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Interventions for Good Sleep
Interventions for Good Sleep
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Video Transcription
Video Summary
In this video transcript, Elizabeth Wilcox, an associate professor at the University of Toronto, discusses interventions for good sleep in acute illness, specifically in the ICU. She highlights the difficulties in quantifying sleep disruption in the ICU due to heterogeneity in studies and challenges in measuring sleep itself. However, risk factors such as pain, anxiety, poor sleep or sleep medication usage prior to admission, inadequate daytime and excessive nighttime light, excessive noise, and frequent care interruptions have been consistently implicated in ICU sleep disruption. Wilcox discusses non-pharmacologic interventions, such as controlling the ICU environment and using eye masks and ear plugs, as well as pharmacologic interventions, including melatonin agonists, alpha-2 agonists, and orexin antagonists. She emphasizes the need for further research in this area and recommends promoting daytime wakefulness, optimizing timing of sedating medications, reviewing other medications that may impact sleep, and discontinuing sleep aid medications prior to ICU discharge.
Asset Subtitle
Behavioral Health and Well Being, 2023
Asset Caption
Type: one-hour concurrent | Good Night! Sleep Tight! (SessionID 1119166)
Meta Tag
Content Type
Presentation
Knowledge Area
Behavioral Health and Well Being
Membership Level
Professional
Membership Level
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Tag
Well Being
Year
2023
Keywords
sleep disruption
ICU
risk factors
non-pharmacologic interventions
pharmacologic interventions
ICU environment
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