This program will review the changes in sleep that occur with age and impact sleep quality. The presenters will provide a methodology to comprehensively assess the psychiatric, medical and neurologic illnesses that impact the health related outcomes of disordered sleep. The use of the Epworth Sleep scale particularly in more ambulatory setting can be of great benefit. Participants will be better able to recognize primary sleep disorders in long-term care residents and improve their care at both the individual and facility level. The presenters will also focus on the obesity epidemic in today’s nursing home and its impact on obstructive sleep apnea. Non-pharmacologic interventions should be employed whenever possible to improve sleep hygiene. Furthermore, interventions such as pain management and the treatment of congestive heart failure, nocturia or urinary incontinence will be reviewed. The risks and benefits of sleep aids, be it melatonin, calamine tea, melissa, white noise or sedative-hypnotics will be put into appropriate context.
Disclosure: Drs. Tangalos and Brandt have no relevant financial relationships to disclose.
Conflicts of Interest: The planners and presenters of this CNE activity have disclosed no relevant financial relationships with any commercial companies pertaining to this activity
Non-Endorsement of Products: The Maryland Nurses Association's accredited-provider status refers only to continuing nursing education activities and does not imply that there is real or implied endorsement by of any product, service, or company referred to in this activity nor of any company subsidizing costs related to the activity.
Off-label Product Use: This educational activity does not include any unannounced information about off-label use of a product for a purpose other than that for which it was approved by the Food and Drug Administration (FDA).
Learning Objectives: The overall goal of this activity is to enhance participants’ knowledge and ultimately improve competency by providing the most recent developments and updates available to practitioners who treat and manage patients in the long-term care setting with sleep issues.
Upon completion of this activity, participants should be able to:
Describe the age-related changes in sleep.
Evaluate the psychiatric, medical, and neurological causes of sleep problems in the elderly.
Implement objective methods to evaluating sleep concerns in all populations.
Develop appropriate treatment approaches at both the individual as well as facility level for sleep related issues