Sleep Disturbance in the Brain Injured Patient
What is the problem?
Many people with brain injuries have changes in their sleep cycles. They may not be able to sleep at night or stay asleep. This may cause them to be sleepy during the day. Not getting enough sleep can affect a person’s health, and slow down their recovery. It can cause a person to become confused and angry. It can interfere with their ability to do things.
Why do I need to know this?
Sleep is very important. The nurse will ask you about your normal sleep habits.
• What time do you go to sleep at night?
• What time do you wake up in the morning?
• What do you do to help you get ready to sleep? (music, reading, personal hygiene, television)
• Do you like to use a nightlight?
• Do you like a snack before you go to bed?
• Is there anything you always sleep with?
• Can this be brought to the hospital to help you sleep?
What is considered good sleep and why is it important?
The amount of sleep needed is different for each person. Sleep is needed to heal the body and brain. . Active healing occurs in the first three months after the brain is injured. This is an important time to prevent chronic sleep problems and to help brain healing.
What causes sleep problems?
• New medical problems
• Anxiety, depression, and other psychiatric problems
• Being older (elderly)
• Family history of sleep problems
• Stress (financial, emotional, with other people)
• Noise, lights, high or low temperatures, etc (environmental)
What can make a person sleep better?
|Possible Causes of Sleep Problems||Interventions|
|Too many disruptions||
Caple, C., & Grose, S. (2011). Sleep and Hospitalization. Retrieved January 30, 2012, from http://web.ebscohost.com.ezproxy.library.wisc.edu/ehost/pdf viewer/pdfviewer? sid=5654f9e3-0484-4e67-8329-dba7b8c7170a%40sessionmgr104&vid=4&hid=104
Levine, J., & Flanagan, S. (2010). Rehabilitation of traumatic brain injury. Psychiatric Clinics of North America, 33(4), 877-891. Retrieved January 17, 2012, from http://www.mdconsult.com.ezproxy.library.wisc.edu/das/article/body/313350186-2/jorg=journal&source=&sp=23787293&sid=0/N/776296/1.html?issn=0193-953X
Pressman, Mark. (2011). Definition and consequences of sleep deprivation.Up to Date. Retrieved January 21, 2012, from http://www.uptodate.com/contents/definition-and-consequences-of-sleep-deprivation
Thoma, M. (2009). UWHC Guidelines for the Treatment of Insomnia.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 03/20/2012
Copyright © 03/20/2012 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7323
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