Wandering in the Nursing Home

Candace Meinen, Bhanu Prakash Kolla, Meghna P. Mansukhani

Research output: Chapter in Book/Report/Conference proceedingChapter


The body’s inability to regulate a 24-hour body clock can result in irregular patterns of sleep and wake and lead to an irregular sleep-wake rhythm disorder. This can present with insomnia and/or sleepiness. This condition is commonly seen in patients with neurodegenerative conditions such as dementia. Evidence-based treatment options for this condition are limited. Phototherapy in the morning has been shown to lead to some improvements. Other strategies such as environmental changes, exercise programs, and strategic avoidance of light have shown minimal benefit but because of the minimal risks associated with these options they could be tried in patients with irregular sleep-wake rhythm disorders.

Original languageEnglish (US)
Title of host publicationComorbid Sleep and Psychiatric Disorders
Subtitle of host publicationA Clinical Casebook
PublisherSpringer International Publishing
Number of pages10
ISBN (Electronic)9783030117726
ISBN (Print)9783030117719
StatePublished - Jan 1 2019


  • Dementia
  • Hypersomnolence
  • Insomnia
  • Irregular sleep-wake rhythm disorder
  • Neurodegeneration
  • Wandering

ASJC Scopus subject areas

  • General Medicine
  • General Psychology


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