I am a care giver and my patient has dementia and she wants to sleep all day and be up talking and counting in her sleep at night. Please help!

I appreciate your input, I really do. She's very difficult to keep awake during the day in her wheelchair, and when she naps during the day she's out and when she goes to bed at night she's up mumbling counting calling out for people

My helper who comes in for 5 hours and myself have done sleep training on my grandma who used to do that. She used to literally stay awake for 2 days then crash for 2 and when I took over her care, I could not live like that. For the past 5 years (besides a few times she was out of the house once again returning to that cycle), she has slept most nights. We kept her awake during the day refusing to let her nap. We cleaned around her loudly, talked to her, watched movies with her, looked at photo books with her, had the great-grandchildren play with with her doing puzzles, painting, reading her books, etc. She has been kept busy during the day (she gets up at 6 am and goes to bed around 8 or 9 pm by choice) and will only take a 25-45 minute nap (naturally waking up anymore) at 12 pm. If you switch them around like you do newborns then it works as they get tired enough to sleep at night. It also helps that I have nighttime cues that are different than during the days. She sleeps in her chair but used to in a bed. I would set up her bed at night time with her blanket and pillows and kept her out of that bedroom until it was time for bed. When that seemed to upset her, I allowed her to sleep in the living room. I would turn off the lights and turn on her music (I found that helped a ton. She was falling asleep during the day due to the TV and white music that was around the house. When she started sleeping to music, it helped to keep the white noise going so she would sleep longer), turn on her humidifier and change out the pillows and blankets. I also put her feet up (her feet swell so I use a pillow and a geri lift chair foot support so she can't slide out of her chair at night) and tuck her in so she's sitting up perfectly and not falling over, then she's ready for bed. I have found getting her into a routine where she takes her nighttime snack (she's a diabetic), takes her nighttime pills, gets dressed for bed and she's tucked in all before 7:30. I get my stuff done around the house and get myself ready and by 8 we are both settled in recliner chairs and ready for the night. I have found that by me hanging out with her until she yawns or most nights fall asleep, she will stay asleep as long as she wakes up and its completely dark and her music is still going. That is her cues it's time stay in bed and sleep. Only downside is when the sun is up and she wakes up, she's up for the day.