Nursing Program
Nursing Program
You are doing an eight-week clerkship in a family medicine practice. Christina, the medical assistant, hands you the progress note for the next patient, which identifies the patient as Mrs. Gomez, “a 65-year-old woman who is here today reporting that she can’t sleep.”
Dr. Lee, your preceptor, fills you in: “Mrs. Gomez has been a patient here for several years. Difficulty sleeping is a new issue for her. Her past medical history is significant for hypertension and diabetes. Generally, she has been doing well, although I notice that her last hemoglobin A1c has climbed to 8.7%.”
Question What are common causes of insomnia in the elderly?
The suggested answer is shown below.
8/2/19, 10)13 PMFamily Medicine 03: 65-year-old woman with insomnia – South Univers…llege of Nursing and Public Health Graduate Online Nursing Program
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Letter Count: 0/1000
SUBMITSUBMIT
Answer Comment Common causes of insomnia in the elderly:
1. Environmental problems 2. Drugs/alcohol/caffeine 3. Sleep apnea 4. Parasomnias: restless leg syndrome/periodic leg movements/REM sleep behavior disorder 5. Disturbances in the sleep-wake cycle 6. Psychiatric disorders, primarily depression and anxiety 7. Symptomatic cardiorespiratory disease (asthma/chronic obstructive pulmonary disease/congestive heart failure) 8. Pain or pruritus 9. Gastroesophageal reflux disease (GERD) 10. Hyperthyroidism 11. Advanced sleep phase syndrome (ASPS)
Common Causes of Insomnia in the Elderly
TEACHING POINTTEACHING POINT
8/2/19, 10)13 PMFamily Medicine 03: 65-year-old woman with insomnia – South Univers…llege of Nursing and Public Health Graduate Online Nursing Program
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