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I would have your dad taking a walk outside in the sunshine first thing in the morning, if possible. You would probably have to walk with him. Sunshine will reset the internal clock.
This a problem with the elderly sometimes they like to take a long afternoon nap and are not tired at nighttime. Make the area as dark as you are able to at bedtime aometimes a ritual like maybe a walk outside will help them get ready for bed maybe you need to extend their day by 1 hr. or have a glass of warm milk before bed -if you can get someone to come in for maybe 2 hrs. before bedtime to stay with then so you can get to bed and not worry like a babysitter might help-remember you are only one person and you can not be going 24 hrs. it might be that the elder needs more help than you can provide-I remember how I hated nights because my late husband would give himself too much insulin so he could wake me up every night with low blood sugar which got me up for hours-he knew what he was doibg he thought I was his slave and he was entilted to treat me badly. Your may have to at first stay p 3-4 hrs later and then slowly decrease the time. Maybe he or she needs a mild seditive to help them calm down if you have family insist they get involved and do not be proud and think you can do it all-I wish I had insisted others help me in the past - I remember being so tired all the time.
What is your father's diagnosis, Susan? Does he have dementia? Are you his caregiver? Do you live together?
Does he get agitated in the evening? Does he pace or act anxious? Or does he simply say Go to bed? What do you mean, I just got up? People with dementia often have very poor orientation as to time, and also very limited short term memory. A common problem, for example, is eating, getting up from the table, then coming back into the kitchen or dining room and asking whether it is time to eat now.
If he sits in his recliner and reads for a while, is he likely to fall asleep? Would there be a problem for him to get his sleep this way? If my husband falls in asleep in his recliner I gently push it back and drape a blanket over him. I worry that if he wakes up disoriented he'll fall getting out of the chair, so I leave the lights on to help him understand where he is.
Is there some nightly event that can signal bedtime? "Well, now that the evening news is over, let's get ready for bed." Increasing his daytime activities might help.
Does your father have dementia/alzheimers? Is he confused about other things during the day? If not, he might be experiencing "sundowner's syndrome." If this is the case, it isn't a matter of "resetting" a clock. What they are experiencing makes them fearful of the evening and of sleeping. I think my Mom fears that she will go to sleep and not wake up. She has had these episodes for years and sleeps in a recliner. They only occur after the sun has set. Researchers think it may have something to do with the loss of melatonin as we age. I try to keep Mom active during the day. I notice that she sleeps better if she has been on an outing to her doctor's office, etc. Her episodes also include panic attacks. So I have her drink warm milk or hot chocolate and take an excedrin tension headache (I think these mostly have a placebo effect). She does not like to take sedatives, and I am not a big fan of prescription sedatives for seniors, but she will sometimes take an excedrin pm. The downside of staying up all night is constant exhaustion, sleeping through the day, and irratability. I really think it takes a mental toll. You must be exhausted too.
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 get agitated in the evening? Does he pace or act anxious? Or does he simply say Go to bed? What do you mean, I just got up? People with dementia often have very poor orientation as to time, and also very limited short term memory. A common problem, for example, is eating, getting up from the table, then coming back into the kitchen or dining room and asking whether it is time to eat now.
If he sits in his recliner and reads for a while, is he likely to fall asleep? Would there be a problem for him to get his sleep this way? If my husband falls in asleep in his recliner I gently push it back and drape a blanket over him. I worry that if he wakes up disoriented he'll fall getting out of the chair, so I leave the lights on to help him understand where he is.
Is there some nightly event that can signal bedtime? "Well, now that the evening news is over, let's get ready for bed." Increasing his daytime activities might help.
Let us know a little more about the situation.
https://www.agingcare.com/articles/sundowners-syndrome-sadness-agitation-fear-133187.htm
If not, he might be experiencing "sundowner's syndrome." If this is the case, it isn't a matter of "resetting" a clock. What they are experiencing makes them fearful of the evening and of sleeping. I think my Mom fears that she will go to sleep and not wake up. She has had these episodes for years and sleeps in a recliner. They only occur after the sun has set. Researchers think it may have something to do with the loss of melatonin as we age.
I try to keep Mom active during the day. I notice that she sleeps better if she has been on an outing to her doctor's office, etc. Her episodes also include panic attacks. So I have her drink warm milk or hot chocolate and take an excedrin tension headache (I think these mostly have a placebo effect). She does not like to take sedatives, and I am not a big fan of prescription sedatives for seniors, but she will sometimes take an excedrin pm.
The downside of staying up all night is constant exhaustion, sleeping through the day, and irratability. I really think it takes a mental toll. You must be exhausted too.