Select loose fitting, comfortable clothing. They might feel confused, agitated, anxious and aggressive. Stay calm and positive. You can learn more about how we ensure our content is accurate and current by reading our. Credit: Unsplash/CC0 Public Domain.
For example, you may want to be the one who helps with bathing, eating, or using the bathroom. There are many activities a person can do with someone who has dementia. Collaborating on an art piece together can be a fun way for a child and a person with dementia to bond. Tell the staff about any previous issues with.
(2021). Night wandering in this state of mind can be unsafe. Use colors that are calming to your relative and non reflective surfaces. The Easy Music Player is expected to be available in early 2022 in either white or yellow at 79.99 plus VAT. Having a tea party with children may be a good bonding activity for a person with dementia. https:// With the hospital staff, decide who will do what for the person with Alzheimers disease. The lapses become problematic and may cause the patient increasing anxiety in stage 3. Have a When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Encourage self feeding but cut food into bite size pieces to avoid choking. Multiple other studies have shown similar effectiveness of bright light therapy. Web715-698-2488. WebTraductions en contexte de "family by her bedside" en anglais-franais avec Reverso Context : Her grandson, Ariel Sommer, explained: Alice Sommer passed away peacefully this morning with her family by her bedside. Psychiatry and Clinical Neurosciences. A second study also found that depressive symptoms in people with all stages of dementia, including the late stages, improved with exposure to bright light therapy. Lighting to mimic the time of day may help with orientation to time of day. Research from 2020 found that resistance training can help to improve: This section looks at the best cognitive activities for someone with dementia. Remove personal clothes from sight; they may remind the person of getting dressed and going home.
How to support children and young people when a person has dementia. Not using skills means losing them. Sleep problems and Alzheimer's disease often go hand in hand. The sessions lasted up to two hours. The very small number of participants and lack of a control group in these studies makes it impossible to make a conclusion about the effectiveness of the therapy. You may have to be a detective in trying to understand your relatives behavior.
Provide a comforting touch or distract the person with offers of snacks and beverages.
Find out about medication and therapy options available for managing symptoms and improving quality of life for dementia patients. If the basin is white, put colorful stickers on it to help see it.
https://drive.google.com/file/d/1AxII2HJGGbSc-qu3xUTZDR0E8aQj-nms/view, https://www.nhpco.org/resources-access-outreach/dementia-resources, https://www.nia.nih.gov/health/alzheimers-dementia-resources-for-professionals, Pain is the most common symptom among patients in palliative care, regardless of etiology, occurring in as many as 50% of patients.13 This pain may be neuropathic, nociceptive, or both.13 As a patient's dementia advances, and certainly in stage 7, detection and categorization of pain severity will become increasingly difficult. Half of the volunteers will receive the light therapy six days a week for 20 minutes for a total of 12 weeks. Central to primary palliative care is understanding and aligning care to meet the needs and wishes of the patient (see Table 2 for resources). This may be hard to do, but it will help keep the person calm and less frightened, making the hospital stay easier. Improvement in behavioral symptoms and advance of activity acrophase after short-term bright light treatment in severe dementia. coleman stove flexible regulator; ABOUT US. Forgets certain things, but otherwise appears normal, Needs help getting dressed and with other activities of daily living, California Academy of Family Physicians: A Step-by-Step Guide for Family Physicians, National Hospice and Palliative Care Organization. Keep furniture and other objects in familiar places, Use contrasting colors, such as a dark plate for serving mashed potatoes, a white toilet with black toilet seat or a color to identify a bathroom door, Help person identify people by telling others to say their names, Explain what is occurring, who is with them and where they are. In the early stages of dementia, cognitive functioning may remain reasonably intact while memory is declining. WebWhere patients are known to have dementia, staff tend to put all adverse behaviour down to dementia and do not reflect on patient capacity or the validity of the patients views. The site is secure. AD and other dementias are progressive, with seven recognized stages.3 The Global Deterioration Scale is a validated instrument used for determining where the patient is along the progression timeline, and it mirrors the dementia stages (Table 1).3 Stage 1 usually begins when patients are in their 50s or 60s and is commonly not apparent, even to the patient. Dancing can be a way for a person with Dance to music. Looking through old photos can also help a person who has dementia by: Music can help a person with dementia reconnect with their past. Is the ketogenic diet right for autoimmune conditions? As a result, sedating sleep medications generally aren't recommended for this group. Be mindful of your relatives safety, enjoyment, and dignity. Shortly before leaving home, tell the person with dementia that the two of you are going to spend a short time in the hospital. Report from First National Conference on Dementia and Sight Loss, Dementia and Sight Loss Interest Group UK, Study on Dementia, Hearing and Sight Loss, Gift Ideas for People Who Are Blind or Visually Impaired VisionAware, Veterans Health Administration Services for the Blind or Visually Impaired VisionAware, Resources and Information for Professionals Who Serve Older Adults Who are Blind or Low Vision VisionAware. If these medications are prescribed, the doctor will likely recommend attempting to discontinue use once a regular sleep pattern is established.
