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Sleep in care homes

Gordon, Adam; Gladman, John R.F.

Authors

Adam Gordon adam.gordon@nottingham.ac.uk

John R.F. Gladman john.gladman@nottingham.ac.uk



Abstract

Sleep problems in older adults are common and disturbance in sleep is associated with increased mortality. These problems are more pronounced in the care home population because of institutional factors and a high prevalence of frailty and comorbidity. This article reviews the randomized controlled trials undertaken to address sleep problems in care homes. These suggest that standalone therapies – oral melatonin and light therapy – have no effect on sleep but that combination treatments – physical exercise plus sleep hygiene, physical exercise plus sleep hygiene plus light and melatonin plus light – may have positive effects. These effects are more marked for daytime arousal than nocturnal sleep. Practical considerations for care homes are how to maximise light exposure, incorporate exercise into daily routines and minimize night-time disruption for residents. Trials undertaken so far are compromised by small sample size and inappropriate randomization strategies and further research is therefore required.

Journal Article Type Article
Journal Reviews in Clinical Gerontology
Print ISSN 0959-2598
Electronic ISSN 0959-2598
Publisher Cambridge University Press (CUP)
Peer Reviewed Not Peer Reviewed
Volume 20
Issue 4
APA6 Citation Gordon, A., & Gladman, J. R. Sleep in care homes. Reviews in Clinical Gerontology, 20(4),
Publisher URL http://journals.cambridge.org/action/displayJournal?jid=RCG
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf

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Sleep_in_Care_Homes_pdf.pdf (130 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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