Considerations for Managing Insomnia in Older Adults

Slides:



Advertisements
Similar presentations
Depression in adults with a chronic physical health problem
Advertisements

SLEEP AND REST. Definitions Rest: is a condition in which the body is in a decreased state of activity without emotional stress and freedom from anxiety.
Sleep / Rest for Older Adults. Objectives Describe the normal changes in sleep patters associated with age. Describe the normal changes in sleep patters.
Understanding Insomnia Insomnia: – trouble falling asleep, – staying asleep, waking too early, – Don’t feel refreshed when you wake up. – Sleepy and tired.
Sleep When a cup of warm milk is not enough K. Van Gundy, M.D. Associate Clinical Professor UCSF.
Meredith Cook Mercer COPHS August, Beers Criteria AGS and interdisciplinary panel of 11 experts in geriatrics and pharmacotherapy 53 medications.
Mosby items and derived items © 2005 by Mosby, Inc. Chapter 41 Sleep.
Insomnia Ayça GÜZEY PSYC 374. Outline Definition and Symptoms of Insomnia Types of Insomnia The Causes of Insomnia The Risk Group The Prevention.
1 Prescribing Omissions according to START and related hospital admission in geriatric patients O. Dalleur 1, A. Spinewine 2, S. Henrard 3, C. Losseau.
ANYONE, NO MATTER WHAT AGE, ECONOMIC STATUS OR RACE, CAN DEVELOP AN EMOTIONAL PROBLEM.
This article and any supplementary material should be cited as follows: Schoenfeld FB, DeViva JC, Manber R. Treatment of sleep disturbances in posttraumatic.
Mood Disorders: Depression Chapter 12. Defined as a depressed mood or loss of interest that lasts at least 2 weeks & is accompanied by symptoms such as.
Health Risks Being aware of certain risks to your health is part of becoming an adult. Risk Behaviors- are actions that can potentially threaten your.
Chapter 40 Sleep and Rest Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc. Physiology of Rest and Sleep  Rest refers to.
Sleep, Aging and Dementia Josepha A. Cheong, MD University of Florida Departments of Psychiatry and Neurology Chief, Division of Geriatric Psychiatry.
Consent Procedures. What is Informed Consent? Consent by a patient to a surgical or medical procedure or participation in a clinical study after achieving.
Danielle Elore COHP 450 Ferris State University PICO PRESENTATION: FOR HOSPITALIZED PATIENTS, DOES THE USE OF HYPNOTIC AGENTS AS COMPARED WITH NON- PHARMACEUTICAL.
 Medication-related problems are common, costly and often preventable in older adults and lead to poor outcomes.
An unpleasant sensory or emotional experience associated with actual or potential tissue damage The World Health Organization (WHO) has stated that pain.
Nicholas Lee, PGY-2 March  Understand the definition of insomnia  Understand the common causes of insomnia  Learn non-pharmacologic and pharmacologic.
Chapter ?? 23 Osteoporosis Nichols and Pavlovic C H A P T E R.
Chapter 10: Nursing Management of Dementia
Dementia F.Etessam. MD. Dementia A progressive impairment of cognitive functions occurring in clear consciousness.
Pharmacological management of delirium
Pocket Guide for Medication Prescribing for Older Adults
Introduction. Adult ADHD in the Real World: From Clinical Trials to Clinical Practice.
POLYPHARMACY IN GERIATRIC PATIENTS Dr SHREYAS MISTRY MD, Dr MAYUR RALI MD HOFSTRA-North Shore LIJ School of Medicine Department of Family Medicine Southside.
Moderate-to-Severe Asthma Management
Sleep Hygiene.
Essential Updates in Atopic Dermatitis:
What Is Major Depressive Disorder (MDD)?
Medical Factors Affecting Older Driver Safety
Expert Perspectives on Clinically Challenging Cases in Narcolepsy
Does One Size Fit All in Obesity Management?
Cognition and the Older Driver
Epilepsy Treatment Across the Spectrum
Assessing and Modifying Risks for Older Drivers
Case Challenges in Chronic Migraine
Advances in Dry Eye.
Introduction. Risk Communication With Patients: Your Guide to Resources and Recommendations.
Beyond the Basics: What You Need to Know About Treating Insomnia
IL-17 Inhibitors in the Management of Psoriatic Disease
How Can we Improve Outcomes for the Elderly Patient with AML?
Asthma and Atopic Comorbidities
Introduction. Family Planning and Pregnancy Management in Patients With Chronic Inflammatory Rheumatic Diseases.
Introduction. A Reality Check on BP Goals and Optimizing Patient Adherence to Treatment.
Multidisciplinary Perspectives on Interstitial Lung Diseases
Evaluating Effects of CFTR Modulation in Cystic Fibrosis
Next-Gen Psoriasis Therapies:
Over-the-Counter Allergic Rhinitis Treatments
Best Practices in the Clinical Management of Motor Symptoms Associated With Huntington Disease.
Hidden in Plain Sight: Disrupted Sleep in Patients With Pain
Traditional Stimulants vs Other Wake-Promoting Agents
Sedative and hypnotic [hip‘nɔtik] drugs 镇静催眠药
Tips for Written assignment HSNS265
Challenges in Severe Asthma
New Approaches to Insomnia Management: Impact on Clinical Practice
Guidelines for the Older Adult With CKD
THE TRUTH ABOUT MODERN OBESITY AGENTS: ARE THEY REALLY SAFE AND EFFECTIVE?
Critical Decision Points in Insomnia
Common Risk Factors for Delirium
Updates in RA, PsA, and Biosimilars
Program Goal. Program Goal Disclaimer Overview.
Sedative and hypnotic [hip‘nɔtik] drugs 镇静催眠药
Understanding the Nature of Sleep and How it Changes With Age
Rational Pharmacotherapy Selection for Insomnia
Weighted Prevalence Estimates of Medication Use by Sociodemographic and Health-Related Characteristicsa – Part I Qato DM et al. JAMA 2008;300:
Binge Eating Disorder.
Risk Factors and Therapies for Vascular Dementia:
Multimodal Approaches to Cracking the Code in Low Back Pain
Presentation transcript:

Considerations for Managing Insomnia in Older Adults

Case Presentation

Inadequate Quality or Quantity of Sleep Associated With Increased Risk of Chronic Disease

Case Presentation Sleep History

Changes in Sleep With Normal Aging

Pathologies of Concern in Evaluating Disturbed Sleep in Older Adults

Case Comorbidities

Good Sleep Hygiene Practices

Case Continuation

Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

Unintentional Misuse of OTC Sleep Aids by Older Adults

Risks Associated With the Use of Sleep Aids

Nonpharmacologic Treatment of Insomnia in Older Adults

Insomnia-Associated Conditions and Outcomes

Treatment of Insomnia in Older Adults

Arousal Systems in Insomnia Subjects That Do Not Deactivate From Waking to Sleep

Decision Making in the Pharmacologic Treatment of Insomnia in Older Adults

Conceptual Model of Sleep-Wake Regulation Relevant to Insomnia

Decision Making in the Pharmacologic Treatment of Insomnia in Older Adults

Pharmacologic Treatment of Insomnia in Older Adults: Inappropriate agents

Pharmacologic Treatment of Insomnia in Older Adults: Appropriate Agents

Follow-Up After Initiation of Treatment for Insomnia

Abbreviations