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14 Oct 2016 Psychologists may provide cognitive-behavioral therapy for insomnia. For older patients who are computer savvy, computerized cognitive-behavioral therapy for insomnia (CCBT-I) may be a more attractive approach than the traditional face-to-face therapy sessions. In a meta-analysis, CCBT-I using Internet
Have changes in their sleep cycle, e.g. older adults spend less time in the most restful stage of sleep (less Difficult to treat insomnia in this setting due to staff providing routine care that can affect sleep Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults. J Clin Sleep Med 2008; 4(5):
Conclusions: Complaints of insomnia among older adults are frequently ignored, considered a part of the normal aging process or viewed as a difficult to treat condition. Geriatric insomnia remains a challenge for primary care providers because of the lack of evidence-based clinical guidelines and limited treatment options
Examples include zaleplon (selective for the benzodiazepine-1 receptor) and zolpidem (selective for the GABAA-benzodiazepine type 1 receptor). In a study of elderly patients, 65 years and older, zaleplon given at 10 mg was effective in reducing sleep latency without evidence of undesired effects.
3 Jul 2010 associated with inadequate sleep hygiene; or due to an underlying medical condition.2 For older patients, the first steps should be to treat underlying conditions, reinforce appropriate sleep behaviours, and set realistic goals.3 Treating insomnia in the older population is frequently difficult but is important
Nonpharmacologic interventions in elderly patients, especially use of behavioral therapy, have demonstrated some success. Sleep disturbances among the elderly are associated with significant morbidity and mortality and increase the risk for nursing home placement. 4,5. Insomnia is also correlated with risk for falls.
489. Evaluation and Management of Chronic Insomnia in Adults. ? Older approved drugs for insomnia including barbiturates, barbiturate-type drugs and chloral hydrate are not recom- mended for the treatment of insomnia. (Consensus). ? The following guidelines apply to prescription of all medi- cations for management of

nosis, risks, consequences, and treatment of chronic in- somnia in adults.13 The American Academy of Sleep. Medicine also has published several practice guidelines for insomnia evaluation and management. In general, there is little high-quality evidence to guide practitioners in the care of older adults with insomnia.
10 Aug 2017 A preference for CBT-I or other behavioral therapies over medication as initial therapy has been endorsed in clinical practice guidelines of the American . In the largest individual study, 179 older adults with primary insomnia were randomly assigned to six weeks of sleep restriction therapy, stimulus control
     

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