Sleep problems in later life

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Sleep problems in later life

2023-04-01 05:19| 来源: 网络整理| 查看: 265

We talked to people in older age about their sleep and how it had changed with age. Here people aged over 65 discuss naps and sleeping in the daytime. People talked about napping, dozing, nodding or dropping off and catnapping during the day or early evening for different reasons, and they often felt quite differently about it. Some choose to nap while others doze off without meaning to. Some people said that they would prefer not to sleep in the day.

Reasons for not sleeping in the day

There could be a range of reasons for not wanting to nap or sleep during the day. For some it’s seen as a waste of time that stops them doing what they want to do in the day. Several people said they see it as something that ‘old’ people do and they don’t want to be seen as old by themselves, family or friends.

  Juliet was loath to nap during the day, as suggested by her physiotherapist, because she didn’t... Juliet was loath to nap during the day, as suggested by her physiotherapist, because she didn’t... View full profile Age at interview: 69 Sex: Female See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT Well I just, I suppose somebody might say ‘oh well you think it is synonymous with old age’. It is not that. It’s that I feel if I got into that sort of body rhythm, and I was out for a day, you know, I might sort of feel tired when I wanted to do something else and be with people and what have you, and I don’t like these set routines that people can get into. I didn’t disregard it and I did say to her, okay yes, and I do fall asleep. In fact it happened yesterday as it happened. I had been watching the athletics because I enjoying watching that, and I think all those people, that dreadful climate in Japan, and I suddenly sort of felt quite tired and I just sort of turned the television down and closed my eyes and I had gone, but equally there are days when I am busy in there and it varies, and so I don’t like routines that you can’t get out of really.

Some people feel that sleeping in the day is a waste of time. Many people said they lead very busy lives and don’t want to waste time in the day by sleeping. Several people worry that if they sleep during the day, it might affect how they sleep at night.

  Mike felt if he did start to nap it would signify he was getting older. Mike felt if he did start to nap it would signify he was getting older. View full profile Age at interview: 66 Sex: Male See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT Do you think there’ll ever come a time when you might [nap]?   Well I hope not. I hope not. Because I think it would reflect on the fact that I was really getting past it. But I suppose it could, yes it could come to it. I just feel that once you’re up and about and in day time mode, to then go and lay down for an hour or so, and then you’re like starting again aren’t you, and going through the whole of that morning routine thing, where you wake up, and you have a wash and a shower and whatever you’re going to do and now you’re awake and you feel a bit better because you’ve had your shower and everything, I think perhaps if you went back and had a lay down again, then you’re almost turning the clock back five or six hours.      Falling asleep during the day makes Mary cross, especially as she has so many things to do. Falling asleep during the day makes Mary cross, especially as she has so many things to do. View full profile Age at interview: 72 Sex: Female See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT I wouldn’t want to [sleep in the day] I have done sometimes, gone to watch the news with a cup of tea over there, and in the middle of the day and it’s because I’ve relaxed. So I could easily go to sleep in the day I suppose. But I would be very, very cross.   Would you. Why?   Well I would. And usually I’m supposed to be somewhere quite soon after that.   So how long would you fall asleep for in the day time do you think?   Ten minutes.   Okay so you’re not talking about having a nap for an hour?   oh no, no, no.   I programme my day from, to get things going, go here, do this, do that. And it wouldn’t fit in to go to sleep.   Do you think there will ever come a time when you might fit it into your day?   May be when the children are at secondary school and I don’t have to pick up from school or … but then I’ve got other things. No, I hope I will always be able to get up and do what I want to.   Do you think there’s anything wrong then with napping during the day?   No I would rather go for a walk. I think that’s relaxing. I just go on my own and its leafy and pretty and …   What about in the winter would you do it then?   Yes. I would still walk in the winter.     John would rather not sleep during the evening as it might interfere with his sleep at night. John would rather not sleep during the evening as it might interfere with his sleep at night. View full profile Age at interview: 67 Sex: Male See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT I mean it doesn’t seem to make much difference to sleep, but they say a bit of exercise is not a bad idea. I read. Occasionally, occasionally I fall asleep, which is not a good thing. Even for a half an hour at half past seven in the evening is not going to help you sleep at night. So I try not to do that, but it just occasionally happens, it may be because I am tired, so it is a vicious circle isn’t it.   Yes, yes, it is. So you fall asleep sometimes?   Only occasionally but again once or twice a month I might doze off.   Okay what sort of time of day would that be?   Oh it is usually evening. When I am watching the football or something or tennis or something, I just …   And you don’t sleep during the day?   No. I generally can’t do that. The daylight, I don’t sleep during the day.   I mean if I did, it would be almost impossible to go to sleep. I know. I used to do nights at [Airport] many, many years ago. Oh that is going back thirty years now. If I went to sleep, it totally messes you up. I wouldn't want to do that ever again. Even though I got to sleep at night sometimes, it just wasn’t the same.  

