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Sleep problems and institutionalization of the elderly.

C P Pollak1, D Perlick

  • 1Department of Psychiatry, New York Hospital-Cornell Medical Center, White Plains 10605.

Journal of Geriatric Psychiatry and Neurology
|October 1, 1991
PubMed
Summary
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Nocturnal sleep problems in elderly individuals significantly influence family decisions to seek institutional care, often due to caregiver sleep disruption. Further research into these sleep issues is recommended.

Area of Science:

  • Gerontology
  • Sleep Medicine
  • Caregiver Support

Background:

  • Limited research has explored the impact of nocturnal, sleep-related issues on the institutionalization decisions for elderly relatives.
  • Caregiver burden is a significant factor in long-term care placement.

Purpose of the Study:

  • To investigate the role of sleep problems in elderly individuals in the decision-making process for institutionalization.
  • To understand how nocturnal disturbances affect caregivers and their decisions.

Main Methods:

  • Seventy-three primary caregivers of recently institutionalized elders were surveyed.
  • Caregivers identified and rated the influence of the elder's nocturnal and diurnal problems on their institutionalization decision.

Main Results:

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  • Seventy percent of caregivers cited nocturnal problems as a key factor in institutionalization decisions.
  • Common disruptive nocturnal events included micturition, pain, and sleeplessness complaints.
  • Caregiver sleep disruption was a frequent consequence and motivator for institutionalization.

Conclusions:

  • Sleep problems in the elderly significantly contribute to institutionalization decisions, impacting social and economic costs.
  • These sleep issues primarily affect institutionalization by disrupting the sleep of family caregivers.
  • Further investigation into the nature, prevalence, and treatment of sleep problems in both elders and caregivers is warranted.