffeine.

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.

Most people see improvement in sleep with treatment or interventions. However, others may continue to have persistent sleep disruptions.

A complication is alcohol use or drug abuse.

Call for an appointment with your health care provider if a lack of sleep or too much sleep is interfering with daily living.

Review Date: 08/22/2006
Reviewed By: Sandra W. Cohen, M.D. Private Practice specializing in geriatrics, Brooklyn, NY. Review provided by VeriMed Healthcare Network.