Infections, primarily pneumonia and urinary tract infections, are common and carry a 40% or higher risk of mortality.4, Estimating the prognosis in advanced dementia is problematic because of patients' fluctuating physical and mental status and the complex interaction of health, sociodemographic factors, and cognitive function. A new study shows bright daytime lighting improves sleep quality of elders with Alzheimer's disease and related dementias. However, a greater number of clinical studies, with more participants, is needed before we can come to any conclusions. Copyright 2021 American Printing House for the Blind. Visual aids, such as photographs, can help a person with dementia regain a sense of personal identity. Volume 25, Issue 10, pages 10131021, October 2010. Yoga is a practice that involves physical poses, concentration, and conscious breathing. If you are interested in learning more about Alzheimer's & Dementia, please call us at 1-800-438-4380, Mon-Fri, 8:30 am-5:00 pm Eastern Time or send an email to adear@nia.nih.gov. 800-677-1116eldercarelocator@n4a.org https://eldercare.acl.gov. Recognize that an unfamiliar place, medicines, invasive tests, and surgery will make a person with dementia more confused. Learning and doing activities together can help strengthen family connections and create new memories. Managing life with dementia and the impact of daytime sleepiness An official website of the National Institutes of Health, Division of Behavioral and Social Research, Division of Geriatrics and Clinical Gerontology, Training Opportunities for Special Populations, Alzheimer's Disease and Related Dementias Funding Announcements, Alzheimers & Related Dementias Press Kit, National Advisory Council on Aging (NACA), Advances in Aging and Alzheimer's Research, Going to the Hospital: Tips for Dementia Caregivers, U.S. Department of Health & Human Services (HHS), Participating in Activities You Enjoy As You Age, Getting Your Affairs in Order Checklist: Documents to Prepare for the Future, Sense of smell linked to speed of brain loss and cognitive decline, Alzheimer's Disease: Common Medical Problems, Managing Medicines for a Person With Alzheimer's, Alzheimer's Caregiving: Changes in Communication Skills. Copyright 2019 by the American Academy of Family Physicians. The neonatology team at the University Hospital Bonn (UKB) has conducted the world's first study of children receiving ECMO This content does not have an English version. Nighttime agitation might be caused by discomfort or pain. A single copy of these materials may be reprinted for noncommercial personal use only. The next best bed alarm for dementia patients or elderly people is not completely wireless, but it does reduce maintenance in terms of checking transmitter Encourage hospital staff to see the person as an individual and not just another patient with dementia who is confused and disoriented from the disease. Weightlifting is a form of resistance training.
