It sounds like your client may be experiencing Sundowners Syndrome, which is common in seniors with Alzheimer's/Dementia. This can easily be onset when they experience a drastic change in their schedule (such as a hospital stay) - something disrupts their internal clock which causes several negative effects. The good news is that through patience and teamwork, seniors can get back on track. Here are a few things you can try - and since your client receives regular care from Homecare By Design Caregivers, we will work with that client's other Caregivers to get everyone on the same page to improve your client's routine as a group effort.

• Reset their internal clock by allowing exposure to sunlight in the mornings daily
• Do physical activity (walking or exercises) throughout the day
• Avoid napping as much as possible & limit caffeine intake after morning
• Try calming activities or moving to a relaxing room if the senior becomes agitated (hand massage, pet time, etc)
• Allow the senior to use a bedside commode to reduce trips to the bathroom at night (which may make them unable to go back to sleep)

For more tips, visit http://www.aplaceformom.com/senior-care-resources/articles/sundowners-sleep.