30th April 2024

An 82-year-old woman is seen in clinic with insomnia. She has a history of moderate Alzheimer’s disease

An 82-year-old woman is seen in clinic with insomnia. She has a history of moderate Alzheimer’s disease, for which she takes donepezil 10 mg ON and Memantine 20 mg OD. Both these medications have been of benefit in reducing her cognitive decline. Her family are concerned that she will wander in the night and fall. What is the most appropriate initial step in management to aid with her sleep?

Select the SINGLE most appropriate option from the list below. Select ONE option only.