More daytime sleeping predicts less functional recovery among older people undergoing inpatient post-acute rehabilitation.

Study Objectives: To study the association between sleep/wake patterns among older adults during inpatient post-acute rehabilitation and their immediate and long-term functional recovery

Design: Prospective, observational cohort study.

Setting: Two inpatient post-acute rehabilitation sites (one community and one Veterans Administration).

Participants: Older patients (aged > or = 65 years, N = 245) admitted for inpatient post-acute rehabilitation.

Daytime sleeping, sleep disturbance, and circadian rhythms in the nursing home.

Objective: This study reports the frequency of abnormal daytime sleeping and identifies factors related to daytime sleeping, nighttime sleep disturbance, and circadian rhythm abnormalities among nursing home residents.

Methods: The authors conducted secondary analysis of data collected under usual care conditions within a nonpharmacologic sleep intervention trial. All residents from four Los Angeles nursing homes were screened for daytime sleeping (asleep>or=15% of observations, 9:00 am-5:00 pm).

Depression in older patients admitted for postacute nursing home rehabilitation.

Objectives: To describe the prevalence, recognition, and persistence of depression in older adults undergoing postacute rehabilitation in a nursing home (NH) setting and to explore the effect of depression on rehabilitation outcomes.

Design: Prospective cohort study.

Setting: One rehabilitative NH in the Los Angeles area.

Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents.

Objectives: Abnormal sleep/wake patterns are common in nursing home residents. Lifestyle and environmental factors likely contribute to these poor sleep patterns. The objective of this study was to test a multidimensional, nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents.