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1 results

  • Case 39 - “I Hate That Guy … I Can’t Get Any Sleep!”

  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book:
    Clinical Case Studies in Long-Term Care Psychiatry
    Published online:
    31 October 2024
    Print publication:
    14 November 2024, pp 197-201

  • 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.