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Objective: To clarify how patients with advanced dementia in a care facility spend time during the day through sequential observation of activities. Methods: Activities of 12 patients with dementia were observed using an original form for monitoring their behavior and applying electroencephalograms (EEGs) with electrooculograms (EOGs) to identify awake and sleep states. Results: The amount of time in an awake state was significantly longer than in the other states, although the awake/sleep rhythm fluctuated in all participants. The subjects were mainly occupied with “unpurposed period”, in which they were inactive, although fully awake. Conclusion: Through reporting daily activities and awake/sleep states during the daytime in patients with dementia in a care facility, serial monitoring of behavior and the recording of biological activity revealed precise knowledge of the actual daily situation of patients with advanced dementia.

Behavioral and Physiological Observations During the Day: How Patients with Advanced Dementia Spend Time in a Care Facility