If you have never worked a night shift in a senior care community, you may be surprised to know that many residents do not sleep. Yep, they may have their eyes closed, laying in bed, however, if you simply walk past their doorway, their eyes pop open. Back in the old days, hypnotics were used, administered early in the evening, and everyone was in “lala land” by 9:00 pm. Not so much anymore, thank goodness! But what about those residents who are having trouble sleeping? What are we doing and what should we be alert to?  

Sadly, many residents with delirium, anti-social behaviors, falls, “crankiness,” etc. are experiencing symptoms of sleep deprivation. Is there anything we can do to help these residents? Yes, according to a psychiatrist from Johns Hopkins! Dr. Sharma recommends that during the day, the lights in a resident’s room be on and the shades be up, allowing daylight to enter the room. This will assist in avoiding a “sleep environment” where residents will nap all day. The doc also says that if a television is on in a resident room, the resident should be engaged in the program (not falling asleep to the sound of the TV). If the resident does fall asleep, turn the TV off or turn on music.  

Another key point the doc made was to have family involved. Yep, studies have shown that residents who have family members visit with them weekly, every other week or even spend the night, can be particularly valuable. The familiar activities shared with family are comforting and will keep a resident engaged during waking hours, thus encouraging better sleep. It is really important that residents get enough quality sleep to maintain a healthy balance and avoid negative outcomes. Maybe it is time to do a little “study” in your center? Start on one unit or hall, have staff document when a resident is truly asleep during the night and when they are awake/easily roused. You may be surprised at what you find! Maybe the residents falling asleep in activities aren’t “bored” but “tired?” Who knows, you might even decrease the number of falls in the process! Stay well and stay informed!