Use of Sleep-Promoting Medications in Nursing Home Residents
@article{Conn2006UseOS, title={Use of Sleep-Promoting Medications in Nursing Home Residents}, author={David K. Conn and Robert Madan}, journal={Drugs \& Aging}, year={2006}, volume={23}, pages={271-287} }
This paper reviews the use of sleep-promoting medications in nursing home residents with reference to risks versus benefits. Up to two-thirds of elderly people living in institutions experience sleep disturbance. The aetiology of sleep disturbance includes poor sleep hygiene, medical and psychiatric disorders, sleep apnoea, periodic limb movements and restless leg syndrome. One key factor in the development of sleep disturbance in the nursing home is the environment, particularly with respect…
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References
SHOWING 1-10 OF 120 REFERENCES
Sleep patterns of aged persons in long-term care facilities.
- MedicineJournal of advanced nursing
- 1986
The results indicate that the nursing sleep history is under-utilized and a better appreciation of the patient's sleep requirements could lead to a reduction in the amount of sleep medication given and an improvement in the general well-being of the long-term care elderly population.
Effects of residents' depression, sleep, and demand for medication on benzodiazepine use in nursing homes.
- Medicine, PsychologyPsychiatric services
- 2002
Efforts to improve benzodiazepine use in nursing homes must address the need for better assessment and management of depression, sleep, pain, and residents' demand for these medications.
Sleep hygiene in physically dependent nursing home residents: behavioral and environmental intervention implications.
- MedicineSleep
- 1998
There is strong evidence that the nighttime sleep of these residents was adversely affected by environmental noise and light, and residents' preference and nighttime noise source data suggest that a multifaceted intervention to improve sleep hygiene could successfully implemented in the NH setting.
Subjective evaluation of sleep and the use of hypnotics in nursing homes
- Medicine, PsychologyAging
- 1993
The elderly with impaired memory slept longer, stayed in bed longer, and took their hypnotics significantly earlier than those with normal memory and the subjective need for hypnotics, not the nursing home practices, should decide the necessity of these drugs and the medication times in nursing home residents.
Sleep Disturbances in the Institutionalized Aged
- Medicine, PsychologyJournal of the American Geriatrics Society
- 1983
Residents with sleep disturbance rated their sleep quality significantly lower than their peers not meeting research criteria, however, the nurses' ratings did not discriminate problem sleepers, and they correlated poorly with the residents' ratings.
Mental Health in Nursing Homes
- Medicine, Psychology
- 1993
A review of the literature suggests that antipsychotics and benzodiazepines are modestly effective in diminishing agitation in some dementing patients.
Assessment and treatment of sleep disturbances in older adults.
- Medicine, PsychologyClinical psychology review
- 2000
Use of Psychotropic Drugs in Elderly Nursing Home Residents with and without Dementia in Helsinki, Finland
- Medicine, PsychologyDrugs & aging
- 2005
Use of psychotrop drugs is very common in nursing homes in Helsinki, Finland, with four of five nursing home residents regularly receiving psychotropic drugs.
Sleep and agitation in agitated nursing home residents: an observational study.
- Psychology, MedicineSleep
- 1995
Findings suggest that agitation may be exacerbated by fatigue, and much individual variation was found in sleep patterns and sleep pathology of cognitively impaired and highly agitated nursing home residents.
Sleep disorders in geriatric patients.
- Medicine, PsychologyClinics in geriatric medicine
- 1992
Brief administration of short-acting benzodiazepine sedatives for sleep onset insomnia or rapid-acting intermediate half-life Benzodiazepines for sleep maintenance insomnia can be quite helpful in the elderly, especially if behavioral techniques also are employed.