Long term care on the NHS: a vanishing prospect
| Autor: | J. M. Kellett |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Gerontology
medicine.medical_specialty medicine.diagnostic_test business.industry media_common.quotation_subject Primary Insomnia General Engineering Chronic pain Physical examination General Medicine Disease medicine.disease Sleep in non-human animals Arousal medicine Insomnia General Earth and Planetary Sciences Personality medicine.symptom Psychiatry business General Environmental Science media_common |
| Zdroj: | BMJ. 306:846-848 |
| ISSN: | 1468-5833 0959-8138 |
| DOI: | 10.1136/bmj.306.6881.846 |
| Popis: | Treat the underlying cause: Psychiatric disturbance Physical disease Chronic pain Misuse of substances, particularly alcohol Complaints of not getting enough sleep are not always related to actual or easily detected changes in patterns of sleep. Satisfaction with sleep is controlled by a number of factors and often is not associated with objective findings. Insomnia is the most common disturbance of sleep, and accompanies several diseases. Psychiatric and physical disease, chronic pain, and misuse of substances (particularly alcohol) are common causes of secondary insomnia. Primary insomnia, supposedly caused by dysfunction of the sleep mechanisms in the brain, is uncommon but may develop at any age and is occasionally precipitated by changes in the system of behavioural cues or contingencies that control sleep. Subjects with primary insomnia can crudely be separated into those with high or low levels of arousal. The diagnosis of insomnia must be based on a full history, clinical examination, and an understanding both of the patient's personality and environment. For this minority of patients long term treatment with hypnotic drugs may be appropriate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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