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My husband is in the middle stage to late middle stage pf Azheimer's and was sleeping about 12 hrs. at night and two naps during the day total time sleeping was 16 hrs. Now he's sleeping more about 19 hrs. He has been asleep since 6pm and it's almost 8am. Should I just let him sleep?His personality has changed, too. Mostly focused on the past (where are my parents, etc.).

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I lost my mom in October of 2024. She had dementia . The last couple of months of her life she just slept basically all day. This was the hardest thing for me to see because it’s so unnatural for someone to sleep like that. She was transitioning and her body was telling her to sleep. When I look back , I wished I wasn’t so insistent that she wake up although she would try to by simply smiling or saying a few words and going back to sleep. Call hospice but I would let him sleep. I wish you the best.
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Let him sleep. As long as it allows you to rest and sleep and he is settled, comfortable, and clean, just let it be. Bottle of water at bedside. Night light on. House secured. Light classical music playing, softly. Maybe get him up at 10am for water and juice and a light meal. Half sandwich, ensure, juice. Then again around 4-5pm. Don’t let him drift to middle of the night awakening where you are disrupted. Hire help so someone else is watching him and you are off. Caregiver can do the meals and also do a load of laundry and fold and wash dishes and put away and tidy the kitchen and sweep and get things ready for the morning and help you walk pets and get mail and scoop litter boxes and get in mail. Caregiver is there to help You and husband is the recipient of care. Caregiver checks on him during her/his hours so you are off. Go away. Caregiver changes soiled underwear and gets him comfortable with mouth care and washing face with warm washcloth and gets his bed clean, clean night clothes, and turns light down. Ask and pay for help. Don’t count on family or people to just volunteer or neighbors. Hire the help you need to make this tenable for you.
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Has he been checked for OSA? Anything else that can cause hypersomnolence? If this is a co-morbidity, it may be treatable.
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emily53 Aug 9, 2025
Yes there are other causes of extreme fatigue and oversleeping— Sleep Apnea, Depression and Anemia or Low Iron, are just a few. So before we say “Oh it’s just the Alzheimer’s getting worse” it’s important to get our loved one checked out by a doctor.
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ABSOLUTELY
LET THEM SLEEP💞
ITs PART OF THE AGING PROCESS
HARD WORK “L I F E”
BEING BORN… LIVING & PREPARING TO MOVE TO HEAVEN
🙏😘
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My mother was the same. She began sleeping more, rather suddenly but she enjoyed eating, but eating a lot slower (swallowing reflex starts to fade so make sure they are in an upright position so they don’t aspirate) and this continued for 16 months before she passed at 92. She was gradually losing weight during the last 12 months. Despite having Alzheimer’s she was still a fighter. Prayers and be well.
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My experience caring for my wife for 18 years has convinced me that our loved ones need a routine in their daily lives. Changes in routines creates confusion and derails all car-based interventions which are key in ensuing the highest possible quality of life for them.

In my view, breakfast, lunch, dinner, snacks in between, and administration of meds during the 24-hour day should be always at the same regular time.

The other suggestion is that we should keep them busy with activities during the day and prevent long naps so that they are tired when they go to bed, so that they enjoy a good deep sleep.

When a loved one is in the advanced stages of dementia, they sleep longer hours. However, the feeding and meds regiment should be always on schedule, uninterrupted.

I have written a book based on my studies and my 18 years of experience caring for a dementia patient, my wife. The book, "Dementia Care Companion" is available at Amazon.
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I let my husband ( sleep as much as he does ! When he wakes up he is hungry and after eating sleepy! Nice time breaks for me and less episode for him!
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Susieandmama16: Pose your concerns to his neurologist.
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emily53 Aug 9, 2025
I agree— we need to report our concerns to every doctor that our loved one goes to. Before going to the doctor’s office, I would jot down my Dad’s symptoms along with any questions. Putting it in writing is very helpful because there’s a lot to remember. Don’t act on advice posted here on Aging Care until you check it out with a doctor!
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Sleeping more is one of the criteria that Hospice uses when recertifying a patient on Hospice.
Increased sleeping is a decline and if your husband is not on Hospice you might want to get him evaluated.
Work with his schedule.
give him "breakfast" when he wakes but you might want to rethink breakfast. Make the meal a larger one so he is getting a meal. When he wakes again give him a snack. yogurt, fruit (be careful of slippery fruit like peaches and nectarines they slip down the esophagus very easily)
If he needs changing between waking up you can change him in bed and most likely he will barely wake up.
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Hi, in my opinion, those of us who aren’t there cannot be 100% sure your husband is in a dying phase. My Dad would’ve slept up to 15-20 hours a day a couple years before he died from Alzheimer’s if we let him.

—Thankfully we took him for an assessment. They said he had no clinical signs of dying but that many patients are suffering from DEPRESSION which is often overlooked. So I got him up every morning which he grumbled about but then did have some enjoyable moments.
—Consider taking your hubby outside for fresh air, even just to sit, or for a ride in the car. This energized my Dad. He’d be dozing off, but once he GOT OUT of the house he was awake and more alert. Does anything seem to interest or activate or brighten up your husband?

