A top priority goes to maintaining the person's sense of night and day with changes in light and dark as well as noisy versus quiet hours of time. Finally, most residential facilities turn the loud speakers and TVs off and the lights down at night.
The importance of regular schedules for sensory stimulation between meals and after the evening meal in maintaining circadian rhythms has not been established. Experience suggests that the schedule of the 24-hour cycle requires a regular sequence of all of the activities that happen to the person.
Maintaining their sense of identity with the cues selected for sensory stimulation might help to maintain circadian rhythms and sleeping through the night.
Disturbances in circadian rhythms may be reduced when the person is in a sitting position for a few minutes each day. Sitting up in bed or in a chair during sensory stimulation might make a difference in maintaining circadian rhythms.
Providing an opportunity to form a sense of warmth and comfort is rewarding for them and other people as long as skin precautions are followed. A sense of warmth and comfort in the evening might prolong sleeping through the night.