Which nursing intervention would be beneficial for a patient with insomnia
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Changing your sleep habits and addressing any issues that may be associated with insomnia, such as stress, medical conditions or medications, can restore restful sleep for many people. If these measures don't work, your doctor may recommend cognitive behavioral therapy, medications or both, to help improve relaxation and sleep. Show
Cognitive behavioral therapy for insomniaCognitive behavioral therapy for insomnia (CBT-I) can help you control or eliminate negative thoughts and actions that keep you awake and is generally recommended as the first line of treatment for people with insomnia. Typically, CBT-I is equally or more effective than sleep medications. The cognitive part of CBT-I teaches you to recognize and change beliefs that affect your ability to sleep. It can help you control or eliminate negative thoughts and worries that keep you awake. It may also involve eliminating the cycle that can develop where you worry so much about getting to sleep that you can't fall asleep. The behavioral part of CBT-I helps you develop good sleep habits and avoid behaviors that keep you from sleeping well. Strategies include, for example:
Your doctor may recommend other strategies related to your lifestyle and sleep environment to help you develop habits that promote sound sleep and daytime alertness. Prescription medicationsPrescription sleeping pills can help you get to sleep, stay asleep or both. Doctors generally don't recommend relying on prescription sleeping pills for more than a few weeks, but several medications are approved for long-term use. Examples include:
Prescription sleeping pills can have side effects, such as causing daytime grogginess and increasing the risk of falling, or they can be habit-forming, so talk to your doctor about these medications and other possible side effects. Over-the-counter sleep aidsNonprescription sleep medications contain antihistamines that can make you drowsy, but they're not intended for regular use. Talk to your doctor before you take these, as antihistamines may cause side effects, such as daytime sleepiness, dizziness, confusion, cognitive decline and difficulty urinating, which may be worse in older adults. More Information
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What intervention should you prioritize when caring for a patient with chronic insomnia?The use of eye masks and ear plugs are simple interventions that have shown promise for easing insomnia in adults. Resistance strength training and walking, combined with social activity, significantly improved sleep in nursing home and assisted living residents in one study.
What are nursing strategies to improve sleep?10 tips for nurses to get better sleep:. Establish a consistent routine. ... . Ask people not to disturb you. ... . Make your bedroom sleep-friendly. ... . Skip the nightcap. ... . Forego the electronics before bed. ... . Limit your caffeine intake to daytime hours (or earlier in your night shift). ... . Nap strategically. ... . Run, walk or dance.. |
