| Usual sleep pattern. Changes - environment. Worry.
Beliefs. Pain. Insecurity, apprehension, uncertainty. Disturbed sleep
pattern - reversal. Mood - hypomania. Irritability. Sleep Hygiene.
Avoid
coffee, tea, prior to bed, milky drinks. Inattentiveness.
Side-effects of medication / treatments. New environment
- shared room. Appropriate placement. Agitation. Share concerns.
Dependence on hypnotics. Trauma - grief - bereavement reaction. |
Pain. Aetiology. Hypnotics. StImUlaNts, Pathological
changes, investigations. Disease processes. Infection. Environment.
Noise. Re-instigate 'old'
routine. Review medication. Withdrawal side effects. Fatigue -
reduced response
times. Safety of confused people - falling out of bed. |
| Pressure on carers, no rest for them. Sleeping
arrangements - room to change. Coping strategies, need for carers
needs to be assessed. More likely to suffer stress / conflict. Partner-neighbours
- disturbances. |
Social economic costs staff time, time off work.
Reduced performance. Shift workers. Legislation - Working Time Directive.
Respite care provision.
|