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Insomnia 

Insomnia
Chapter:
Insomnia
Author(s):

Karla Schroeder

DOI:
10.1093/med/9780190862374.003.0024
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date: 18 October 2019

Insomnia is prevalent in people with serious illness and can adversely affect quality of life. The presence of insomnia in advanced disease is often correlated with comorbid conditions and symptomatology. Poorly managed insomnia is reported as one of the most frequent complaints for patients with serious illness. Management of insomnia requires a comprehensive assessment of the multidimensional components of the syndrome, which includes the physical, emotional, psychosocial, and spiritual aspects of care. Treatment for insomnia varies based on the contributing factors and often involves pharmacological and nonpharmacological interventions. This chapter provides a model for assessment and intervention, using a holistic approach to care for those who suffer from insomnia due to a serious illness.

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