Evaluating Insomnia

Evaluating Insomnia - #38

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Learn underlying basic science and practical clinical management of insomnia evaluation.

Evaluation of sleep disturbances in a geriatric patient

List evaluation strategies for insomnia which may be useful for geriatric patients

Insomnia: Difficulty with sleep which may include: prolonged sleep onset latency, frequent nocturnal awakenings, prolonged periods of wakefulness during the sleep period, or frequent transient arousals .

Identify strategies for evaluation of insomnia in a geriatric patient.
 

  1. Kierlin L, Olmstead R, Yokomizo M, Nicassio P, Irwin MR. Diagnostic and Statistic Manual criteria for insomnia related impairment in daytime functioning: polysomnographic correlates in older adults. Sleep Medicine. 2012; 13:958-960.
  2. McCrae CS. Late-life comorbid insomnia: diagnosis and treatment. American Journal of Managed Care. 2009; 15(1):S14-S23.
  3. Galimi R. Insomnia in the elderly: an update and future challenges. Gerontology. 2010; 58:231-247.
  4. Morin CM, Benca R. Chronic Insomnia. Lancet. 2012; 379:1129-1141.
  5. Figure 1 from: Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults. Journal of Clinical Sleep Medicine. 2008; 4(5):487-504.
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Gretchen Wagner, Kathryn Denson, MD, Larry Hook, MD, Elizabeth Nilsson, MD, Dmitriy Shmaryan, MD

Medical College of Wisconsin