Abstract
HERE are now numerous reports in the literature to support the high prevalence of sleep difficulties and excessive daytime sleepiness in elderly persons. However, as the saying goes, acknowledging the problem is just the first step. Currently, both the fields of Sleep and Geriatric Medicine are faced with the more difficult task of sifting through potential causes and assessing the impact of sleep problems in elderly people. Although sleep patterns appear to alter as we age, by far, in elderly people, most sleep problems are not the result of biologic shifts in circadian rhythmicity but rather result from increasing disease burden, medication effects, depression and anxiety, and limited mobility (1,2). These issues, along with changes in a person’s living situation, make elderly nursing home residents even more vulnerable to sleep disorders. The large number of factors affecting sleep in elderly individuals creates a challenge for both the geriatrician and sleep specialist. Both
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