A geriatrician is assessing an 84-year-old male recently admitted to a subacute medical unit of a hospital for rehabilitation following a recent fall resulting in a hip contusion
Which of the following aspects of the client's sleep history would the physician want to follow up with education? Select all that apply.
A)
"I make sure that I take a long nap each afternoon to compensate for my frequent waking at night."
B)
"I've got a bottle of diazepam at home, but I only take them once or twice a month."
C)
"I try my best to get out for a walk after breakfast or after supper."
D)
"I make it a rule not to drink any alcohol in the evening."
E)
"Once my head hits the pillow, I am fast asleep."
Ans:
A, B
Feedback:
Daytime sleeping can interfere with the normal sleep-wake cycle. Diazepam is a long-acting benzodiazepine, and occasional use is acceptable. However, excessive use could lead to falls. Moderate exercise not performed before bedtime can help with insomnia. Alcohol can inhibit sleep in the elderly.
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