Health & Safety

July 18, 2014

New clinical recommendations to treat sleep problems

Defense Centers of Excellence for Psychological Health & TBI

The Defense and Veterans Brain Injury Center (DVBIC) has released new clinical recommendations and support tools to assist in the identification and treatment of a sleep disturbance occurring in patients after a concussion or mild traumatic brain injury (mTBI). The suite of products assists health care providers in the identification of a sleep problem and provides recommendations for its treatment.

“Sleep disorders are common after a person sustains a concussion,” said Army Col. Sidney Hinds, DVBIC’s national director. “The prompt identification and treatment of sleep disorders are an important part of the recovery process for concussion. Sleep is critical to the brain’s healing and recovery processes. Research shows that if sleep is regular and adequate, restorative processes are promoted.”

Since 2000, more than 300,000 U.S. service members have sustained a traumatic brain injury (TBI).

Common sleep disorders associated with TBI include insomnia, circadian rhythm sleep wake disorder and obstructive sleep apnea. Insomnia is the most common sleep disturbance after concussion.

The new Management of Sleep Disturbances following Acute Concussion/Mild TBI Clinical Recommendations suite is composed of clinical recommendations, a clinical support tool, a provider education slide deck and a patient education fact sheet.

“These clinical recommendations advise that all patients with concussion symptoms should be screened for the presence of a sleep disorder,” said U.S. Public Health Service Capt. Cynthia Spells, DVBIC’s clinical affairs officer. “Patients should be asked if they are experiencing frequent difficulty in falling or staying asleep, excessive daytime sleepiness or unusual events during sleep. The initial step in the diagnosis of a sleep disorder includes a focused sleep assessment.”

Non-pharmacological measures to treat insomnia that focus on stimulus control and good sleep hygiene are the preferred methods of treatment. Short-term use of sleep medication may be necessary in addition to these measures if they are not effective by themselves.

Spells said stimulus control means controlling your environment to help promote sleep. Examples of stimulus control measures include relaxing before bedtime, going to bed only when sleepy, getting out of bed when unable to sleep, removing electronics (TV, smart phone, computer) from the bedroom and using the bedroom only for sleep and intimacy.

Sleep hygiene habits include avoiding caffeine and other stimulants close to bedtime, daily physical activity but not exercising close to bedtime, arising at the same time every morning, getting natural light exposure every day, and avoiding alcohol, nicotine and large meals close to bedtime.

Spells said the new sleep disturbance clinical recommendations and support tool product suite was developed by the Department of Defense in collaboration with the Department of Veterans Affairs and civilian medical professionals.

“Although tailored for the military and VA health care systems, these recommendations may be used by civilian health care providers treating concussion associated sleep disorders,” Spells said. “Many service members and veterans, especially those serving in the National Guard and Reserve, receive care from civilian health care specialists.”

DVBIC serves as the Department of Defense subject matter expert on TBI and manager of the TBI pathway of care.




All of this week's top headlines to your email every Friday.


 
 

 
Untitled-1

Seven little known facts about Memorial Day

As Americans get ready to observe Memorial Day with travel, family get-togethers and celebrations, let us not forget—it’s not about the BBQ. Memorial Day is observed specifically to remember those who gave the ultimate sacr...
 
 

Increased mission requirements open doors for continued military service

WASHINGTON (AFNS) — The Air Force is introducing several personnel and manpower initiatives to meet increased mission requirements outlined in the fiscal year 2016 President’s Budget. In order to enhance operational and mission capacity in support of combatant commanders, and to maintain readiness, the Air Force is setting a minimum active-duty force level of 317,000...
 
 
Natl-Better-Hearing-and-Speech-Month

Knowing signs of hearing loss, speech disorder are vital to well-being

May is Better Hearing and Speech Month, where we seek to raise awareness about communication disorders and learning how to recognize their signs. Below are things you should know, from the American Speech and Language Hearing A...
 

 

Quarterly Awards: best of the best highlighted

Airman of the Quarter: Senior Airman Dominique Acuna, integrated flight control specialist, 452nd Aircraft Maintenance Squadron.   NCO of the Quarter: Tech. Sgt. Ruben Davis, mental health craftsman, 752nd Medical Squadron.   SNCO of the Quarter: Master Sgt. Christopher Jugas, non-commissioned officer in charge of training, 452nd Security Forces Squadron.
 
 
DoD
AFN photo/Charlie Gill

Robert Sekula, man of many hats

AFN photo/Charlie Gill Robert Sekula, a broadcast journalist/producer working at the American Forces Network Broadcast Center, one of March Air Reserve Base’s mission partners, wears many hats. Robert Sekula’s ever-present ...
 
 
U.S. Air Force photo/Senior Airman Kevin Mitterholzer

Recruits swear in at Military Appreciation Night

U.S. Air Force photo/Senior Airman Kevin Mitterholzer Lt. Col. Erin Meinders, commander, 362nd Recruiting Squadron, swears in 13 new recruits to the Air Force Reserve, during the Inland Empire 66ers Military Appreciation Night ...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>


Directory powered by Business Directory Plugin