insomnia

Question 1

questions to ask for diagnosing insomnia?

10

Answer 1

age?
duration?

tell me more about your symptoms?

how do you feel at lunchtime?
the pattern of sleep?

daily routine and diet?
underlying medical condition?
Recent travel?

day time sleeping?

any associated symptoms?

HPC?
pmhx?

dx?

Sx?

Question 2

otc meds for insomnia?

Answer 2

Diphenhydramine

Promethazine

Question 3

where is insomnia more common

Answer 3

more common in women

Question 4

when to refer?

Answer 4

Children under 12
Longer than 3 weeks
No known cause
Previous undiagnosed medical conditions
Symptoms of anxiety/depression
Other sleep disorders
Sleep apnoea
Narcolepsy
Hypersomnia

Question 5

symptoms of depression?

Answer 5

fatigue
loss of interest
loss of appetite
feeling of guilt
low self esteem
difficulty in consentrating
constipation
insomnia.

Question 6

treatment for insomnia?

Answer 6

sleep hygiene, come back when it doesn’t resolve in 2 weeks.

tailor advise to what they told you that it is the cause of their insomnia.

Question 7

WHY ASK:

age?
duration?

tell me more about your symptoms?

how do you feel at lunchtime?
the pattern of sleep?

daily routine and diet?
underlying medical condition?
Recent travel?

day time sleeping?

any associated symptoms?

HPC?
pmhx?

dx?

Sx?

Answer 7

age? because if in less than 12 yrs old

duration? refer if longer than 4 weeks in children. requires investigation

tell me more about your symptoms? do you have difficulty falling asleep, or staying asleep? is your sleep disturbed and how often?

how do you feel at lunchtime? how well do you function in your day to day activities?

the pattern of sleep? to see if it is the cause.

daily routine and diet? Changes to work routine. to see if a change in daily routine is causing the problem, also heavy meals and too much caffiene at night might be causing it

underlying medical condition? GORD, pregnancy, pruritic skin conditions, Parkinson’s and Osteoarthritis all cause insomnia

Recent travel? might be a symptom of jetlag.

day time sleeping?

any associated symptoms? (hypersomnia, sleep apnea, Sleep apnoea, Narcolepsy
Hypersomnia) refer

HPC? to see if they would need otc

pmhx? to

dx? to see if it is drug-induced

Sx? smoking or drinking affects sleep.