Sleep Disorders

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Advice for healthcare travelers to prevent insomnia

Individuals such as travel nurses, who often change time zones and work nightshifts, may find themselves tossing and turning when adapting to new environments and work schedules.

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Sleep disorder drugs require patient counseling

Medications for sleep disorders may cause patients to sleepwalk, drive, eat, even have sex while asleep. Patients don't often ask for information about sleep medications, so pharmacists must offer it.

Non-pharmacologic treatment of insomnia in persons with dementia

Insomnia affects up to 35% of community-dwelling adults with dementia. Although non-pharmacologic treatments can be safe and effective alternatives to the sedative-hypnotic medications commonly prescribed, practical approaches such as light therapy, exercise, and sleep-hygiene modification are often underused in clinical practice to treat insomnia in patients with dementia.

Excessive Sleepiness and Impaired Alertness In Patients With Obstructive Sleep Apnea

Excessive sleepiness (ES) and impaired alertness are common symptoms associated with high rates of morbidity, including work-related injuries, motor vehicle accidents, reduced quality of life, and impairments of the cardiac and immune systems.

Optimizing Diagnosis and Management of Chronic Insomnia A Report From the Cases and Conversations Workshop

Increased recognition and assessment of chronic insomnia, its consequences, and common medical and psychiatric comorbidities are necessary for the development of individualized treatment plans. Clinical education is needed to further the current understanding of insomnia and establish practical, "real-world" strategies for individualizing therapy in both the primary care and psychiatry settings.

New Perspectives in the Diagnosis and Management of Insomnia - December 2008 CNS Spectrum

There are numerous barriers to insomnia management, despite its high prevalence and adverse consequences. Insomnia is recurrent, unpredictable, and remains largely underrecognized and inadequately treated in the primary care and psychiatric settings.