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Diagnosis and management of geriatric insomnia: a guide for nurse practitioners.
J Am Acad Nurse Pract 2008; 20(12):590-9JA

Abstract

PURPOSE

To discuss the assessment, diagnosis, and management of geriatric insomnia, a challenging clinical condition of older adults frequently seen by primary care providers.

DATA SOURCES

Extensive literature review of the published research articles and textbooks.

CONCLUSIONS

Complaints of insomnia among older adults are frequently ignored, considered a part of the normal aging process or viewed as a difficult to treat condition. Geriatric insomnia remains a challenge for primary care providers because of the lack of evidence-based clinical guidelines and limited treatment options available. Effective management of this condition is necessary for improved quality of life, which is a primary issue for the elderly and their families. Therefore, geriatric insomnia warrants thorough attention from the nurse practitioners (NPs) who provide care for older adults.

IMPLICATIONS FOR PRACTICE

Undiagnosed or under treated insomnia can cause increased risk for falls, motor vehicle accidents, depression, and shorter survival. Insomniacs double their risk for cardiovascular disease, stroke, cancer, and suicide compared to their counterparts. Insomnia is also associated with increased healthcare utilization and institutionalization. NPs could play a central role in reducing the negative consequences of insomnia through a systematic approach for diagnosis, evaluation, and management.

Authors+Show Affiliations

Winnipeg Regional Health Authority, Long Term Care, Personal Care Home Program, Winnipeg, Manitoba, Canada. preethakri@gmail.comNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19120590

Citation

Krishnan, Preetha, and Pamela Hawranik. "Diagnosis and Management of Geriatric Insomnia: a Guide for Nurse Practitioners." Journal of the American Academy of Nurse Practitioners, vol. 20, no. 12, 2008, pp. 590-9.
Krishnan P, Hawranik P. Diagnosis and management of geriatric insomnia: a guide for nurse practitioners. J Am Acad Nurse Pract. 2008;20(12):590-9.
Krishnan, P., & Hawranik, P. (2008). Diagnosis and management of geriatric insomnia: a guide for nurse practitioners. Journal of the American Academy of Nurse Practitioners, 20(12), pp. 590-9. doi:10.1111/j.1745-7599.2008.00366.x.
Krishnan P, Hawranik P. Diagnosis and Management of Geriatric Insomnia: a Guide for Nurse Practitioners. J Am Acad Nurse Pract. 2008;20(12):590-9. PubMed PMID: 19120590.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and management of geriatric insomnia: a guide for nurse practitioners. AU - Krishnan,Preetha, AU - Hawranik,Pamela, PY - 2009/1/6/entrez PY - 2009/1/6/pubmed PY - 2009/5/2/medline SP - 590 EP - 9 JF - Journal of the American Academy of Nurse Practitioners JO - J Am Acad Nurse Pract VL - 20 IS - 12 N2 - PURPOSE: To discuss the assessment, diagnosis, and management of geriatric insomnia, a challenging clinical condition of older adults frequently seen by primary care providers. DATA SOURCES: Extensive literature review of the published research articles and textbooks. CONCLUSIONS: Complaints of insomnia among older adults are frequently ignored, considered a part of the normal aging process or viewed as a difficult to treat condition. Geriatric insomnia remains a challenge for primary care providers because of the lack of evidence-based clinical guidelines and limited treatment options available. Effective management of this condition is necessary for improved quality of life, which is a primary issue for the elderly and their families. Therefore, geriatric insomnia warrants thorough attention from the nurse practitioners (NPs) who provide care for older adults. IMPLICATIONS FOR PRACTICE: Undiagnosed or under treated insomnia can cause increased risk for falls, motor vehicle accidents, depression, and shorter survival. Insomniacs double their risk for cardiovascular disease, stroke, cancer, and suicide compared to their counterparts. Insomnia is also associated with increased healthcare utilization and institutionalization. NPs could play a central role in reducing the negative consequences of insomnia through a systematic approach for diagnosis, evaluation, and management. SN - 1745-7599 UR - https://www.unboundmedicine.com/medline/citation/19120590/Diagnosis_and_management_of_geriatric_insomnia:_a_guide_for_nurse_practitioners_ L2 - https://doi.org/10.1111/j.1745-7599.2008.00366.x DB - PRIME DP - Unbound Medicine ER -