Fatigue in Seniors: Causes and Solutions for Better Sleep - Geriatrics

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My mom has been experiencing mental fatigue recently?


My mother, who is 72 years old, often feels mentally fatigued and drowsy.
During the day, she takes pain relievers to boost her energy, but once the effects wear off, she starts to feel fatigued again.
She finds this very strange and would like to know if there might be any underlying issues, especially since her sleep quality at night is extremely poor.

Mai chi de, 30~39 year old female. Ask Date: 2022/12/08

Dr. Liang Yinpan reply Geriatrics


Hello, regarding the food: Please take your mother along with all her medications to see a neurologist for a detailed assessment of her health condition.
Based on the evaluation, appropriate medication can be prescribed, which should help improve her mental fatigue.
Wishing your mother a speedy recovery.
Liang Yin-Pan, Changhua Hospital, Geriatrics Department, December 9, 2022.

Reply Date: 2022/12/08

More Info


Understanding fatigue in seniors, particularly in a 72-year-old like your mother, is crucial for improving her overall quality of life. Fatigue can stem from a variety of causes, and addressing these can lead to better sleep and increased energy levels during the day.


Common Causes of Fatigue in Seniors
1. Sleep Disorders: Many seniors experience sleep disorders such as insomnia, sleep apnea, or restless leg syndrome. These conditions can significantly disrupt sleep quality, leading to daytime fatigue. Sleep apnea, in particular, is common in older adults and can cause frequent awakenings during the night due to breathing interruptions.

2. Chronic Health Conditions: Conditions such as diabetes, heart disease, arthritis, and chronic pain can contribute to fatigue. If your mother is taking pain medication to manage discomfort, it may provide temporary relief but could also lead to a cycle of fatigue once the medication wears off.

3. Mental Health Issues: Depression and anxiety are prevalent in older adults and can manifest as fatigue. If your mother is feeling low or anxious, it could be affecting her sleep and energy levels.

4. Medications: Many medications prescribed for chronic conditions can have side effects that include drowsiness or fatigue. It’s essential to review her current medications with her healthcare provider to identify any that might be contributing to her tiredness.

5. Nutritional Deficiencies: A lack of essential nutrients, such as vitamin D, vitamin B12, iron, or folate, can lead to fatigue. Ensuring a balanced diet rich in these nutrients is vital for maintaining energy levels.

6. Dehydration: Seniors often do not drink enough fluids, which can lead to dehydration and fatigue. Encourage your mother to stay hydrated throughout the day.

7. Lifestyle Factors: Sedentary behavior can lead to decreased energy levels. Regular physical activity, even light exercise like walking, can improve energy and sleep quality.


Solutions for Better Sleep and Reduced Fatigue
1. Sleep Hygiene: Encourage your mother to establish a regular sleep schedule by going to bed and waking up at the same time each day. Create a calming bedtime routine that might include reading, gentle stretching, or listening to soothing music.

2. Sleep Environment: Ensure her sleeping environment is conducive to rest. This includes a comfortable mattress and pillows, a dark and quiet room, and a cool temperature.

3. Limit Stimulants: Advise her to avoid caffeine and nicotine, especially in the afternoon and evening. Alcohol should also be limited, as it can disrupt sleep patterns.

4. Physical Activity: Encourage her to engage in regular physical activity, which can help improve sleep quality and reduce fatigue. Even light exercises, such as walking or yoga, can be beneficial.

5. Nutrition: A balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help combat fatigue. Consider consulting a nutritionist for personalized advice.

6. Hydration: Remind her to drink plenty of water throughout the day to stay hydrated.

7. Consult a Healthcare Provider: Given her age and symptoms, it would be wise to consult a healthcare provider for a comprehensive evaluation. They can assess her sleep patterns, review her medications, and check for any underlying health issues that may be contributing to her fatigue.

8. Mental Health Support: If there are signs of depression or anxiety, seeking support from a mental health professional can be beneficial. Therapy or counseling can provide coping strategies and improve her overall well-being.


Conclusion
Fatigue in seniors can be multifaceted, and addressing it requires a holistic approach. By focusing on improving sleep quality, managing chronic conditions, and promoting a healthy lifestyle, your mother can experience increased energy levels and a better quality of life. Regular check-ups with her healthcare provider will ensure that any underlying issues are identified and managed appropriately.

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