Possible reasons for sleeping in the day that people gave included being physically active, such as swimming or long walks. Being ill was another reason. For example, having ‘flu, or a diagnosed sleep problem, such as sleep apnoea, which leads to poor quality sleep during the night.

Several people talked of falling asleep in front of the television, either during the day or in the evening. In particular, some people talked about falling asleep in front of the tv when they watched the news. Daphne explained how she tried very hard to stay awake for a late night news show, but nearly always fell asleep.

  William can fall asleep after his breakfast, especially if he has been for an early morning swim. William can fall asleep after his breakfast, especially if he has been for an early morning swim. View full profile Age at interview: 78 Sex: Male See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT Well we got this garden room and it gets nice and warm. I come back from swimming and [my wife] might be out, or she’s in the baths anyway, but later than me. Or sometimes we sit here doing something and I will take my breakfast out there with the paper and then she says ‘well, I’m going down so and so’ or she’s not here. She’s gone and I am reading the paper and then I look at my watch and its eleven and what has happened is that I’ve fallen asleep at quarter to ten or ten o’clock and I’ve slept, you know, I’ve gone off. But it’s lovely and cosy in there and of course there’s not any breeze or anything, so it’s the worst place to sit if you are sleepy and I’ve been up for three hours you know.   So how do you feel about then how you were sleeping then?   Well I often, I mean I look at it, I obviously needed the sleep. But I am annoyed that now I am at eleven o’clock and I was going to do so and so. And now, that’s the point.   So you would rather not do it if you could avoid it?   That’s right, but of course all I need do is sit in here and not sit in the nice atmosphere and read the paper.   So do you think subconsciously you know that if you go in there…?   I will, Yes. That’s where I fall asleep.   Daniel sleeps badly at night, possibly because of sleep apnoea, so he often dozes off during the... Daniel sleeps badly at night, possibly because of sleep apnoea, so he often dozes off during the... View full profile Age at interview: 78 Sex: Male See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT Well I do, but as I mentioned to you earlier, probably off camera, about being diagnosed 1991 sleep apnoea. I do think it is related to that. I do doze during the day, and so I am tired, I feel tired during the day. I don’t mean the whole time during the day but there are just times, periods, so I don’t know whether it’s the sleep apnoea type of thing or whether it is that I have not had proper sleep for some reason.    After a busy day Ronald can fall asleep in front of the television and miss seeing a programme he... After a busy day Ronald can fall asleep in front of the television and miss seeing a programme he... View full profile Age at interview: 71 Sex: Male See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT Well as I say that is the normal routine, but then if I am busy during the day, like today when I have finished here, if I go out to this allotment I have taken on, which is fairly physical work to get it straight, then get rather tired, come home in the evening, have a meal, and be watching television about half past seven and then just drop off to sleep, just like that.   And not realise you know, even watching a recording sometimes that we have recorded, want to watch it, but your body takes over and you just go to sleep and I can go to sleep for perhaps half an hour, three quarters of an hour.   Are you are trying to stay awake, you don’t want to fall asleep?   Well it just seems to happen. I don’t know that I am doing it. I wake up and wonder sometimes where you are for a little while, and then it sort of all dawns on you and then you think, oh dear I have missed half the programme you have recorded, it seems rather strange then. Reasons for sleeping in the day

Some people were quite happy to take a nap during the day. They might plan to have one at a particular time or sit down at a certain time of day, knowing they would naturally doze off.

