Understanding Sleep and Pain in Elderly Patients Rachael P. Donnelly and Joyce K. Wu MCPHS University Understanding Sleep and Pain in Elderly Patients Literature Review A great deal of investment in terms of research has yielded copious information regarding the individual phenomena of sleep and pain. These two subjects have even been studied to a substantial degree in specific populations, the older adult population being one of these. However, study of the interaction between these two phenomena has only recently begun to be of great notice. This interaction, though lately established in the literature, has not been adequately studied in many populations. In particular this inadequacy is notable for the older adult population. A search of the database Academic Onefile using keywords “older adults”, “sleep” and “pain” produced no literature involving all three. The literature used in this review was found with individual searches of “sleep” and “pain”, “older adults” and “sleep”, and “older adults” and “pain”. This issue is of great importance to nurses and other clinicians due to the increasing age of the patient population seen in practice (Berman, Snyder, Kozier, & Erb, 2012), and due to the pervasive difficulties with sleep and pain faced by older adults. Sleep disturbance among the older adult population is known to be a prevalent issue (Gooneratne, Pack, Staley, Schutte-Rodin, Dinges, & Pack, 2011). Much study has
The known sleep effects of chronic opioids in a non-pain population largely come from patients in a methadone maintenance programs, where daytime sleepiness and sleep complaints are common. Chronic use of methadone has been related with reduced total sleep time though findings have been mixed. Acute dosing of opioids my result in increased stage 2 sleep and decreased slow-wave sleep; their impact on rapid eye movement sleep varies. Among patients with chronic pain, long term opioid use has been associated with central sleep apnea. Opiates may confound the response to positive airway pressure therapy for obstructive sleep apnea. Indeed, opiates may confound the response to positive airway pressure therapy for obstructive sleep apnea. The purpose of this study is to compare sleep quality among three different sets of patients. The three different sets are: patients who had chronic pain and a present prescribed opioid medication, patients who had chronic pain but no opioid prescription, and patients who did not acknowledge chronic pain. Data from numerous studies indicate a significant negative association between chronic pains and sleep quality and efficiency. Sleep deprivation may result in lower pain threshold and
A significant interaction between age group and co-sleeping was found, suggesting that the effect of co-sleeping on sleep disturbance may be mediated by age group, F (3,40) = 7.16, p = < .001, 휂2 = .349. Simple effects analyses were conducted to investigate the interaction between co-sleeping and age group.
Two specialties that interest me are Sleep Psychology and Professional Geropsychology. The important of Sleep Psychology is to report on behavioral, psychological and physiological that involves sleep disorder. On the other hand, Professional Geropsychology report on biopsychosocial problems on older adults and their families. In comparison, Sleep and Geropsychology involves the function of the brain. In contrast with each other, sleep disorder is related to all ages and gender, and Geropsychology is more towards the older adult who is having difficulty with cognition.
The Psychology and Health journal focuses on the approaches to health and illness and contains topics such as physical illness, treatment processes and recovery; psychosocial factors, health attitudes and behavior, the individual health care system interface. The journal publishes original research, accepts meta-analyses work and presents psychological methods and efforts in health-related fields. The objective of the study Subjective age and sleep in middle-aged and older adults was to assess chronological age and how it is used to explain changes in sleep.
Sleep… How much is too little? How much is too much? Does it matter when one sleeps? Without the crucial state of rest for both the mind and the body, known as sleep, human beings would be unable to perform everyday skills essential to thriving, such eating, critical thinking, and performing tasks effectively. If one’s sleeping patterns are disturbed on a regular basis, then that person quite possibly might have a sleep disorder. The topic of sleep disorders is complex and extensive due to the fact that various types are diagnosed and recognized. Each type of sleep disorder can affect individuals in its own specific way. A few of the wide range of sleep disorders include: sleep apnea, night terrors, Restless Leg Syndrome, narcolepsy, excessive snoring, insomnia, and many more. Sleep disorders are quite intriguing simply because, no matter the type, two patients might display the same sleep disorder but exhibit differing symptoms. The two types of sleep disorders to be discussed in extent are obstructive sleep apnea and narcolepsy. When one experiences narcolepsy, involving the overwhelming urge to sleep during the day, and sleep apnea, involving the disturbance of one’s breathing patterns, that person can be effected both physically and emotionally.
The research article Poor sleep quality is associated with increased cortical atrophy in community-dwelling adults is a correlational study that concluded there was a correlation between longitudinal measures of cortical atrophy and lack of sleep quality. The hypothesis of the researchers was that atrophy within the orbitofrontal cortex and medial prefrontal cortex would be associated with poor sleep quality. These researchers also hypothesized that the frontal, temporal, and parietal cortices may also be affected by poor sleep quality, which would reflect the many cognitive deficits that are brought about by lack of quality sleep.
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
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
In recent years, chronic pain in the elderly (>65 years of age) is a significant problem.
I my view as well as the view of the evidence-based academic literature, pain is a common and yet subjective experience for several older adults and despite its prevalence, the existing body of evidence suggests that it is poorly assessed and managed in the older patients. The cognitive impairment as a consequence of delirium and dementia represents a big challenge to the management of pain in older adults since they render these patients unable to verbalize the level of their pain. It is therefore the responsibility of us the Nurses as an integral element of a larger interdisciplinary care team to comprehend the myths that are associated with the management of pain as well as use the right tools in the assessment of the nature of pain being experienced by the older adults. In the next few paragraphs, I present my views of the four main tools of assessing pain the older adults. These include the Revised Faces
The Relationship Between Sleep and Anxiety in Older Adults showed that anxiety and insomnia are common problems adults deal with. Less research has been conducted assessing the co-occurrence of the two variables in older adults compared with younger adults, but it is estimated that 45% of older adults with an anxiety disorder have comorbid sleep problems.
Sleep disruption in hospital patients is a common problem; therefore, sleep deprivation has become a longstanding problem. Many studies on sleep deprivation and its negative consequences on health have been carried out by both nursing researchers and others although it seems to fall on deaf ears. However, all the researchers agree on one point: sleep deprivation is rampant in US hospitals.
The data will be collected using the clinical questions’ key word. Hence, the PICO questions will be directly affiliated to the search terms including daytime sleepiness of the residents and its effect on their health. The research process will be collected in different articles involving several studies and accommodating abstracts and titles of likely relevant studies. There will be the use of Inclusion/exclusion criteria to the titles and abstracts of the retrieved titles and abstracts. These will especially
Previous studies have shown that elderly individuals living in a long-term care facility, who had mental disorders, also suffered from sleep problems. The three aspects of sleep they had the most difficulty with were “increase sleep latency, decreased sleep efficacy, and decreased total sleeping hours” (CITE). In another research study, acupressure was shown to increase quality of sleep in elderly individuals suffering from end-stage renal disease (CITE). The researchers of this study wants to test the hypothesis that acupressure, done on elderly individuals with affective disorders who also suffering from sleep
The sample was obtained from a psychiatric hospital and consisted of sixty geriatric mood disorder inpatients with sleep difficulties. The patients were assigned randomly by flipping coins to either an experimental group or a control group. Both groups received standard medical care and assessments. The experimental group received 9-minute acupressure treatments daily for four weeks. The control group received routine care only.