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Improving Sleep for People with Parkinson's Disease              
Parkinson's can disturb your sleep but you and your doctor can win some of it back. If you worry about your sleep, use this checklist to explain the problems to your doctor.
I have trouble falling asleep.
I wake up too early and cannot get back to sleep.
My sleep is interrupted many times during the night.
I have a hard time turning over and moving in bed.
I get stiff at night.
I get muscle cramps at night.
Tremors interrupt my sleep.
Other spasms or unintentional movements (not tremors) interrupt my sleep.
I have vivid dreams.
I have nightmares.
I sleepwalk.
I sleepwalk.
I wake up three or more times each night
I consistenly get less than five hours of sleep per night

Take this checklist to your doctor and ask him or her how you might improve your sleep.

How Do I Improve My Sleep?

"Sleep hygiene" is simply a set of rules that will make your sleep better. Many of these guidelines are obvious. Hints for improving sleep with Parkinson's include the following elements of sleep hygiene:

  • Spend as much time in bright daylight as you can. Avoid daytime naps. Stay as active as possible during the day.
  • Avoid stimulants such as caffeine and tobacco close to bedtime. (Remember there are a few Parkinson's medications that have a stimulant effect.)
  • Avoid alcohol before bedtime.
  • Avoid drinking a lot of fluid before you go to bed. This will reduce trips to the bathroom.
  • Avoid heavy late-night meals.
  • Do things that help you relax before you go to bed.
  • Maintain a regular sleep routine.
  • Create a routine for going to sleep at night and stick with it.
  • Don't stay in bed after you wake up. Use the bed for sleeping. If you like to watch TV in bed, consider watching from a different location. That way your mind knows the bed is for sleeping.
  • Use your bedroom for sleeping. Use other rooms in your house for reading, watching TV, working, exercising, etc.
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