Insomnia Treatment Checklist

Assessment & Plan Elements, Psychiatry
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Assessment: Insomnia
Plan: [html]
<strong>COGNITIVE THERAPIES</strong>[/html]
[checkbox value="Discuss realistic expectations about sleep requirements. "][checkbox value="Discuss consequences of insomnia. "][html]
<strong>SLEEP HYGIENE EDUCATION</strong>[/html]
[checkbox value="Avoid the use of caffeine in the later hours of the day, limiting the amount of overall caffeine consumption. "][checkbox value="Avoid heavy meals within two hours of bedtime. "][checkbox value="Minimize intake of fluids after dinner to prevent frequent nighttime urination. "][checkbox value="Avoid exercise for 90 minutes to four hours before sleep. "][checkbox value="Ear-plugs can be used if noise is a problem. "][checkbox value="Exposure to daytime light for at least 30 minutes in the morning. "][html]
<strong>STIMULUS CONTROL</strong>[/html]
[checkbox value="Eliminate distractions and associate the bedroom only with sleep and sex. "][checkbox value="Reading and television watching should occur in a room other than the bedroom. "][checkbox value="Go to bed only when tired and leave the room if not asleep within 15 to 20 minutes. "][checkbox value="Avoid napping and should get out of bed at the same time each day. "][html]
<strong>RELAXATION THERAPIES</strong>[/html]
[checkbox value="Autogenic training: Imagine a peaceful environment and comforting body sensations, such as warmth and heaviness in the limbs, warmth in the upper abdomen, and coolness on the forehead. "][checkbox value="Paced respirations: Take a deep breath and hold for five seconds, repeat several times; focus on the sound of the breath. "][checkbox value="Progressive muscle relaxation: Tense and relax large muscle groups; usually begin with the feet and work your way up to the facial muscles. "][checkbox value="Repetitive focus: Focus on a word, sound, prayer, phrase, or muscle activity. "]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="" target="_blank">Harsora P, Kessmann J. Nonpharmacologic management of chronic insomnia. Am Fam Physician. 2009 Jan 15;79(2):125-30.</a>
Assessment: Insomnia




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