  Robert used to sleep during the day to cope with a lack of sleep at night whilst caring for his... Robert used to sleep during the day to cope with a lack of sleep at night whilst caring for his... View full profile Age at interview: 77 Sex: Male See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT It meant just a change of pattern she didn’t like to go to sleep during the day because it interrupted her sleep at night. I on the other hand would lie on my couch over there and we would listen to music or something and I would just keep nodding off and sleep half an hour. So I was, my pattern changed to trying to sleep during the day and that went on for four months.   But it doesn’t worry me so much [broken night sleep] because I can have a little zzz zzz as my sister calls it in the armchair in the afternoon and I have got other things to stimulate me. I have to drive myself to get out of there. Plus the fact that I am very conscious that the body is still going through bereavement, bereaving, and could easily fall into a poor widower, at aged 77, a 77 year old widower who could just sit down and die, but it hasn’t got to be that way. 

Napping after eating was mentioned by several people. Frank said that having just had a meal followed by with sitting down to watch the news nearly always sends him off to sleep in the afternoon or evening.

Others didn’t necessarily take time out to have a nap but did make sure they rested and if they fell asleep then that was fine. Roy gets tired in the day and so will often go up to bed and have a lie down.

Some older people said that they needed more rest or sleep to keep up with their everyday activities. They often felt energised by napping so that they could do the things they wanted to do in the day.

People often talked about the importance of listening to what their bodies were telling them, and to take a nap if they felt tired. Some people talked about getting advice on napping.

  Margaret feels guilty about having a sleep during the day, but is aware that she as she gets... Margaret feels guilty about having a sleep during the day, but is aware that she as she gets... View full profile Age at interview: 72 Sex: Female See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT So how long have you been doing that, the day time sleep?   Very shortly. I would say the last two or three months. I have never been a person who sleeps in the day, but I just wonder. I suppose its old age coming on. It’s needing more sleep and I have a real belief and you know, this sleep is extremely good for you. And I think ‘oh how awful I mustn’t do this’. It’s guilty. I think it’s just an episode in the day when you’re building up for the rest of the day so that’s good.   So that was going to be my next question really is how do you feel about having this day time sleep?   It’s filled in time, its investment time so that I can do something else. For instance I need to practice my recorder. Well I never have time in the day. But I have enough energy in the evening to spend about a couple of hours practising. Because you do need to do that, if you are going to play with other people. You have got to be able to come up to scratch.    Juliet describes how her physiotherapist suggested she take a nap in the afternoon to help her... Juliet describes how her physiotherapist suggested she take a nap in the afternoon to help her... View full profile Age at interview: 69 Sex: Female See full profile SHOW TEXT VERSION EMBED CODE PRINT TRANSCRIPT What about napping, do you have a nap during the day?   Well that is an interesting one, I will find sometimes, when I have dropped off to sleep in my typing chair, but I mean I don’t just do it, but I will feel it coming on. And about a year ago I went over to the [hospital] and I had a very bad spell last summer and the RA consultant said I think you need to see the physio and I went over to see her, and I was referred over to the hospital to see the physio and the OT and both of them made some helpful suggestions about exercise and what have you but it was the physio that said to me, she said I think you need to sleep in the afternoon for half an hour. And I said well do you really, because I said I am very loathe to get into this, because I think once I have got in to it I will need to do it every day. And I said a) I am loathe in case it takes away the edge at night and makes you know, makes it longer or more difficult to get off and b) if I do feel tired during the day and there is nothing on, I will actually say oh I will just sit in the chair and then I find I have dropped off for a little while, so I don’t make a conscious effort to have a nap.


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