Sleep Disorders CPG

Sleep problems are common among residents of post-acute and long-term care (PALTC) facilities. Data suggests that age-related sleep changes, medical conditions common among older people, medications that affect sleep, substance use, and factors related to the long-term care facility environment all contribute to the prevalence of sleep difficulties in the PALTC population. The CPG focuses on the evaluation and management of sleep disorders that are secondary to chronic medical conditions or environmental issues.

Outcomes that may be expected from the implementation of this guideline include:

  • Better awareness and understanding of sleep disorders among patients and caregivers;
  • Proper utilization of pharmacologic sleep agents;
  • Greater acceptance of individualized scheduling (i.e., enabling patients to get up, go to bed, and eat meals at times of their choosing rather than at institutionally established times);
  • Reduction in the frequency of daytime drowsiness;
  • Increased levels of participation in activities;
  • Improved physical and cognitive function and fewer falls;
  • Reduction in nighttime disruptive behavior caused by sleep problems;
  • Reduction in distressed daytime behavior in patients with dementia;
  • Decline in geriatric psychiatry referrals for evaluation of behavioral problems related to sleep disorders;
  • Increased participation in rehabilitation programs and better rehabilitation outcomes; and
  • Increased job satisfaction among caregivers.


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