Sleep

Pain Shortness of breath Anxiety Depression Restless legs Excess caffeine, alcohol Medication side effects Disruption of prior routine/environment: New bed Different room What to do first Ask about pain and give pain medication if present Ask about excess anxiety and give anxiety medication if present Avoid excess caffeine, stimulation prior to sleep If appropriate, ask […]

Pain

Shortness of breath

Anxiety

Depression

Restless legs

Excess caffeine, alcohol

Medication side effects

Disruption of prior routine/environment:

  • New bed

  • Different room

What to do first

  • Ask about pain and give pain medication if present
  • Ask about excess anxiety and give anxiety medication if present
  • Avoid excess caffeine, stimulation prior to sleep
  • If appropriate, ask about comfort of new sleeping arrangement
  • If you are comfortable asking- "Is there something bothering you that you want to talk about"

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Medications

  • Lorazepam is one of the core 'comfort pack' medications you received on day of admission to hospice.
    Its purpose is to relieve anxiety and should be used as directed

  • Pain can be a common cause of disrupted sleep. Morphine (Opioid) medications are part of the core
    'comfort pack' medications and should be used as directed if pain is present. Morphine (Opioids) can also given for increasing shortness of breath

  • You are concerned about possible medication side effects
    You would like to consider additional medications to help with sleep

What to discuss with Hospice

  • Increasing distress from sleepless nights

  • You are concerned that a new problem has arisen causing the problem and need help treating

  • You are concerned about possible medication side effects
    You would like to consider additional medications to help with sleep

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