Sleep Hygiene

Nurses Stress 101

Published

Many of us have trouble sleeping, especially given the odd hours some of us work, the stress, our multiple roles, etc. Obviously some of these suggestions will be hard to follow but - even a few changes may make a difference.

Here are some suggestions from the Sleep Disorders Center - FMI go to http://www.umm.edu/sleep/sleep_hyg.htm

Please add your own tips and tricks!

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Sleep Hygiene: Helpful Hints to Help You Sleep

Poor sleep habits (referred to as hygiene) are among the most common problems encountered in our society. We stay up too late and get up too early. We interrupt our sleep with drugs, chemicals and work, and we overstimulate ourselves with late-night activities such as television.

Below are some essentials of good sleep habits. Many of these points will seem like common sense. But it is surprising how many of these important points are ignored by many of us. Click on any of the links below for more information:

Your Personal Habits

Fix a bedtime and an awakening time.

Avoid napping during the day.

Avoid alcohol 4-6 hours before bedtime.

Avoid caffeine 4-6 hours before bedtime.

Avoid heavy, spicy, or sugary foods 4-6 hours before bedtime. These can affect your ability to stay asleep.

Exercise regularly, but not right before bed.

Your Sleeping Environment

Use comfortable bedding.

Find a comfortable temperature setting for sleeping and keep the room well ventilated.

Block out all distracting noise, and eliminate as much light as possible.

Reserve the bed for sleep and sex. Don't use the bed as an office, workroom or recreation room. Let your body "know" that the bed is associated with sleeping.

Getting Ready For Bed

Try a light snack before bed. Warm milk and foods high in the amino acid tryptophan, such as bananas, may help you to sleep.

Practice relaxation techniques before bed.

Don't take your worries to bed. Leave your worries about job, school, daily life, etc., behind when you go to bed. [i don't know about you guys but worries, thoughts, planning, etc., all hit me at once the minute my head hits the pillow. I am finding that a quick prayer, "Not now, God, please?" and then turning to thoughts of how comfortable the bed is, how well I am going to sleep, etc., can help a great deal.

Establish a pre-sleep ritual. Pre-sleep rituals, such as a warm bath or a few minutes of reading, can help you sleep.

Get into your favorite sleeping position. If you don't fall asleep within 15-30 minutes, get up, go into another room, and read until sleepy.

Getting Up in the Middle of the Night

If you find that you get up in the middle of night and cannot get back to sleep within 15–20 minutes, then do not remain in the bed "trying hard" to sleep.

A Word About Television

Many people fall asleep with the television on in their room. Watching television before bedtime is often a bad idea. Television is a very engaging medium that tends to keep people up. We generally recommend that the television not be in the bedroom.

Other Factors

Several physical factors are known to upset sleep. These include arthritis, acid reflux with heartburn, menstruation, headaches and hot flashes.

Psychological and mental health problems like depression, anxiety and stress are often associated with sleeping difficulty. In many cases, difficulty staying asleep may be the only presenting sign of depression. A physician should be consulted ...

Many medications can cause sleeplessness as a side effect.

Your doctor may prescribe sleep medications for short-term relief of a sleep problem. The decision to take sleeping aids is a medical one to be made in the context of your overall health picture. [i use non-prescription benadryl - however it can make me drowsy the next day.]

Always follow the advice of your physician and other healthcare professionals. The goal is to rediscover how to sleep naturally.

Specializes in Critical Care.

Just out of curiosity, do any of you night shifties take Provigil? I was just wondering how it works on people without a sleep disorder.

I am a narcoleptic, and I take it to control my symptoms, I just noticed the other day it is now approved for shift work.

:smilecoffeeIlovecof

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
Just out of curiosity, do any of you night shifties take Provigil? I was just wondering how it works on people without a sleep disorder.

I am a narcoleptic, and I take it to control my symptoms, I just noticed the other day it is now approved for shift work.

