Review2007

SLEEP DISRUPTION IN OLDER ADULTS

Catherine S. Cole · Kathy Culpepper Richards

37 citations0/0 files storedAJN American Journal of Nursing

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Abstract

In Brief Insomnia is not a normal part of aging, but nighttime sleep in older adults is often disrupted, leading to excessive daytime sleepiness and other physical, psychological, and cognitive changes that affect overall health. Even so, clinicians often pay little attention to sleep in this population. The sleep of older adults tends to be less deep than that of younger people, and coexisting conditions and treatment effects can more easily disrupt sleep. This article reviews the current literature on sleep disruption in older adults and suggests ways that nurses can apply the information in intervening to improve sleep in their older patients. A recent study found that 69% of older adults reported at least one sleep complaint. How aware are you of the ties between sleep and health in this population?

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References

1999Impact of sleep debt on metabolic and endocrine function 2004Meta-Analysis of Quantitative Sleep Parameters From Childhood to Old Age in Healthy Individuals: Developing Normative Sleep Values Across the Human Lifespan 2003The Cumulative Cost of Additional Wakefulness: Dose-Response Effects on Neurobehavioral Functions and Sleep Physiology From Chronic Sleep Restriction and Total Sleep Deprivation 1997Cumulative Sleepiness, Mood Disturbance, and Psychomotor Vigilance Performance Decrements During a Week of Sleep Restricted to 4–5 Hours per Night 1995Sleep Complaints Among Elderly Persons: An Epidemiologic Study of Three Communities 2004Sleep disturbances and chronic disease in older adults 2005Association of Sleep Time With Diabetes Mellitus and Impaired Glucose Tolerance 1994Leukocytosis and natural killer cell function parallel neurobehavioral fatigue induced by 64 hours of sleep deprivation.

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