Impatient for Inpatient Sleep: Treating Sleep Disturbances in the Hospital Setting

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: Disturbed sleep and sleep deprivation are common complaints among inpatients; however, limited research has targeted this population to investigate primary causes and solutions, and no comprehensive guidelines address this widespread problem. Recent Findings: Many factors contribute to inpatient sleep difficulty. Key environmental sources are excess noise and light. The use of earplugs and eye masks are supported by some studies. Attempts to reduce disturbing light and noise on hospital units have been helpful. Schedule modifications that limit awakenings for measurements and medications also have been shown to be beneficial. Patients with inpatient sleep complaints are prescribed a wide range of medications, though little guidance is available to direct therapy with regard to pharmacodynamic and pharmacokinetic features, adverse event risks, and potential interactions. Summary: A combination of environmental modifications and altered schedules for routine assessments, procedures, and treatments; individualized non-pharmacological interventions; and strategically chosen medications for selected patients should help minimize nighttime sleep disruption in hospitalized patients.

Original languageEnglish (US)
Pages (from-to)333-341
Number of pages9
JournalCurrent Sleep Medicine Reports
Volume3
Issue number4
DOIs
StatePublished - Dec 1 2017

Keywords

  • Hospitalization
  • Hypnotics
  • Inpatient
  • Insomnia
  • Sleep disturbance

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

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