:smilecoffeeIlovecof

Wow interesting idea - sad too to think one has to take meds to sleep when they work an abnormal shift, just lends credence to the theory eh?

Thanks Sarah!

And Hi Agent 66 didn't notice you had posted!

Specializes in Critical Care.

Provigil doesn't help with sleep patterns, it helps you stay awake. The chemical component in which it works on is complicated, but it has does not have the adverse health effects that the old treatments for narcolepsy has (Adderal) There is no treatment for narcolepsy that helps with our sleep pattern

:sleep:

Provigil saved my life, I am actually normal now. I just was wondering if anyone "normal" had taken it, and if it altered their awake state, as much as it does mine. It seems if someone was downright dangerous from poor sleep hygiene, this might be a temporary solution.

Specializes in Med-Surg, Tele, DOU.

Zoe,

Wonderful thread my friend.

I do appreciate all the ideas listed in the original post.

Has anyone tried journaling?

My journal is composed of my letters to God. I have been journaling for well over a decade. It helps me to give my concerns to someone I believe cares for me. Some of the entries are raw emotion and that's okay. It helps and I do tend to sleep better.

Speaking of sleeping, I am wearing down. Sooo, off to bed very soon for me.

Thanks for the thread Zoe.

Specializes in NICU.

Z, nice to see you, my friend. Great thread and information.

I bought a yoga dvd that is extremely relaxing--the hardest part is getting up off the floor and into bed when it ends :D. I also have found there's a window where I am very tired, but if I don't go to sleep, I hit my second wind.

Shift work is hard. I end up taking benadryl usually once a week to make sure I get enough sleep to work safely. I'm seriously considering a move to more days just to get back on track.

Specializes in Utilization Management.

Excellent thread. I've developed the worst sleep patterns-I sleep an hour or two, wake for a couple, back to bed for a couple, up for a couple.

Nocturia is a problem. I'll be deeply asleep and then I have to get up and go. By the time I stumble back to bed, I'm often quite thirsty and can't sleep if I don't take a drink, but if I do, it wakes me up.

I also have RLS -- restless leg syndrome and leg/foot cramps that keep me awake some nights. Depends on how much I've been on my feet all day. Sometimes I'll take a few Advil to get rid of the pain and that works pretty well. I've tried drinking lots of water, taking K+, and various other remedies, but the only time I have the problem is when I've been on my feet a lot, and the only thing that seems to work for me is Ibuprofen.

It's rare that I can just get into bed and sleep for a few hours straight. If I get 6 hours at one stretch, I'm ecstatic.

I seem to do best if I have the TV on a channel that doesn't have commercials because the change from the program sound level to the louder commercial will jolt me awake. I'll sleep a couple of hours on the recliner, then get into bed for a few. My family is used to it at this point, but I envy those who can just have a real sleep all night with their spouses.

I've finally gotten to the point that if I don't sleep, I figure it's because my body isn't tired, so I might as well take advantage of the solitude in the wee hours.

When I'm awake and everyone else is asleep, I can get some housework or laundry done, catch up on the bills, take a shower, study, get on AN and do my thing here or play online games with the Australians & English (who whup my butt every doggoned time, BTW :bowingpur). Sometimes I'll go out and do some shopping at the all-night superstore.

Benadryl turns me into Mr. Hyde. I had no idea how horrible I can behave until I tried that awful stuff. Makes me feel drunk and hung over. I really don't care if I say something that hurts someone's feelings, I just get all sarcastic and mean on the stuff, so I'm afraid to take any medication to help me sleep.

It's true, I hate going in to work on 4 hours of sleep, but we've recently gone to having set days off so I count the days till I can just stay home and catch up on my sleep. Which is what I did all day today.

So I guess this is just a vent, because I've pretty much come to accept that this is how it's gonna be.

I try to be nice to my family when I'm awake, because when I think about the future, I believe that my caregivers will be in for a rough time when I'm an old demented lady. :lol2:

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