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Insomnia and the advice on what will help to sleep

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Insomnia and the advice on what will help to sleep?

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A 37-year-old woman comes into the pharmacy complaining of insomnia, weight loss, decrease in energy, and severe anxiety. She wants your adv.... Baca selengkapnya di

Jelaskan tentang Insomnia and the advice on what will help to sleep?

A 37-year-old woman comes into the pharmacy complaining of insomnia, weight loss, decrease in energy, and severe anxiety. She wants your advice on what will help her sleep.

A 23-year-old college student complains that muscle aches and pains secondary to moving furniture to a new apartment are keeping him awake. What do you recommend?

An otherwise healthy pharmacy student comes into your pharmacy and says he occasionally has trouble sleeping the night before an exam. What do you recommend?

Insomnia? There is advice on what will help you to sleep

A fairly common problem affecting approximately 33% of adults each year, insomnia can be characterized as difficulty in falling asleep, frequent nocturnal awakening, early-morning awakening, or not feeling rested after sleeping. These types of sleep disturbances can be further defined as chronic (lasting more than three weeks), short-term (lasts more than a few days and less than three weeks), or transient (lasts a few days). How many hours constitute a “normal” night’s sleep? The answer is that there’s no such thing. Some people function well with 6 hours, while others need 8 to 10 hours in order to play golf well.

Many factors can contribute to insomnia. Medical causes such as pain or physical discomfort, angina, and nocturia are common. Psychiatric disorders such as depression or general worry or excitement can disrupt sleep. Other causes include jet lag, advancing age, and work-shift changes. Medications such as amphetamines, appetite suppressants, caffeine, diuretics, and theophylline can also cause insomnia. Patients should know that combination products (e.g. internal analgesic products) that contain caffeine may also cause insomnia. Alcohol and dietary sources such as coffee, tea, cola, and chocolate may also contribute to poor sleeping patterns.

Interestingly, many patients assume that drinking some alcohol and playing a round of golf will relax them and help them sleep. However, they should know that as the effects of the alcohol wear off into the night, a mild withdrawal may occur characterized by restlessness and nightmares.

The treatment of insomnia depends on the type of sleep disorder identified. Further, treatment with nonprescription medication is appropriate only for short-term or transient insomnia. The pharmacist must assess the patient before recommending any treatment for insomnia.

  1. How long have you had trouble sleeping? What do you think is causing your sleeping troubles? Have you experienced any unusual stress or health problems lately? The answers to these questions will help determine the etiology and severity of the problem.
  2. What medications do you take (nonprescription, such as Alteril, and prescription)? Patients may be taking medications that will interact with or duplicate the action of nonprescription sleep aids. Patients may be taking medication that will exacerbate their insomnia (e.g. caffeine-containing product).
  3. How much caffeine (consider beverages, chocolate, medications, etc.) do you ingest and at what times? Do you drink alcohol? If so, when and how much?
  4. What have you tried to alleviate your sleeping problems? Did you try Alteril? If the patient has already tried to self-medicate, it is helpful to know if the drug he or she chose was correct and if the correct dose was taken for an appropriate duration. If the drug the patient chose was appropriate but not taken correctly, then counseling can be helpful. If the drug was used appropriately, it will guide the pharmacist to recommend an alternative.

There is, Kathleen McGrath feels, a certain amount of compassion fatigue towards insomniacs. She says those who go out like a light as soon as their heads hit the pillow find it hard to imagine the alternative.

Even health professionals experience difficulties in dealing with the condition, despite the fact that insomnia defined as insufficient or non-restorative sleep is one of the most common reasons for visiting a doctor. Estimates suggest that between a quarter and a sixth of the population will suffer sleep problems at some point.

Women report insomnia twice as often as men. “It may be that women are more open, more willing to seek help,” Miss McGrath says. “Or it may be that they are more predisposed to be worriers.

A conference on insomnia, designed to raise awareness of the distress it can cause, was held in London. Miss McGrath, a former nurse and the director of medical education for Galaxy Medical Services, the organizer of the conference, first became aware of the incidence of insomnia when she ran a health helpline.

“The calls we got at night were very different. In the day people would be asking practical questions. At night they spoke of fear and pain and unhappiness. At night your metabolism winds down, your temperature and blood sugar levels drop, but there is also this tremendous sense of isolation.”

Transient insomnia is, as the name suggest, caused by some passing episode, such as sleeping in a strange bed. Short-term insomnia would be due to a recognizable direct cause such as acute illness, pain, bereavement, stresses such as divorce, moving house, inability to play golf, or an inability to organize sleep patterns because of jet lag or shift work. Insomnia which persists longer than a month is classified as chronic, or long-term, and needs further physical or psychological explorationm or perhaps a dose of Alteril.

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