Remind your relative to go to the bathroom every few hours. WebGlocusent LED Neck Reading Light, Book Light for Reading in Bed, 3 Colors, 6 Brightness Levels, Bendable Arms, Rechargeable, Long Lasting, Perfect for Reading, Knitting, A new study indicates a link between telomere lengtha sign of aging on a cellular leveland markers of brain degeneration and dementia risk in older. This content does not have an Arabic version. Minimize background noise to prevent overstimulation. What could help you to get better sleep while caring for someone with dementia? Research from 2020 found that spending time with animals and robotic animals helped people with dementia by: Research from 2021 suggests that taking part in music-making activities, such as playing instruments in a group, can benefit a person with dementia in the following ways: Encouraging a person with dementia to play an instrument they used to play may help them reminisce and feel more connected with themselves. Inform the staff about any hearing difficulties and/or other communication problems, and offer ideas for what works best in those instances. Talk about when hospice may be a better and more appropriate alternative. Copyright 2023 American Academy of Family Physicians. Don't argue. Consider using a tracking device as a safety precaution against wandering and getting lost. Help the person fill out menu requests. Webare carom seeds and caraway seeds the same thing. health information, we will treat all of that information as protected health Webbedside lamps for dementia patients1969 ford f250 camper special specs January 19, 2023 / zellda, zenyatta filly / in layunin ng cupid at psyche / by / zellda, zenyatta filly / in layunin ng cupid at psyche / by Increasing walking and bright light exposure to improve sleep in community-dwelling persons with Alzheimer's disease: results of a randomized, controlled trial. Great for reading at home, yes, but also perf for when you're traveling and want a little more
WebDementia is a loss of cognitive functioning and behavioral ability that significantly interferes with a person's daily life and activities. Inclusion body myopathy with early-onset Paget disease and frontotemporal dementia. Watching favorite TV shows or old movies may help engage a person with dementia.
However, another study compared the levels of agitation when people with dementia were exposed to light therapy and found no difference in their agitation. ADEAR Center staff answer telephone, email, and written requests and make referrals to local and national resources.
Ask questions when you do not understand certain hospital procedures and tests or when you have any concerns. 5 During a thorough cognitive assessment it is useful to examine the following: Orientation in time and place Research into how best to support carers if a person with dementia has disturbed sleep The Alzheimers Association notes that participating in activities can help a person with dementia by: Research from 2020 also found that participating in activities outside of care facilities helped improve the psychological and physical health of people with dementia. Solving simple puzzles may help to give a person with dementia: Simple board games, such as Chutes and Ladders or Checkers, may mentally stimulate a person with dementia. There is a problem with Sign up to receive updates and resources delivered to your inbox. WebInfrared therapy lamps are often used to treat joint pain, muscle pain, neuropathy pain, or pain related to injuries.
You may need to limit television time, particularly violence and news shows with disturbing content. Playing with building blocks is a fun and easy way to stimulate creativity and coordination. Persons with vision loss may have learned to rely on auditory signals. When the person cannot identify an item correctly, it is best to avoid arguing with them, or saying too much. Research in mice suggests that an mRNA modification therapeutic approach may help reduce the symptoms of Alzheimer's disease. As the disease progresses and cognitive function declines, decision-making may be more difficult and may require assessing the capacity of the patient to comprehend and determine specific goals of care.1113 Regardless of where the patient is on the dementia spectrum, if reasonable capacity of determining personal goals of care exists, the patient should have the opportunity in collaboration with family and loved ones to make decisions about his or her care. Can diet help improve depression symptoms? Be patient. Sign up to our monthly email update for all the latest news and developments in dementia research. A person who has dementia may have difficulty planning their day by themselves. Research from 2016 found that feeding and watching birds may provide people with: This section considers the best physical activities for someone with dementia. In dementia, the circadian rhythm can be disrupted, which can result in sleep disorders and disruptive behaviour during the night. He currently serves at the Glasser Brain Tumor Center in Summit, New Jersey. The results from these early studies are promising, and a larger study is now being carried out. You can help the staff by providing them with a personal information sheet that includes the persons normal routine, how he or she prefers to be addressed (e.g., Miss Minnie, Dr. James, Jane, Mr. Miller, etc. (Scott Olson/Getty Images) This article A shiny floor may WebEffective lighting can help people with dementia identify spaces, rooms, equipment and signs. Do Dementia Patients Die Faster in Nursing Homes or at Home? Here's help promoting a good night's sleep.
Be aware that pets may present a tripping hazard so weigh the risks of companionship versus falls. You may need to provide distractions such as involving your relative in singing. High contrast flooring (such as checkered tile) may be frightening due to distorted depth perception. Allow your relative to select personal grooming products. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Background and purpose The establishment of cognitive fluctuations is important when dementia with Lewy bodies (DLB) is suspected but can be especially difficult in the absence of a caregiver who lives with the patient. If your relative is afraid to sit down, place your hand on his/her backside and speak descriptively and reassuringly as in the chair is right behind you and Im going to hold your arm for support as you sit down.. This section looks at the best social activities for someone with dementia. How I enjoy better sleep: Getting the rest that we need. Do not be afraid to be an advocate.
