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.


 
 

 
Tammy_Duckworth,_official_portrait,_113th_Congress

Knowing the facts: National Disability Employment Awareness Month

Congresswoman Tammy Duckworth, an Iraq War veteran, was deployed to Iraq as a Blackhawk helicopter pilot for the Illinois Army National Guard in 2004. One of the first Army women to fly combat missions during Operation Iraqi Fr...
 
 

452nd felt early frost in Cold War

(Ninth in an 11-part series that was first run in the Beacon in 2007) Two weeks after the D-Day invasion, 47 B-17s from the 452nd Bombardment Group and other Army Air Forces units were destroyed by German aircraft at a largely undefended Russian airfield. The attack, which began about 12:30 a.m. June 22, 1944, destroyed...
 
 

Air Force to implement TDY policy changes

The Air Force recently implemented two TDY policy changes that will impact travel reimbursements for Airmen. The first change, which took effect Oct. 1, made changes to the Joint Travel Regulations, Reimbursable and Incidental Expense Policy. The second will be a change in long-term TDY per diem expenses and take effect Nov. 1. Under the...
 

 
running

Lacing up: Finding your ‘WooHoo’ moment

U.S. Air Force photo/Staff Sgt. Natasha Stannard For those who run with me, they know I can get a bit noisy. A celebratory “WooHoo” is a must at the start of taking any hill. The drumbeat of sneakers on the pavement, labore...
 
 
Dom-Violence-Aware-Month-photo

Domestic Violence awareness Month: How to help a friend who is being abused

Here are some ways to help a friend who is being abused: •Set up a time to talk. Try to make sure you have privacy and won’t be distracted or interrupted. •Let your friend know you’re concerned about her safety. Be hone...
 
 
(Courtesy photo/Joe Mora)

Shadowy figure blocks exit to room in March Field building

(Courtesy photo/Joe Mora) A camera captures what appears to be a shadowy figure (left side) sitting in one of several chairs lined up against a wall in a building on March Air Reserve Base Wednesday, Aug. 13, 2014. The image wa...
 




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