Note: There still is a person who is possibly suffering underneath those symptoms of Dementia. Sadly they can no longer really help themselves. Of course all this requires more effort and time AND I was already exhausted. So I had to start asking for help from other family members, even young adult nieces & nephews!

I found asking for SPECIFIC help worked out better. For example “Can you come for a visit once a week to take your Uncle outside for an hour AND then stay another hour to eat lunch with him?”. AND I’d explain that I would be available on call but taking a much needed break elsewhere! BEST WISHES
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Yes, let him sleep...he's in the dying phase.
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I would let him sleep. It is more peaceful for him and for you.
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Let him sleep....this is normal for this stage.
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Sleeping is good for the brain. I would ask your doctor. Most importantly, Alzheimer's is a progressive disease, and it sucks.
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My FIL's oncologist stopped treating his cancer because he's 88 and not tolerating the chemo anymore. He's been off it for about 3.5 months. At his last appt., she referred him to a palliative care doctor. My wife and her sister took him to that appt. That was one of the questions they asked. Should we wake him up to eat and take his pills? She said "No. If he's sleeping, let him sleep.".
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MiaMoor Aug 9, 2025
Yes, I think that when someone is approaching end of life, especially if they could be in pain, that it's kindest to let them sleep.
If they are sleeping lots because it's tiring for them to process information due to a damaged brain, but they're not at end of life, a structure will help them to not become dehydrated and to keep to a medication schedule. They can always go back to sleep after having a drink and tablets (and nutrition).

I'm sorry for your f-i-l's condition and what your family are going through. I wish you all peace and comfort.
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Sadly this is how things develop with Alzheimer's. My partner now is only awake to have her breakfast, lunch and dinner. As soon she has eaten wether I put her in her recliner or lay her on the bed she drops off and sleeps. I have been caring for her for over 10 years and I can see how this illness has progressed. I would just let your husband sleep.
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"Never wake a sleeping baby or sleeping husband." This axiom has saved me a lot of trouble during my lifetime.

Your husband's sleeping could be something much worse instead, like repeatedly following you into the bathroom, turning on stove burners behind your back, or making it his personal mission to wheel the trash cans of all the neighbors into your garage before the trash truck has emptied them. Yes, these things really happen. Count your blessings!
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TakeFoxAway Aug 8, 2025
Hilarious but true!
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The fact that your husband is sleeping more could mean that the end is near, and that it's time to bring hospice on board.
My late husband towards the end of his life slept anywhere from 18-20 hours/day.
You can call the hospice agency of your choice and they will come out and do an assessment. And then they will send a nurse to your home once a week to start and aides to come bathe him at least twice a week. You will also have access to their social worker, chaplain, and volunteers, plus they will supply all needed equipment, supplies, and medications all covered 100% under your husbands Medicare.
I would just let him sleep unless he has to take any medications at a certain time.
I wish you well as you take this final journey with your husband.
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TakeFoxAway Aug 8, 2025
Makes a lot of sense, Funky. I think you're right that the end is probably near. My mom sleeps a lot too (not that much though) but I make her get up at some point to go to the bathroom and have breakfast. I tell her once she eats (and she LOVES her breakfast) that she can choose to go back to bed them. She's also really regular. About half the time she chooses not to go back to bed.
I just wonder with someone like her husband, you shouldn't wake them for their bathroom duties? (no pun intended).
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Can you tell me what benefit you think would result in your insistence he be awake for all this? You are witnesses changes that are normal and expected. It is almost always more sleep and less eating. This is really nothing you can do about the progression. I am so very sorry. Use that time as your own respite from care.
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When my dad began hospice the nurse told us there were three signs of end of life being soon, sleeping a longer, deeper than usual sleep, stopping communication, and stopping eating. It doesn’t sound like your husband is there yet, but perhaps some of the signs are starting. Let him be your guide on the sleep, if you find it better to let him sleep, do that. If you find it goes better to wake him and try for a routine, do that. I hope you’re getting breaks and rest during such a hard journey and wish you both peace
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First of all, you should always do what feels right for you and your situation.

I'm always in the minority when this question comes up but I personally believe that trying to keep something of a schedule is beneficial and getting up in the morning to have a bit to eat and taking medications as scheduled, toileting or changing incontinence products, just moving or repositioning is better in the long term. The general feeling seems to be that once people start sleeping so much they are nearing the end of life so we should just let them be, but my mother lasted many years like that.
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TakeFoxAway Aug 8, 2025
That's what I was asking Funky Grandma. So for example: I get my mom up so that she stays regular, takes her meds and eats (though once they stop eating, that indicates the end is near and my mom always wants to eat.) I just worry less about her long naps and sleeping late. So I make sure she's up by 9:00 to do all those things. So I think you posed a good question.
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