Dementia Warning: Two Night-Time Symptoms That Signal Progression
Experts have identified two critical warning signs of dementia that often manifest during the night, with these indicators becoming increasingly noticeable as the condition progresses. Dementia, classified as a syndrome involving a collection of related symptoms, is associated with the progressive deterioration of brain function. It predominantly affects individuals over the age of 65, with hallmark symptoms including memory lapses, shifts in behaviour, and changes in personality.
Walking About at Night
The Alzheimer's Society has highlighted that restlessness is "very common" among those living with dementia. The organisation explains that this can involve the person seeming to search for someone or something, leading to repeated walking around the home or even leaving the house during the day or night.
As dementia advances, nighttime walking can become more frequent, particularly if the individual has difficulty sleeping. This behaviour is common in older people and is especially prevalent in those with dementia. To help manage this, simple measures such as encouraging a consistent bedtime routine can be beneficial.
It may also help if they avoid daytime naps, caffeinated drinks, and alcohol, as these can exacerbate sleep issues and restlessness.
Sleeping Difficulties
Disruptions to a person's internal body clock can lead to significant sleep disturbances. The Alzheimer's Society notes that, alongside disruption to their body clock, a person with dementia may sleep more during the day and struggle to sleep at night.
Physical changes in the brain due to dementia can affect both the quantity and quality of sleep. This can result in problems falling asleep, waking up during the night, or not feeling well-rested upon waking. Over time, frequent poor sleep may worsen dementia symptoms, making it challenging for caregivers to cope.
To assist someone with dementia who experiences sleep issues, the charity recommends several strategies:
- Treat any underlying causes, such as pain or medications
- Maintain a consistent daily routine
- Take them outside during the day to get natural light
- Engage them in fun physical activities during the day
- Avoid giving them caffeine
- Avoid cigarettes and alcohol
- Ensure they are not too hungry, thirsty, or full
- Make the bedroom sleep-friendly
- Reduce their screen time
- During the late evening, try calming activities like a bath or listening to calm music
If someone you know is experiencing symptoms of dementia, it is crucial to speak to a GP for proper diagnosis and support. Early intervention can help manage these night-time symptoms and improve quality of life for both patients and caregivers.
