3. Female with insomnia (pt with depression)

Question 1

What are common causes of insomnia in the elderly?

Answer 1

environment that is not conducive to sleep such as noise, uncomfortable bedding
late caffeine
sleep apnea(obstruction of breathing can cause arousal)
restless leg syndrome
depression and anxiety
shortness of breath due to cardiorespiratory disorders can keep patients awake
Pain or pruritus
patients with GERD may report heartburn, throat pain, or breathing problems
Hyperthyroidism
Advanced sleep phase syndrome (ASPS)

Question 2

treatments for primary insomnia that are proven in the elderly

Answer 2

Cognitive behavioral therapy

Zolpidem(ambien)

Question 3

Which of the following medical conditions is associated with depression

Answer 3

Hypothyroidism
Parkinson’s disease
Dementia