RT Journal Article SR Electronic T1 Approach to insomnia in patients with dementia JF Neurology: Clinical Practice FD Lippincott Williams & Wilkins SP 7 OP 15 DO 10.1212/CPJ.0b013e3182a78edf VO 4 IS 1 A1 Molano, Jennifer A1 Vaughn, Bradley V. YR 2014 UL http://cp.neurology.org/content/4/1/7.abstract AB Insomnia occurs in one-fourth to one-third of patients with dementia, and can lead to patient and caretaker distress and early institutionalization. An array of effects from the disease, medication, behaviors, and mood issues may play a role in influencing sleep. This perplexing issue can be handled effectively with appropriate evaluation and understanding of basic sleep-wake physiology. For most patients, appropriate timing of cues, modifying behavior, and optimizing medications can improve the patient's and caregiver's quality of life. In this article, we review signs that may help the clinician recognize insomnia early and approach the issue in a logical manner.