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Sleep problems in the elderly

J E Johnston

    Journal of the American Academy of Nurse Practitioners
    |April 1, 1994
    PubMed
    Summary
    This summary is machine-generated.

    Sleep issues are prevalent in older adults, with many factors contributing to insomnia. Nonpharmacologic treatments are preferred, but referral to a sleep disorder center may be necessary for specialized evaluation.

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    Area of Science:

    • Gerontology
    • Sleep Medicine
    • Pharmacology

    Background:

    • Sleep disturbances are highly prevalent in adults aged 65 and older.
    • Nearly 50% of hypnotic prescriptions are for this demographic.
    • Normal aging processes can impact sleep architecture and quality.

    Purpose of the Study:

    • To highlight the common causes of insomnia in the elderly.
    • To emphasize the importance of comprehensive evaluation for sleep disorders in older adults.
    • To advocate for nonpharmacologic interventions as a primary treatment approach.

    Main Methods:

    • Literature review of factors contributing to insomnia in older adults.
    • Analysis of current prescription patterns for hypnotics in the elderly population.

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  • Discussion of the role of nurse practitioners in managing sleep disorders.

    • Main Results:

    • Common causes of insomnia include medical and psychiatric illnesses, dementia, polypharmacy, restless legs syndrome, periodic leg movements, and sleep apnea.
    • Nonpharmacologic treatments are recommended as the preferred approach.
    • Referral to a sleep disorder center is crucial for complex cases.

    Conclusions:

    • Older adults frequently experience sleep problems requiring careful assessment.
    • A multifactorial approach to insomnia management is essential.
    • Nurse practitioners play a key role in the assessment and initial management of sleep disorders in the elderly.