Learning scenario

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Learning scenario

Rachel Unsworth says her father has been snappy of late. On closer questioning, she reveals that he seems to be having trouble sleeping.

His nights have improved since the death of his wife 18 months ago, but seem to have deteriorated in recent weeks despite him trying to wind down by having an early night and watching TV programmes in bed on a tablet device.

What do you advise?

He should seek a GP appointment in order to have a hypnotic prescribed.

INCORRECT.

Hypnotics are not recommended for routine prescribing due to the risk of dependence and hangover effects as well as a lack of effectiveness.

He should try an OTC sleep remedy containing valerian, taking it on an 'as required' basis.

INCORRECT.

OTC sleep remedies are associated with a range of problems such as tolerance and next day drowsiness, and regular – albeit short-term – dosing is recommended rather than 'prn'.

He should stop using the tablet device in bed and try reading or listening to audiobooks instead.

CORRECT.

The blue light emitted by electronic devices can interfere with melatonin production, making it more difficult to get to sleep.

He should make changes to his bedroom – e.g. sleep with the window open or use ear plugs.

INCORRECT.

While there is some merit in looking at his sleep environment, aspects such as light, noise and temperature are a very individual choice.

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