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Narration
Although good lighting can improve vision and overall quality of life in the lives of adults with dementia, it's often overlooked. For example, we may think the person has lost the ability to read, but sometimes it's poor lighting not dementia that makes it difficult to participate in reading or other activities.
Good lighting can reduce falls and make it safer to get around. For example, good lighting can help a person see any clutter that may have accumulated on the floor that may lead to a serious fall.
Good lighting can also reduce hallucinations for those who misinterpret what they see in a poorly lit room. For example, in low lighting, a large leafy plant may be misinterpreted as a lurking stranger within the shadows.
And some studies have also shown that bright morning light, especially when it's combined with melatonin, may ease behavioral problems and improve sleep.
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| Bright Light in the AM to Enhance Sleep |
Research shows that exposure to bright light during the day, along with avoiding bright light at night, can have a positive influence on night-time sleeping.
The person should get bright light in the morning for at least one hour. If the person can't go outdoors, place a chair as close as possible to a bright window. Make sure there are interesting things to do or look at so the person doesn't become bored and wander off. If the person is at risk for leaving the house unescorted, see our section on Wandering for more information.
The person should avoid bright lights at night. Start dimming the lights shortly before the person goes to bed. |
| 3 Key TIPS for Better Lighting |
1. Increase Walking Around & Task (Activity) Lighting
- Use higher wattage light bulbs but only if safe to do so.
- Add more table lamps.
- Add more standing lamps but not near walkway.
- Use night-lights.
2. Reduce Glare
- Hang sheers & blinds on all windows.
- Cover all bulbs with shades.
- Make sure no exposed bulb is in person's eye while sitting.
- Use "full spectrum" bulbs (especially for low vision).
3. Balance the Light
- Make sure there are no dark areas in the room.
- Make sure there are no dark adjoining hallways.
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| If the person has low vision |
For many older adults, increased lighting can help a person see better. Some adults with low vision, however, may require either higher or lower light levels, depending on the impairment. For example, adults with macular degeneration usually require increased illumination, especially for task lighting, but individuals with cataracts may be more comfortable with lower light levels. Regardless of the type of visual impairment the person has, a key element to lighting for adults with low vision is glare free. So make sure to
- Hang sheers & blinds on all windows.
- Cover all bulbs with shades.
- Make sure no exposed bulb is in person's eye while sitting.
- Use "full spectrum" bulbs.
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| Table Lamps and Bulbs |
If the person has tried to take the lamp apart, get a tamperproof lamp to reduce chances of electrical shock. Also consider making or purchasing a special "handyman's box," full of small doors, locks, and hinges, with which they can safely fiddle.
Higher wattage bulbs
Some lamps are only wired for a 60-watt bulb and a higher wattage bulb would be a fire hazard. If you don't know the lamp's rating and you need wattage over 60 watts, consider a 32-watt compact florescent bulb (CFL) which gives the same amount of light as a 100- watt bulb. However, as some CFL's are up to 2 inches longer than a regular incandescent bulb, you'll need to make sure that the bulb fits the existing lamp.
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