Treating Patients With Insomnia

Рет қаралды 6,146

Күн бұрын

By the time the patient with insomnia makes it to primary care, they have probably been struggling with sleep for a while, and have probably tried some things on their own - without luck. And now they’re hoping YOU can fix it, preferably…tonight?
Insomnia is a murky clinical topic; it’s not always as simple as not getting enough sleep. If you aren’t sure where to start with the patient with insomnia, let’s get you sure. This week, we’ll talk about:
✅ Sleep hygiene - what it is and why it’s important in patients with insomnia
✅ The role of substances (alcohol, caffeine, nicotine) in sleep issues
✅ Getting an insomnia/sleep history
✅ Comorbidities that can be causing or contributing to their insomnia
✅ Pharmacological approach to treating insomnia
✅ Non-pharmacological approach to treating insomnia
There aren’t any tests or labs for diagnosing insomnia. Digging deep and getting a very good history is the biggest part of understanding what is going on and developing the best plan to get your patient the relief they need.
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Please note: This video is intended only for medical providers and students learning to be medical providers.
While anyone is welcome to view, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.
If you’re a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at www.realworldnp.com/mentoring.
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© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.

Пікірлер: 20

@therudimentroom Жыл бұрын

You have no idea how wonderful and useful your page is. These videos where you go through the process of treating patients with different conditions are so helpful and interesting to someone going into the field. Still YEARS away from working on becoming an NP, but it's so nice to see videos like this from such a knowledgeable NP!

@RealWorldNP Жыл бұрын

Thank you for your kind words

@richardx4456 2 жыл бұрын

Thank you Liz, great information!

@RealWorldNP 2 жыл бұрын

Glad it was helpful!

@elinordrake9716 2 жыл бұрын

This was a super interesting video! Especially the pharmacology bit. Thanks!

@RealWorldNP 2 жыл бұрын

Glad it was helpful!

@therudimentroom Жыл бұрын

Have you ever prescribed Hydroxyzine for sleep latency paired with anxiety? I went to my primary care NP and she prescribed me that med in order to help with falling asleep and it works SO well. It also worked on a moderate level to help lower my general state of anxiety. I was hesitant at first with it being an antihistamine, however, feel grateful she put me on it :)

@RealWorldNP Жыл бұрын

Hydroxyzine is frequently used for anxiety and sleep issues.

@jenna8931 2 жыл бұрын

Thank you! This was so helpful!

@RealWorldNP 2 жыл бұрын

You're so welcome!

@303sjrz Жыл бұрын

Thank you for guidance. I actually have had 3 or 4 pt these 1st few months of practice 😊

@RealWorldNP Жыл бұрын

Glad you found it helpful. It gets easier BTW☺️

@StayingKingdomMinded 2 жыл бұрын

Off label use for Nurse Practitioners can only be completed when this is something tour collaborating physician can do? Does that make sense? I guess I’m just saying is there some grey with NPs prescribing for off label use? Do you know the rules, codes etc as it pertains to this? Thanks for any thoughts or education surrounding this -Amanda

@RealWorldNP 2 жыл бұрын

Great question. The FDA approved for off-label use of medication. This practice is common and legal. I recommend you review collaborative practice in your state with regard to prescribing off label. Verbiage is different from state to state. In general terms, an NP can prescribe medications off label but should be supported by evidence-based practice.

@aspidoscelis 8 ай бұрын

I think the issue with sleep hygiene is-it's the first recommendation in practically every resource on insomnia. If someone seeking health care for insomnia hasn't already adopted these practices, it's probably because it isn't viable for them. You're likely to be saying, "Try this thing that you tried to do / wish you could do / did and found ineffective."

@RealWorldNP 8 ай бұрын

You make a good point. In my experience this is where having a relationship with the patient is helpful. This is a conversation. Prior to giving recommendations the provider should ask what has the patient already tried.