Insomnia Case Study: Toe Pain

Sleep Issue: Client has trouble to sleep while she is traveling, particularly when she had to share bed/room with her travel companions. She felt she was becoming a burden to her travel companions, and she is worrying others may think she is weird. Client also said she has trouble to sleep when someone is visiting her house as well, this includes her parents visiting. Client reflected she has a particular sleep routine.

For quite some time, we have been hearing a loud, whirring, and humming/vibrating noise coming from this unit.  Not only do we hear it through our walls and the bathroom, but also our bedroom, which makes it very difficult to get a restful night’s sleep.  We have tried wearing earplugs and even create white noise, but it does not drown it out or mask it.  It is impractical to manage one's sleep this way.

Medical: Wellness Coach asked Mr. Hallet how was his day and he said he was doing well. He also express that he been taking his medication but the sleep pills is causing to have irregular patterns of sleep. Mr. Hallet has been falling to sleep everywhere even while traveling on public transportation. He also stated that the sleep pills are causing him to even fall asleep during the work hours. Wellness Coach and Family Counselor Clair Arzon discuss with Mr. Hallet that maybe creating sleep pattern will then decrease the irregular sleeping. He express that he has tried everything. Family Counselor Ms. Arzon inform Mr. Hallet to try not taking the sleeping pills for a few days to see how his sleep habits will be. If he gets sleepy then to take walks or drink water to help keep Mr. Hallet up during the day and when bedtime come try turning the TV off therefore you can relax.

Sleep is important not only for promoting healing, but also for the overall well-being of the individual. When there are problems with the sleeping pattern, it impacts the overall health and safety of the older adult. The person will not have enough rest and will be too tired to perform activities surrounding daily living. We have to assess the risk factors contributing to the problems of sleep disturbance and these might be “related to poor sleep hygiene, including an irregular sleep schedule, environmental noise or light, and the use of stimulants” (Mauk, 2014, p. 581). If the sleeping pattern is not assessed, possible complications will happen, such as falls that could lead to bodily injuries.

Ambien is viewed as one of the ideal approaches to treating a sleeping disorder. In any case, this pill does not suit everybody, that is the reason it is prescribed to visit a Specialist. It thoroughly relies on you the sort of treatment that your body ought to experience.

Recent studies show that 38% of people who use this product as an escape to sleeping at night are suffering with liver disorders. Taking this product misdirected sends wrong messages to your body. It puts your body to sleep when your body cant or doesn’t want to. It slows you down when you body is not ready to slow down. It controls your body almost opposite of how it should or wants to be run. The day after you take this product improperly, you feel like your dragging along, sluggish and weak. Maybe you did get to fall asleep the night before but you sure put a beating on your body for the next day.

Martha is a 65 year old lady who suffers from insomnia based on the preliminary symptoms of sleeplessness. She is also under severe stress from her mum’s dependence condition which makes her unhappy with her retirement. Martha’s mum’s condition is of great influence to her insomnia disorder for she only thinks of her through out the day, caring for her leaving Martha with little time to check on her health. Insomnia is a disorder that mostly affects the elderly though it may affect people from all ages. It is the lack of sleep even when one feels to have some sleep. It is not a stand alone disease but a symptom which is defined by the duration one lacks quality sleep. Transient insomnia is not having sleep for a week, short term insomnia is lack of adequate sleep for 2-3 weeks, while sleeplessness for a month is termed as chronic insomnia. Various studies have shown that insomnia affects women more often than men and that 30%-50% of elderly Americans experience difficulty in initiating and maintaining adequate sleep. Diagnosing insomnia in a patient the health practitioner would evaluate the patient medical record and other factors that may contribute to insomnia. For example, snoring, psychological factors such as stress levels and drug use. Martha’s physician would check on her medical

Such patients endure a long list of sleep issues including insomnia, alpha wave intrusions, obstructive sleep apnea (OSA), narcolepsy, and restless leg syndrome.

Wow, what a fantastic turnout for the "Sleeping with Pain" book launch which took place yesterday afternoon.

Lesley has returned following a repeat diagnostic sleep study. Sleep onset latency was 45 minutes with reduced sleep efficiency. Only supine sleep was recorded, none of which was during REM. There was evidence of severe obstructive sleep apnoea with an apnoea/hypopnoea index of 68 events/hr. There was frequent oxygen desaturation. Some leg movements in association with respiratory events were notes.

The topic that I read is sleep. I read about people who get older don't sleep enough due to their busy schedule. There's a higher chance of people getting insomnia and other symptoms. Adults older than 65 have a difficult time falling asleep and staying asleep. I learned that there are two types of insomnia: primary insomnia and obstructive sleep apnea. Primary insomnia happens while you are sleeping and obstructive sleep apnea is a sleep disorder, an example can be snoring while your asleep. To fall asleep, it's recommended to read a book for 20 minutes and by that time you will be

Insomnia is a common sleep disorder which makes falling asleep very hard, or cause you to stay up or wake up, or make you unable to get back to sleep. In addition, insomnia can deplete your energy and reduce disturb your mood. Moreover, it can spoil your work performance, health, and quality of life. Also, you may still suffer feeling tired and ruin your temper. when you wake up.

Since 2014, I am working as senior researcher in the Pain and Rehabilitation Center, University Hospital of Linköping, Faculty of Medicine, Linköping University. My current research includes epidemiology of chronic pain populations, by investigating the association of pain with different psychological and socio-demographic factors.1 2 3 My work further concerns the evaluation of psychological treatments in chronic pain patient as well as the psychometric evaluation of pain sleep instruments. 4-6 I have been also occupied with pain sleep research exploring principally the link between experience of pain and insomnia.7 8 A number of articles in accredited medical journals have already published as a result of our efforts. Furthermore, I have developed recently in collaboration with foreign institutions (University of Ioannina, Medical School, Ioannina, Greece and Imperial College of London, England) projects regarding the implementation of umbrella reviews approaches in systematic appraisal of evidence for psychological interventions in pain management 4 5

Sleep disorders alter ones sleep pattern and often results in the inability to either sleep or sleep soundly. They often cause you to feel restless, tired, fatigued, and irritable. It is estimated that nearly 75 percent of adult Americans experience sleep disorder symptoms at least a few nights per week. At the same time, sleep disturbances in some form are seen in as many as 25 to 30 percent of infants and children (“Sleep Disorders” 2013). Clearly a huge conundrum in the world, sleep disorders affect an inordinate amount of people. Millions of people suffer or have suffered from a sleep disorder at one point in their lives and if mistreated can impact organ systems functioning negatively. Physical disturbances, medical issues,

Target behavior: The behavior to be modified is sleeping behavior of college students. I have noted that as a college student sleep is something I rarely get enough of. Therefore, I have chosen to modify this behavior because sleep is an essential part of life.