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Sleepiness or Excessive Daytime Somnolence

Published on Jan 1, 2009in Geriatric Nursing1.52
· DOI :10.1016/j.gerinurse.2008.11.004
Ethel Mitty EdD1
Estimated H-index: 1
,
Sandi Flores7
Estimated H-index: 7
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Abstract
Excessive daytime somnolence (EDS) is associated with age-related changes, environment, circadian rhythm or sleep pattern disorder, insomnia, medications, lifestyle factors, depression, pain, and illness. The notion of “sleep architecture” connotes a structure that describes the sleep cycle (i.e., stages) and wakefulness during a single sleep period—that is, rapid eye movement (REM) and non-REM sleep. Circadian rhythms perform a variety of functions including regulation of the quality and distribution of the stages of sleep. Insomnia includes delayed sleep onset as well as premature wakening; sleep is nonrestorative. Comorbidities associated with insomnia are Alzheimer's disease and other dementias, delirium, depression, congestive heart failure, chronic obstructive pulmonary disease, gastroesophageal reflux disease, pain, degenerative diseases of the neurological system, and sleep apnea. Continuous inadequate sleep affects cognitive function, physical performance, overall well-being, and quality of life. There is a greater risk of falls from insomnia than is the use of hypnotics to manage it. Sleep disruption among older adults is underrecognized and undertreated. Assessment using valid tools can be performed rapidly. There are a variety of treatment options, including sleep hygiene and pharmacological and alternative modalities.
  • References (5)
  • Citations (15)
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References5
Newest
WHY: Sleep is critical to health and sense of well-being. However, normal aging changes, medical problems, psychiatric problems, and psychosocial issues can alter the pattern and quality of sleep as one grows older, and, thus affect the quality of life in the older adult. Assessment of sleep patterns enables the nurse to intervene immediately by implementing interventions with the client, or by referring the client for further assessment. BEST TOOL: While simply asking a person, “How is your sle...
Published on Jan 1, 2008
Liz Capezuti1
Estimated H-index: 1
This is the third edition of the book formerly entitled "Geriatric Nursing Protocols for Best Practice". The original project grew from the efforts of these authors and editors, national leaders in geriatric nursing, and the John A. Hartford Foundation Institute for Geriatric Nursing, to improve the quality, outcomes, and cost-effectiveness of health care for the elderly in hospitals, long-term care facilities, and the community. These efforts include influencing both the skills of individual nu...
Published on Oct 1, 2007in Journal of Gerontological Nursing0.84
Claudia M Chaperon3
Estimated H-index: 3
,
Lynne A Farr1
Estimated H-index: 1
(NU: University of Nebraska–Lincoln),
Ellen LoChiano1
Estimated H-index: 1
Published on Jan 1, 2007in Geriatric Nursing1.52
Norma G. Cuellar14
Estimated H-index: 14
,
Ann E. Rogers2
Estimated H-index: 2
,
Virginia Hisghman2
Estimated H-index: 2
Older adults who complain of sleep disturbances frequently find their concerns are ignored or are considered a normal part of aging. Sleep disturbances are common in older adults and should receive prompt assessment and treatment due to outcomes of decreased quality of life, increased health care costs, and, more importantly, increased morbidity and mortality in combination with a variety of chronic illnesses. Treatment options for older adults may include use of complementary and alternative me...
Published on Oct 1, 2005in International Journal of Geriatric Psychiatry3.14
Vani Rao24
Estimated H-index: 24
(Johns Hopkins University),
Jennifer Spiro9
Estimated H-index: 9
(Johns Hopkins University)
+ 8 AuthorsPeter V. Rabins58
Estimated H-index: 58
(Johns Hopkins University)
Introduction A majority of the elderly suffer from some sort of sleep disturbance. Common sleep disturbances are insomnia and excessive daytime sleepiness. There are no published studies on the prevalence of sleep disturbance in the assisted living (AL) setting. Objective To estimate the prevalence, types, and associations of sleep disturbance in a stratified random sample of AL residents, and to explore the effect of sleep disturbance on cognitive and physical functioning, as assessed by the Mi...
Cited By15
Newest
Hyder Osman Mirghani3
Estimated H-index: 3
(University of Tabuk)
Abstract Objectives There is increasing awareness about the effects of circadian misalignment on health and work. In the present study, we aimed to investigate the effects of chronotype on academic achievement among medical students. Methods A cross-sectional comparative study was conducted among 140 medical students (64 who averaged an A grade and 76 who averaged a C grade) completing the clinical phase at the medical college of Omdurman University, Sudan. The participants were asked to sign a ...
Published on Aug 1, 2016in Neurobiology of Disease5.16
Shameka L. Cody5
Estimated H-index: 5
(UAB: University of Alabama at Birmingham),
David E. Vance29
Estimated H-index: 29
(UAB: University of Alabama at Birmingham)
The medications used to treat HIV have reduced the severity of cognitive deficits; yet, nearly half of adults with HIV still exhibit some degree of cognitive deficits, referred to as HIV-associated neurocognitive disorder or HAND. These cognitive deficits interfere with everyday functioning such as emotional regulation, medication adherence, instrumental activities of daily living, and even driving a vehicle. As adults are expected to live a normal lifespan, the process of aging in this clinical...