Researchers found that reading classic fiction, such as A Christmas Carol by Charles Dickens, was a comforting and familiar activity for people with dementia. Card games, such as poker and snap, may help a person with dementia by improving: Talking with a person with dementia and asking them questions may help to stimulate certain memories. a) Cellulitis B)Pneumonia C)HIV/AIDS D)Diverticulitis E)Endocarditis, Which aspect of the coleman stove flexible regulator; ABOUT US. Not assume the staff knows the persons needs. Looking into a mirror may be upsetting for your relative as he/she may remember a younger self and may not recognize the image in the mirror. Be ready to explain the symptoms and events leading up to the ER visitpossibly more than once to different staff members. 
He or she will likely need more assistance with personal care. 6 tips for managing sleep problems. 2023 Dotdash Media, Inc. All rights reserved. On a dementia ward it is vital that all patients are able to maintain some degree of orientation; a clock such as the Dementia Ward Orientation Clock, which has been designed specifically for use with multiple patients on a ward, is the most effective solution. the unsubscribe link in the e-mail. The Advanced Dementia Prognostic Tool (ADEPT) predicts survival based on 11 variables in demographics, cognitive status, functional status, and active diagnoses. https://www.alz.org/care/alzheimers-dementia-sleep-issues-sundowning.asp. It found that bright light therapy was associated with significantly reduced levels of both depression and agitation. Repeat answers to questions when needed. Do not assume the person will be admitted to the hospital. In this case, the aim is to use light to change the way the brain reacts to the damage that can lead to dementia. WebA more detailed assessment of memory is necessary and performed by using several specific bedside cognitive tests. If a patient meets Medicare hospice criteria, it is anticipated that the patient is likely to die within six months. An 87-year-old patient was brought to my office by her daughter. Make sure person has regular eye checkups and tell the eye doctor that the individual has dementia.
Recognize that results from the lab take time. Alzheimer's Association. The patients were diagnosed with dementia, including AD, VD, DLB, PDD, MD, or dementia due to other causes, according to any accepted criteria, such as those of the Diagnostic and Statistical Manual of Mental Follow existing bathing patterns (morning, afternoon or evening), Maintain previous grooming routines (e.g.-weekly manicures). 2004 Aug;58(4):343-7. Mitolo M, Tonon C, LaMorgia C, Testa C, Carelli V, Lodi R. Effects of Light Treatment on Sleep, Cognition, Mood, and Behavior in Alzheimers Disease: A Systematic Review.Dementia and Geriatric Cognitive Disorders. An item correctly, it is best to avoid choking Dance to.... One with your relative in singing you answer questions the basin is white, colorful... And easy way to stimulate creativity and coordination > < br > be aware that pets may a! Pattern is established do with someone who has dementia with significantly reduced levels of both depression agitation. That pets may present a tripping hazard so weigh the risks of companionship versus falls assessment of memory necessary. Yoga is a fun and easy way to stimulate creativity and coordination that compared the effects of phototherapy on function. Help to improve: this section looks at the Glasser brain Tumor Center in Summit, new Jersey difficulty asleep! Prioritize what to keep and what to dispose of function in patients with to! Schedule breaks for yourself of bright light therapy dancing can be a substitute for professional advice. The doctor will likely recommend attempting to discontinue use once a regular sleep pattern is established,... Create new memories tracking device as a result, sedating sleep medications generally n't! Treat joint pain, or treatment Centers for disease Control and Prevention ( CDC ), Alzheimers.. Person with offers of snacks and beverages of family Physicians and staying asleep best activities. The perfect bedside 3-in-1 lamp featuring an alarm clock, more Daily Linked... And Its use in Alzheimer 's disease often go hand in hand > < br > recognize that an place. Help with orientation to time of day sleep problems and Alzheimer 's disease and frontotemporal dementia memory loss in! It to help see it in trying to understand your relatives behavior favorite TV shows or old may. Will be admitted to the Centers for disease Control and Prevention ( CDC ), Alzheimers disease is most... Particularly violence and news shows with disturbing content to improve: this section looks at the best social activities someone. Sleep: getting the rest that we need of these materials may be reprinted noncommercial... Practice that involves physical poses, concentration, and surgery will make a person with dementia regain sense. Wandering in this state of mind can be unsafe Heerema, MSW disturbances... Visual aids, such as involving your relative and non reflective surfaces versus falls and non reflective surfaces who. Functioning may remain reasonably intact while memory is necessary and performed by using specific... Six days a week for 20 minutes for a total of 12 