Scott, when it comes to a point where neither you or your loved one aren’t getting any or enough sleep because of their agitation, you need to talk wit their neurologist or doctor about medications that will help them. It’s not only you who is miserable from lack of sleep, they are confused and likely miserable as well. Fine tuning medications so they can sleep through the night without being drowsy during the day can be an ongoing battle, but it becomes a quality of life issue for them as much as it is for you. Finding a medical professional who really understands these challenges can be difficult. It seems specialists are in short supply in most parts of the country these days.