Inability to achieve a well rested sleep May be completely awake when you are supposed to be asleep May be interrupted sleep May be acute or chronic Does affect older adults Insomnia
When did this occur What where the symptoms How did it impact your life? How did you attempt to manage it? How successful were you? Your Experience
What can we do to help patients sleep? What may be a nursing diagnosis for insomnia? What other thoughts are out there? What medications can we give? Management
Bedroom set up: Only used for sleeping and sexual activity No distractions in the room No clear, yellow, or blue lights; Red or orange lights promote sleep No-No’s: No smoking in bed No eating in bed No watching television in bed Management
Diphenhydramine (Benadryl) Used to treat allergy symptoms Also used for nighttime sedation CNS depressant Diphenhydramine
What is the stated dose? What is its onset of action? What is its peak? What is its duration? Diphenhydramine
What are the specific geriatric concerns? What would you teach the patient and family about this drug and its side effects? Diphenhydramine
Generalized CNS depressants Used for short term management of insomnia Relaxation of GABA neurotransmitters Temazepam/Restoril
What is the usual dose? What is its onset of action? What is its peak? What is its duration? Temazepam/Restoril
What are the specific geriatric concerns? What would you teach the patient and family about this drug and its side effects? Temazepam/Restoril
CNS depressant that binds to GABA receptors Used also for sedation For short term management of insomnia Zolpidem/Ambien
What is the usual dose? What is the onset of action? What is its peak? What is its duration? Zolpidem/Ambien
What are the specific geriatric concerns? What would you educate the patient and family about the drug and its side effects? What other concerns are there specific to this drug? Zolpidem/Ambien
Case Study