Published on Dec 1, 2015in BMC Research Notes
Hyder Osman Mirghani3
Estimated H-index: 3
(University of Tabuk),
Osama Salih Mohammed2
Estimated H-index: 2
(University of Tabuk)
+ 1 AuthorsMoneir Siddig Ahmed1
Estimated H-index: 1
Background There is increasing awareness about the association of sleep quality and academic achievement among university students. However, the relationship between sleep quality and academic performance has not been examined in Sudan; this study assessed the relationship between sleep quality and academic performance among Sudanese medical students.
Published on Jul 1, 2015in Nursing Forum
Lucia Dignani3
Estimated H-index: 3
,
Andrea Toccaceli3
Estimated H-index: 3
(University of L'Aquila)
+ 2 AuthorsLoreto Lancia8
Estimated H-index: 8
(University of L'Aquila)
Lucia Dignani, PhD, MSN, RN, is RN, Ospedali Riuniti, Ancona, Italy; Andrea Toccaceli, MSN, RN, is PhD Student,Department of Health, Life and Environmental Sciences, Nursing Science Doctorate School, University of L’Aquila,L’Aquila, Italy; Milena Giovanna Guarinoni, PhD, MSN, RN, is RN ASL, Brescia, Italy; Cristina Petrucci, PhD, MSN, RN, isNursing Researcher, Department of Health, Life and Environmental Sciences, University of L’Aquila, L’Aquila, Italy; andLoreto Lancia, MSN, RN, is Associate P...
Published on Jan 1, 2014in Journal of sleep disorders and therapy
Shittu Ro4
Estimated H-index: 4
,
B. A. Issa8
Estimated H-index: 8
+ 4 AuthorsAderibigbe Sa4
Estimated H-index: 4
Objectives: Clinically significant Excessive Daytime Sleepiness (EDS) is frequently encountered among patients with depressive symptoms, and a significant association was observed between depression, body mass index and EDS. Incidentally this sleep disorder is often overlooked. The aim of this study was to examine the association between excessive daytime sleepiness, depressive symptoms, body mass index and blood pressure in a Nigerian family practice setting. Methods: This was a hospital based ...
Zeynep Günes1
Estimated H-index: 1
,
Muazzez Sahbaz1
Estimated H-index: 1
+ 1 AuthorsHakki Günes1
Estimated H-index: 1
The purpose of the present study was to identify risk factors for and prevalence of excessive daytime sleepiness and associations between demographic factors, obesity and metabolic syndrome criteria and excessive daytime somnolence (EDS). A descriptive and analytical study was conducted among 508 volunteers in primary health care centers in western Anatolia, Turkey. The data were obtained using a questionnaire and the Epworth Sleepiness Scale. Metabolic syndrome components were defined according...
Published on Mar 1, 2012in Journal of General Internal Medicine4.61
Kristin L. MacGregor6
Estimated H-index: 6
(SU: Syracuse University),
Jennifer S. Funderburk12
Estimated H-index: 12
(UR: University of Rochester)
+ 1 AuthorsStephen A. Maisto61
Estimated H-index: 61
(SU: Syracuse University)
BACKGROUND Sleep disturbance is a significant problem for adults presenting to primary care. Though it is recommended that primary care providers screen for sleep problems, a brief, effective screening tool is not available.
Published on Dec 1, 2011in BMC Gastroenterology2.25
Jing-Hong Hu1
Estimated H-index: 1
(Memorial Hospital of South Bend),
Shih-Wei Lin1
Estimated H-index: 1
(CGU: Chang Gung University)
+ 1 AuthorsNing-Hung Chen1
Estimated H-index: 1
(CGU: Chang Gung University)
Background In traditional Chinese culture, liver disease is believed to underlie excessive daytime sleepiness (EDS). Consequently, Chinese patients with complaints of EDS and physicians who treat them suspect that a liver abnormality is present. If liver disease is ruled out, these patients are often discharged without treatment. Gastroesophageal reflux disease (GERD) is a common disorder also associated with EDS. This pilot study was undertaken to determine the prevalence of GERD among Taiwanes...
Published on Dec 1, 2011in South African Medical Journal
Celestine Okorome Mume3
Estimated H-index: 3
(OAU: Obafemi Awolowo University),
Kamildeen Oladimeji Olawale1
Estimated H-index: 1
(OAU: Obafemi Awolowo University),
Adeagbo Funminiyi Osundina1
Estimated H-index: 1
(OAU: Obafemi Awolowo University)
Background and objectives. Short nocturnal sleep duration resulting in sleep debt may be a cause of excessive daytime sleepiness (EDS). Severity of depression (psychopathology) has been found to be directly related to EDS. There is an association between sleep duration and mental health, so there may therefore be an interrelationship between sleep duration, EDS and psychopathology. The objectives of this study were to determine the prevalence rates of EDS and general psychopathology among univer...
Published on Sep 1, 2011in Supportive Care in Cancer2.75
Ellen Karine Grov11
Estimated H-index: 11
(Oslo University Hospital),
S.D. Fossa87
Estimated H-index: 87
(University of Oslo),
Alv A. Dahl57
Estimated H-index: 57
(University of Oslo)
Purpose To examine the associations among morbidity, lifestyle, psychosocial factors and insomnia symptoms in elderly (≥70 years) cancer survivors of the Health Survey of North-Trondelag County (HUNT-2).