“…In patients with sleep disturbance, medical workup should include consideration of the presence of disordered movement or seizure activity [85], iron deficiency in the setting of restless legs, pain or intercurrent illness, esophageal reflux, dental disease, and disordered breathing or sleep apnea during sleep. Sleep disturbance should be addressed with a multimodal approach that includes sleep hygiene counseling, implementing behavioral strategies, addressing the safety of the environment (eg securing the door to prevent harm from wandering, removing items that may cause choking, removing or covering hard surfaces, enclosed specialty beds, and avoiding furniture that could be toppled over), treating circadian rhythm disturbance, and other comorbid medical factors.…”