Helping Loved Ones with Dementia Sleep Better: Tips for Caregivers

Hi friend, if you’re caring for someone with dementia, you already know how much love, patience, and energy it takes. And when sleep is disrupted, for them or for you, it can make every challenge feel harder.

Sleep issues are common in people with Alzheimer’s or related dementias. But there are gentle ways to support better rest, reduce nighttime confusion, and make evenings a little calmer for everyone.

Why Dementia Affects Sleep

According to the National Institute on Aging, people living with dementia often experience:

  • Frequent nighttime awakenings
  • Daytime drowsiness
  • Increased confusion or agitation in the evening (“sundowning”)
  • Night wandering or difficulty recognizing that it’s time to sleep

These changes happen as dementia alters the brain’s sleep-wake cycle. Pain, medication side effects, or environmental cues can also play a role.

Tips for More Peaceful Nights

  • Stick to a calm, consistent routine. Try to keep wake-up, meal, and bedtime hours the same every day, even on weekends.
  • Limit naps and stimulants. Avoid caffeine and long naps late in the day so nighttime sleep isn’t disrupted.
  • Use gentle lighting. Soft lights in the evening and nightlights in hallways or bathrooms can reduce confusion and prevent falls.
  • Create a soothing wind-down ritual. Play soft music, offer a warm (non-caffeinated) beverage, or read aloud. Avoid screen time or loud TV shows in the evening.
  • Keep the bedroom safe and familiar. Remove clutter, install door alarms if needed, and make sure the bed is low and sturdy.
  • Try a weighted blanket or familiar object. These can provide comfort and reduce nighttime agitation for some individuals.

When to Ask for Help

If your loved one is experiencing severe sleep disruption, talk to their doctor. In some cases, medication or changes to their care plan may be appropriate. But often, small environmental and behavioral shifts can make a meaningful difference.

You’re not alone on this journey. Supporting a loved one with dementia is one of the most compassionate things anyone can do—and good sleep helps both of you feel more grounded, clear-headed, and calm. Take things one step at a time. With consistency, patience, and kindness, better nights are possible.