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Managing insomnia in older adults.

Christine Hedges1, John Gotelli

  • 1Christine Hedges is Director of Nursing Quality and Research at University of North Carolina Hospitals, and an adjunct professor at The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, N.C. John Gotelli is a geriatric NP at UNC Health Care, Hillsborough Campus, Hillsborough, N.C., and an adjunct clinical faculty member at The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, N.C.

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Summary

Nurse practitioners (NPs) often manage insomnia in older adults, who present unique care challenges. Understanding the latest assessment and treatment options is crucial for effective NP management of geriatric insomnia.

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Area of Science:

  • Geriatric Medicine
  • Sleep Science
  • Nursing Practice

Background:

  • Insomnia is a common complaint among patients in both hospital and community settings.
  • Older adults with insomnia present unique challenges for healthcare providers.
  • Effective management requires specialized knowledge and up-to-date strategies.

Purpose of the Study:

  • To highlight the importance of understanding insomnia in older adults for nurse practitioners (NPs).
  • To emphasize the need for NPs to be aware of the latest assessment and treatment options for geriatric insomnia.
  • To provide a foundation for improving NP care for elderly patients experiencing sleep disturbances.

Main Methods:

  • Review of current literature on geriatric insomnia assessment.
  • Analysis of evidence-based treatment modalities for insomnia in older adults.
  • Synthesis of best practices for NPs managing insomnia in this population.

Main Results:

  • Older adults exhibit distinct physiological and psychological factors influencing insomnia.
  • Cognitive behavioral therapy for insomnia (CBT-I) is a primary evidence-based treatment.
  • Pharmacological interventions require careful consideration of comorbidities and polypharmacy in the elderly.

Conclusions:

  • NPs play a vital role in managing insomnia in older adults.
  • Continuous education on the latest assessment and treatment guidelines is essential for NPs.
  • Tailored, evidence-based approaches are necessary for successful insomnia management in the geriatric population.