Treatments for Sleep disorders
Sleep disorders: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Sleep disorders may include:
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Hospital statistics for Sleep disorders:
These medical statistics relate to hospitals, hospitalization and Sleep disorders:
- 0.0002% (30) of hospital consultant episodes were for disorders of the sleep-wake schedule in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 98% of hospital consultant episodes for disorders of the sleep-wake schedule required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 74% of hospital consultant episodes for disorders of the sleep-wake schedule were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 26% of hospital consultant episodes for disorders of the sleep-wake schedule were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
Medical news summaries about treatments for Sleep disorders:
The following medical news items
are relevant to treatment of Sleep disorders:
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Book Excerpts: Treatment of Sleep disorders
Treatments of Sleep disorders: Online Medical Books
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Insomnia:
Treatment
(In a Page: Signs and Symptoms)
- Acute transient insomnia: Reassurance, address stressors, treat identifiable underlying causes (e.g., pain), hypnotic agents for up to 7–10 days
- Chronic insomnia
–Improve sleep hygiene (e.g., consistent bed/wake time, sleep environment, medications/drugs, daytime exercise, avoid naps, hot bath near bedtime)
–Treat pain and underlying medical/psychiatric issues
–Behavioral treatments: Relaxation therapy, sleep restriction therapy (curtail time in bed to improve sleep efficiency), stimulus control therapy (bed only for sleep), cognitive therapy (restructure negative thoughts about sleep/daytime functioning)
–Medications are often used but none has demonstrated long-term efficacy nor safety
-
Obstructive sleep apnea: Weight loss, CPAP, surgery
-
RLS: Dopaminergic agents (e.g., carbidopa/levodopa, pergolide), benzodiazepines, opiates
-
Narcolepsy: Modafinil, amphetamines
>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Insomnia:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Teach the patient comfort and relaxation techniques to promote natural sleep. (See Tips for relieving insomnia.) Advise him to awaken and retire at the same time each day and to exercise regularly. When he can’t sleep, advise him to get up but remain inactive. Urge him to use his bed only for sleeping, not for relaxation or watching television.
Advise the patient to use tranquilizers or sedatives for acute insomnia only when relaxation techniques fail. If appropriate, refer him for counseling or to a sleep disorder clinic for biofeedback training or other interventions.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Insomnia:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient comfort and relaxation techniques to promote natural sleep. (See Tips for relieving insomnia.) Advise him to awaken and retire at the same time each day and to exercise regularly. When he can’t sleep, advise him to get up but remain inactive. Urge him to use his bed only for sleeping, not for relaxation or watching TV.
Advise the patient to use tranquilizers or sedatives for acute insomnia only when relaxation techniques fail. If appropriate, refer him for counseling or to a sleep disorder clinic for biofeedback training or other interventions.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Insomnia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for tests to evaluate his insomnia, such as blood and urine studies for 17-hydroxycorticosteroids and catecholamines, polysomnography (including an EEG, electro-oculography, and electrocardiography), and sleep studies.
▪ Institute measures to help relieve insomnia. (See Tips for relieving insomnia, page 341.)
Patient teaching
▪ Teach the patient comfort and relaxation techniques to promote natural sleep.
▪ Advise him to awaken and retire at the same time each day and to exercise regularly, but not close to bedtime.
▪ Encourage the patient to avoid caffeinated beverages at least 3 hours before bedtime.
▪ Refer the patient to counseling or a sleep disorder clinic as needed.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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