2.   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

3.   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

4.   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

5.   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

6.   Diphenhydramine (Benadryl)  Used to treat allergy symptoms  Also used for nighttime sedation  CNS depressant Diphenhydramine

7.   What is the stated dose?  What is its onset of action?  What is its peak?  What is its duration? Diphenhydramine

8.   What are the specific geriatric concerns?  What would you teach the patient and family about this drug and its side effects? Diphenhydramine

9.   Generalized CNS depressants  Used for short term management of insomnia  Relaxation of GABA neurotransmitters Temazepam/Restoril

10.   What is the usual dose?  What is its onset of action?  What is its peak?  What is its duration? Temazepam/Restoril

11.   What are the specific geriatric concerns?  What would you teach the patient and family about this drug and its side effects? Temazepam/Restoril

12.   CNS depressant that binds to GABA receptors  Used also for sedation  For short term management of insomnia Zolpidem/Ambien

13.   What is the usual dose?  What is the onset of action?  What is its peak?  What is its duration? Zolpidem/Ambien

14.   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

15.   http://www.medscape.org/viewarticle/576719_1 Case Study