Medical and Nursing Management of Insomnia

Medical and Nursing Management of Insomnia

Insomnia is trouble falling asleep or staying asleep through the night.
Episodes may come and go (episodic), last up to 3 weeks (short-term), or be long-lasting (chronic).

The most common complaints or symptoms in people with insomnia are:
  • Trouble falling asleep on most nights
  • Feeling tired during the day or falling asleep during the day
  • Not feeling refreshed when you wake up
  • Waking up several times during sleep
  • People who have insomnia sometimes keep thinking about getting enough sleep. The more they try to sleep, the more frustrated and upset they get, and the harder sleep becomes.
  • A lack of restful sleep can affect your ability to do your daily activities because you are tired or have trouble concentrating.
Treatment can be performed on patients with insomnia can be divided into 2 (two), namely:

Nursing Management
  • Assess side effects of treatment on sleep patterns of clients.
  • Monitor the client's sleep patterns and note the relationship of physical factors (eg, sleep apnea, airway obstruction, pain / discomfort, and frequent urination).
  • Explain to the client the importance of adequate sleep (during pregnancy, illness, psychosocial stress).
  • Teach clients and families to avoid the causes (eg, lifestyle, diet, activity, and environmental factors).
  • Teach clients and my family in relaxation techniques (massage / sequence before bed, a warm bath, drink warm milk).
According Remelda (2008) for nursing actions in patients with insomnia begins to break (moved the bed, using the bed only for sleep, etc.). If not successful can be given drugs known as hypnotics (should consult with a psychiatrist).

Medical Management

According Remelda (2008) for medical treatment in patients with insomnia is by giving drugs known as sedative-hypnotics such as: Benzodiazepines (Diazepam, Lorazepam, triazolam, Klordiazepoksid) but the side effects of the drug resulted in Inkoordinsi motor, mental and psychomotor dysfunction, impaired coordination thinking, dry mouth, etc..

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