Distinguishing the Diagnosis and Management of Sleep Disturbance and Sleep Disorders in Multiple Sclerosis
This article presents commonly observed sleep disturbances and disorders, appropriate screening and diagnostic considerations, and management options. Nurses providing care for patients with MS must recognize sleep as an important component in care planning. A comprehensive sleep history and appropriate screening instruments should be incorporated into initial and ongoing assessments, with referral to sleep medicine providers as indicated. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Yolanda Smith Wheeler, Karen Heaton Source Type: research

Nature-Based Therapies for Sleep Disorders in People Living with Human Immunodeficiency Virus
This article provides a review of sleep disorders, conventional and nature-based therapies, and the potential of nature-based therapy to support the health of people living with HIV through increased restorative sleep and immune function. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Gibran Mancus, Samantha V. Hill, Patricia Carter, Pamela Payne-Foster, Mangala Krishnamurthy, Abigail Kazembe, Shameka L. Cody Source Type: research

Sleep Disorders and Mood, Anxiety, and Post-Traumatic Stress Disorders
Sleep disruptions are frequently reported by persons with mood, anxiety, and post-traumatic stress disorders, and co-occur with psychiatric disorders. There is evidence that sleep disorders can predict the likelihood of developing a future psychiatric disorder and exacerbate existing symptoms. Understanding the inter-relationships between sleep and psychiatric disorders is important. The primary goals of this article are to describe the interactions between psychiatric and sleep disorders in the context of sleep disturbances, underscore the bidirectional effects of mental health treatments on sleep disorder outcomes, and p...
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: W. Chance Nicholson, Kate Pfeiffer Source Type: research

Sleep in Persons Living with Alzheimer's Disease and Related Dementias
This article provides evidence-based guidelines for diagnosis and clinical management of sleep disorders that occur during the course of treatment of Alzheimer’s disease and related dementias. The article presents novel interventions and future directions for clinical practice and sleep research, and addresses diversity and inclusivity. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Mar ía de los Ángeles Ordóñez, Patricia de los Ángeles Ordóñez Source Type: research

Clinical Decision-Making
Restless legs syndrome (RLS), one of the more prevalent sleep disturbances among older adults, impacts quality of life. Patients with dementia are at high risk for developing RLS and may be unable to describe their symptoms. Often underdiagnosed, RLS can contribute to discomfort, pain, nighttime agitation, disturbed sleep, and falls. Clinical assessment is crucial and should include a thorough evaluation with input from the patient and family, deprescribing medication if possible, and consideration of common sleep-disturbing factors. Evidence-based treatment in this population is limited; overall focus should center on rel...
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Kathy Richards, Katherine Carroll Britt, Norma Cuellar, Yanyan Wang, Janet Morrison Source Type: research

Sleep, Aging, and Daily Functioning
Older adults who do not sleep well frequently have difficulty sustaining attention, display slower physical response times, and have memory issues that may contribute to depression or early dementia. The life changes that accompany aging, such as retirement, bereavement, or the onset of chronic illness or disability, can precipitate sleep problems. Insomnia and obstructive sleep apnea are the most common sleep disorders in older adults and can have far-reaching consequences on health and well-being. Nurses should include thorough sleep assessments in any patient interview. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Amy S. Berkley Source Type: research

Sleep-Wake Disturbances in Oncology
Sleep-wake disturbances are common in patients with cancer. Despite the high prevalence of altered sleep patterns in oncology settings, there remains a gap in consistent assessment of sleep, leading to an underrecognized and undertreated condition. Provider failure in addressing sleep-wake disturbances can result in chronic issues with insomnia and has a negative impact on quality of life and cancer survivorship. Often sleep-wake disturbances present in symptom “clusters” including, anxiety, depression, and fatigue, which adds to the complexity of managing sleep disorders in oncology. Aggressive management strategies f...
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Kristi A. Acker, Patricia Carter Source Type: research

Understanding and Addressing the Unique Challenges and Conditions of the Veteran
This article guides t hese clinicians to manage sleep disorders, mental health disorders, and substance use among veterans. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Sandra Estes, Johnny R. Tice Source Type: research

Sleep Disorders
NURSING CLINICS OF NORTH AMERICA (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Authors: Shameka L. Cody Source Type: research

Copyright
ELSEVIER (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Source Type: research

Contributors
STEPHEN D. KRAU, PhD, RN, CNE (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Source Type: research

Contents
Shameka L. Cody (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Source Type: research

Forthcoming Issues
Best Practices in Nursing (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2021 Category: Nursing Source Type: research

Sleep after Traumatic Brain Injury
Sleep disturbances are common after traumatic brain injury of all levels of severity, interfere with acute and long-term recovery, and can persist for years after injury. There is increasing evidence of the importance of sleep in improving brain function and recovery. Noticing and addressing sleep disturbances are important aspects of nursing care, especially for the prevention or early recognition of delirium. Nonpharmacologic interventions can improve sleep. Teaching about the importance of sleep after traumatic brain injury, promoting sleep hygiene, and multidisciplinary approaches to addressing sleep problems and impro...
Source: Nursing Clinics of North America - April 28, 2021 Category: Nursing Authors: Kris B. Weymann, Jennifer M. Rourke Source Type: research

Sleep Assessment for Sleep Problems in Children
The breadth of childhood sleep problems is broad and can be associated with biologic, psychiatric, behavioral, social, and environmental processes. Unrecognized childhood sleep problems may threaten daytime behaviors and negatively impact school and psychosocial functioning. Left unattended, overall child biopsychosocial development may be impaired. Thus, identifying and addressing sleep problems has potential to optimize childhood health, development, and overall well-being. Nurses need to be cognizant of detrimental impacts of child sleep deprivation and advocate for appropriate sleep assessments while offering sleep edu...
Source: Nursing Clinics of North America - April 28, 2021 Category: Nursing Authors: Laurie A. Martinez, Shannon M. Constantinides Source Type: research