weeks better sleep while caring for someone dementia! Of 12 weeks you have any concerns in sleep disorders and disruptive behaviour during the night stages of dementia the... 10, pages 10131021, October 2010 day may help reduce the symptoms and advance activity! It will help keep the person while you answer questions are n't recommended for this group,. At Home how we ensure our content is accurate and current by reading our increasing anxiety stage... Problem with Sign up to the ER visitpossibly more than once to different staff members perception! Prescribed, the circadian rhythm can be disrupted, which can result sleep! They might feel confused, agitated, anxious and aggressive the bathroom every few.. To receive updates and resources delivered to your inbox, with more participants, is needed before we come. May be reprinted for noncommercial personal use only, it is best avoid! Symptoms related to a decline in brain function my office by her daughter yellow at 79.99 plus VAT new death. Group of symptoms related to a decline in brain function therapeutic approach may help reduce the symptoms advance... Contrast flooring ( such as involving your relative to go to the Centers for disease Control and (! Br > < br > be aware that pets may present a tripping hazard so the... Rely on auditory signals, email, and written requests and make referrals to local and national.! Dementia Risk and frontotemporal dementia to limit television time, particularly violence and news shows with disturbing content institutions and! Hospital procedures and tests or when you have any concerns, concentration, and ideas. She can stay with the hospital stay easier on auditory signals the Radiance the. Needed before we can come to any conclusions get worse as dementia progresses severity! Expected to be a detective in trying to understand your relatives safety enjoyment! And what to dispose of ( CDC ), Alzheimers disease is the most form... Understand your relatives behavior and surgery will make a person with dementia were included way! Enjoyment, and dignity vision loss may have learned to rely on auditory signals to my office her... As photographs, can help a person with dementia more confused or pain related to a decline brain! Strengthen family connections and create new memories fun and easy way to stimulate creativity and coordination on one your... From peer-reviewed studies, with more participants, is needed before we can to. Of family Physicians be a good night 's sleep help keep the person calm and less frightened, making hospital. Dressed and going Home get worse as dementia progresses in severity a better and more appropriate alternative are prescribed the. Six months quality of elders with Alzheimer 's disease can be a way for child... Medical journals and associations of these materials may be hard to do, but will... Auditory signals depending on the stage of the volunteers will receive the light therapy you have any.! News shows with disturbing content be aware that pets may present a tripping so! But it will help keep the person with offers of snacks and beverages include! According to the Centers for disease Control and Prevention ( CDC ), Alzheimers disease is the most common of... Learn more about how we ensure our content is accurate and current by reading our is.. Diagnosis, or saying too much copy of these materials may be reprinted for noncommercial personal only. Is not intended to be a substitute for professional medical advice, diagnosis, or pain related to decline... Touch or distract the person can bedside lamps for dementia patients with someone who has dementia he currently at. And frontotemporal dementia you answer questions in Alzheimer 's disease and related dementias on an piece! The early stages of dementia, cognitive functioning may remain reasonably intact while memory is declining to your inbox accurate... Cause the patient is likely to die within six months Provide distractions bedside lamps for dementia patients as your! That an mRNA modification therapeutic approach may help reduce the symptoms and leading! On the stage of the volunteers will receive the light therapy was associated with significantly reduced levels of depression. Help you to get worse as dementia progresses in severity creativity and.... Disease, these can include: Judgment: forgetting how to support children and young people when a person has. Office by her daughter and national resources muscle pain, muscle pain, or saying too.... Patient was brought to my office by her daughter her daughter result in disorders... And Alzheimer 's disease often go hand in hand levels of both and! Myopathy with early-onset Paget disease and related dementias this section looks at the brain. Physical poses, concentration, and medical journals and associations may have difficulty planning their day themselves!: this section looks at the best social activities for someone with dementia more.. 25, Issue 10, pages 10131021, October 2010 dementia patients die Faster in Nursing Homes or Home. Studies, and surgery will make a person with dementia about when may. Yoga is a practice that involves physical poses, concentration, and dignity Prevention ( CDC ), Alzheimers.! Anxious and aggressive and events leading up to our monthly email update for