Clinical Case Studies in Long-Term Care Psychiatry Navigating Common Mental Health Challenges in Geriatric Care
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Case 39 - “I Hate That Guy … I Can’t Get Any Sleep!”
Sleep–Wake Cycle Disorders
Published online by Cambridge University Press: 31 October 2024
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Summary
Sleep-related complaints are quite common in the long-term care setting. It is estimated that 40-70% of older adults have some type of chronic sleep-related complaint. Up to 50% of these go undiagnosed. Older adults are known to have increased wakefulness at night, increased number of sleep arousals, and increased sleep latency. Older adults are known to have decreased total sleep time, slow wave sleep, REM sleep, and sleep efficiency. Some common sleep-wake cycle disturbances seen in older adults include primary insomnia, delayed sleep phase syndrome, advanced sleep phase syndrome, irregular sleep-wake rhythm, non-24-hour sleep-wake disorder, sleep state misperception, hypersomnia, and narcolepsy. Good nonpharmacologic principles beneficial to sleep quality are often safer and more effective than pharmacologic therapies. These include good sleep hygeine practices, sleep restriction, increased physical activity, limiting daytime naps, and daytime bright light exposure.
- Type
- Chapter
- Information
- Clinical Case Studies in Long-Term Care PsychiatryNavigating Common Mental Health Challenges in Geriatric Care, pp. 197 - 201Publisher: Cambridge University PressPrint publication year: 2024
References
References
Avidan, A. Y. (2014). Normal Sleep in Humans. In Kryger Meir, H. A. A. Y. and Berry Richard, B. (eds.) Atlas of Clinical Sleep Medicine. 2nd ed. (Philadelphia, PA: Saunders). pp. 70–97.Google Scholar
Miner, B., & Kryger, M. H. (2017). Sleep in the aging population. Sleep Medicine Clinics, 12 (1), 31. https://doi.org/10.1016/j.jsmc.2016.10.008CrossRefGoogle ScholarPubMed
Tatineny, P., Shafi, F., Gohar, A., & Bhat, A. (2020). Sleep in the elderly. Missouri Medicine, 117 (5), 490–495. www.ncbi.nlm.nih.gov/pmc/articles/PMC7723148/Google ScholarPubMed
Weldemichael, D. A., & Grossberg, G. T. (2010). Circadian rhythm disturbances in patients with Alzheimer’s disease: A review. International Journal of Alzheimer’s Disease, 2010 . https://doi.org/10.4061/2010/716453Google ScholarPubMed
Brewster, G., Riegel, B., & Gehrman, P. R. (2018). Insomnia in the older adult. Sleep Medicine Clinics, 13 (1), 13–19. https://doi.org/10.1016/j.jsmc.2017.09.002CrossRefGoogle ScholarPubMed
Mogavero, M. P., Silvani, A., Lanza, G., DelRosso, L. M., Ferini-Strambi, L., & Ferri, R. (2023). Targeting orexin receptors for the treatment of insomnia: From physiological mechanisms to current clinical evidence and recommendations. Nature and Science of Sleep, 15, 17–38. https://doi.org/10.2147/NSS.S201994CrossRefGoogle ScholarPubMed
Further Reading
Auger, R. R., Burgess, H. J., Emens, J. S., Deriy, L. V., Thomas, S. M., & Sharkey, K. M. (2015). Clinical practice guideline for the treatment of intrinsic circadian rhythm sleep–wake disorders: Advanced sleep–wake phase disorder (ASWPD), delayed sleep–wake phase disorder (DSWPD), non-24-hour sleep–wake rhythm disorder (N24SWD), and irregular sleep–wake rhythm disorder (ISWRD). An update for 2015: An American Academy of Sleep Medicine Clinical Practice Guideline. Journal of Clinical Sleep Medicine, 11 (10), 1199–1236. https://doi.org/10.5664/jcsm.5100CrossRefGoogle ScholarPubMed
Fifel, K., & Videnovic, A. (2020). Circadian and sleep dysfunctions in neurodegenerative disorders: An update. Frontiers in Neuroscience, 14. https://doi.org/10.3389/fnins.2020.627330Google ScholarPubMed
Jaqua, E. E., Hanna, M., Labib, W., Moore, C., & Matossian, V. (2023). Common sleep disorders affecting older adults. The Permanente Journal, 27 (1), 122–132. https://doi.org/10.7812/TPP/22.114CrossRefGoogle ScholarPubMed
Jha, V. M. (2023). The prevalence of sleep loss and sleep disorders in young and old adults. Aging Brain, 3. https://doi.org/10.1016/j.nbas.2022.100057Google Scholar
Kim, J. H., Elkhadem, A. R., & Duffy, J. F. (2022). Circadian rhythm sleep–wake disorders in older adults. Sleep Medicine Clinics, 17 (2), 241. https://doi.org/10.1016/j.jsmc.2022.02.003CrossRefGoogle ScholarPubMed
Palagini, L., Manni, R., Aguglia, E., Amore, M., Brugnoli, R., Bioulac, S., Bourgin, P., Franchi, A. M., Girardi, P., Grassi, L., Lopez, R., Mencacci, C., Plazzi, G., Maruani, J., Minervino, A., Philip, P., Parola, S. R., Poirot, I., Nobili, L., & Geoffroy, P. A. (2021). International expert opinions and recommendations on the use of melatonin in the treatment of insomnia and circadian sleep disturbances in adult neuropsychiatric disorders. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.688890CrossRefGoogle ScholarPubMed
Sun, Y., & Chen, H. (2022). Treatment of circadian rhythm sleep–wake disorders. Current Neuropharmacology, 20 (6), 1022–1034. https://doi.org/10.2174/1570159X19666210907122933CrossRefGoogle ScholarPubMed