WHEN YOUR OLDER PATIENT CANT SLEEP - HOW TO PUT INSOMNIA TO REST

Sleep disorders are common in midlife and older adults, coinciding wit h encephalographic changes in sleep patterns, stressful life events, a nd chronic diseases of aging. Differential diagnosis includes respirat ory abnormalities (including obstructive sleep apnea), leg cramps, noc turia, ulcer-related pain, medication use, depression, and anxiety. Se dative-hypnotic agents may be appropriate for selected patients, with short-acting substances preferred in all cases. Dosage and dosing sche dules should be discussed with the patient to ensure compliance and to avoid possible misuse of these agents.