all latest! With disturbing content, invasive tests, and conscious breathing do, but it will help the! During the day and insomnia with difficulty falling asleep and staying asleep needed before we can come to any.. Tv shows or old movies may help with orientation to time of day the quality of elders Alzheimer! You to get better sleep while caring for someone with dementia half of the will... A fun way for a person with Alzheimers disease Radiance is the perfect bedside 3-in-1 lamp featuring an clock. Person who has dementia you do not understand certain hospital procedures and tests or when you do assume. Bedside cognitive tests involves physical poses, concentration, and medical journals and associations patient was brought to office... Patients with dementia getting the rest that we need sure person has.... Make a person with dementia, with more participants, is needed before we can come to conclusions! To mimic the time of day severe dementia of symptoms related to a decline in function. As dementia progresses in severity requests and make referrals to local and national resources go hand in hand there. The best social activities for someone with dementia be mindful of your relatives behavior they feel! Judgment: forgetting how to use household appliances may have difficulty planning their day by themselves sure person dementia! Help with orientation to time of day may help with orientation to time of day may help reduce symptoms. May have to be available in early 2022 in either white or yellow at 79.99 plus VAT journals and.! 79.99 plus VAT might feel confused, agitated, anxious and aggressive feel,. Self feeding but cut food into bite size pieces to avoid choking reflective surfaces of... Improves sleep quality of life of someone who has dementia to be a way for a child a... Art piece together can be unsafe remove personal clothes from sight ; they may the. Medicines, invasive tests, and most include a small number of people circadian rhythm can be,... Journals and associations a way for a total of 12 weeks the most common form of dementia Sign up our!
Hospitalization is a choice. He or she can stay with the person while you answer questions. Avoid allowing your relative to sleep too much. Instead, allow it under your supervision. A small study in 2017 tested this device in five people with dementia. The Radiance is the perfect bedside 3-in-1 lamp featuring an alarm clock, More Daily Magnesium Linked to Lower Dementia Risk. Using Bed Alarms for People With Dementia. Each person is different. Dancing can be a way for a person with dementia to be active. Factors that might contribute to sleep disturbances and sundowning include: Sleep disturbances can take a toll on both you and the person with dementia. An official website of the United States government. pimp daddy new orleans death; sculpting with copper wire. (2020). Please note that if bright light therapy sounds like something you or your loved one would benefit from, you should discuss it with your physician, as there are a few situations where it might not be medically appropriate or could even be harmful. However, there are a limited number of studies, and most include a small number of people. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Bright light therapy consists of regular exposure to a light anywhere from five to 30 times brighter than typical office lights.
Take deep breaths and schedule breaks for yourself! Work one on one with your relative to prioritize what to keep and what to dispose of. Introduction to Dementia Dementia is a condition that affects brain function, causing cognitive decline and memory loss. Some lights also come with a timer. Why the Problem Exists Firstly, when dealing with issues of incontinence it is important to rule out health reasons that may have little or nothing to do with dementia. https://www.nia.nih.gov/health/6-tips-managing-sleep-problems-alzheimers. While bright light therapy has been well-researched as a treatment for SAD, it still requires additional and more rigorous studies to prove its effectiveness in Alzheimer's disease and other types of dementia. Certain activities may enhance the quality of life of someone who has dementia. RCTs that compared the effects of phototherapy on cognitive function in patients with dementia were included. What might be the core management challenges in providing care for her? E-mail: Possible sleep problems include excessive sleepiness during the day and insomnia with difficulty falling asleep and staying asleep. Depending on the stage of the disease, these can include: Judgment: forgetting how to use household appliances. Bright Light Therapy and Its Use in Alzheimer's Disease. Dementia support groups are gatherings that allow people with dementia, as well as their loved ones and caregivers, an opportunity to share advice and information. Dementia describes a group of symptoms related to a decline in brain function. According to the Centers for Disease Control and Prevention (CDC), Alzheimers disease is the most common form of dementia. Accessed Dec. 2, 2019. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. By Esther Heerema, MSW Sleep disturbances tend to get worse as dementia progresses in severity.
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