Hypersomniac moving soon to nights! Have I messed up? - page 3
I currently work days (7A-7P) and I will be moving to nights, and on a different unit, in a couple of weeks. I have always wanted to try working nights since I have always been a night owl, but I am... Read More
Nov 25, '07Occupation: LPN, EMT-P Specialty: 9 year(s) of experience in Hospice, Med/Surg, ICU, ER ; From: US ; Joined: Dec '05; Posts: 851; Likes: 162Quote from Emmanuel GoldsteinThis is exactly what I do and it works for me.If you are determined to do this, make sure you get all your ducks in a row. Purchase a white noise machine of some sort. A box fan works great. Make sure your room temp is comfortable --- not too hot. Black out the windows. Tape foil on them, anything to keep the light out. Wear sunglasses if it's bright out when you leave in the morning. Don't drink caffeine or eat anything heavy, at least in the latter half of your shift; try sleepytime tea, that is soothing. Go straight home, sit down and decompress and relax, then go to bed. Try to go to bed (and awaken) at the same time every day. And take your phone off the hook, or get 'do not disturb' put on your phone service.
Somewhere (I wish I could remember what magazine I saw this) I read that one way to better adjust to shift work is to have a 4 hour window that you are sleeping EVERY day, whether you're working or off. For example, if you're working and sleep from 8am to 4pm, then on your days off, make sure you are sleeping from 8 am to noon. But not any later than that on days off. I'm not describing it as well as they did, sorry. But it made sense, and it does seem to help.
One last thing... make certain that your friends and family know that your sleep time during the day is of utmost importance and never to attempt to awaken you unless it is a true emergency. If it's something that would anger them to be awakened for in the middle of their night before work, then they best not awaken you for it either.
I LOVE nights and hades will freeze over before I take a day shift job.
You do have to plan your required sleep times carefully, but it can be done.
Nov 25, '07Occupation: RN Specialty: Neuro ICU, Neuro/Trauma stepdown ; Joined: Oct '05; Posts: 525; Likes: 54I find the people that dont do well on nights are those that dont make the time to sleep. If I'm between shifts, I sleep from 9-5 or even 0830-1730. If it's my day off, I'm less particular. Sometimes I stay up after work on my day off and am tired so I hit the hay early and get up at a decent time.
I also think that even though I sometimes feel robbed of my time off, the days I do work I dont go in till 7 and tend to get a lot accomplished by way of cooking, cleaning ect.
Nov 25, '07Joined: Oct '02; Posts: 60,613; Likes: 17,453Quote from NurseCherloveNow that was my next question....I have heard that this works for some people. But it does seem like it would be hard on your body doing that. How can you get anything done if you don't somewhat switch over on days off? Of course, with my sleepin' self, I don't get a lot done anyway.
Everyboyd's different and people find what works for them, their families and lifestyles. It was harder on my body trying to be up during the day after being up during the night other days. Many people sleep a few hours, get up and become a day person until it's time to stay up all night again.
For me sometimes it was easier to keep a pattern of sleep that was consistent. This meant doing houseworking in the middle of the night, going to the 24 hour grocery store, the 24 hour gym, and the internet etc. Fortunately I live in an area with such things. But it was hard when the car needed repair, and going to the dentist. So there were times when I was up during the day.
13 years of nightshift though took a toll and I'm on days and loving it.
Nov 25, '07Occupation: Occ health, med/surg, ER Specialty: Occ health, Med/surg, ER ; Joined: Nov '05; Posts: 476; Likes: 90I know this is off topic, please forgive me....but have you been tested for epstein barr (sp)? I had a friend who was diagnosed with CFS and was later tested for epstein barr (sp) and came out positive. Docs said it was the cause of her chronic fatigue.Last edit by CyndieRN2007 on Nov 25, '07 : Reason: spelling of esptien barr?
Nov 25, '07Occupation: LPN Specialty: Med/Surg ; Joined: Jan '06; Posts: 257; Likes: 102Quote from NurseCherloveWell, here's the thing....I had a sleep study just within this past year to R/O sleep apnea and also narcolepsy. Sleep apnea was ruled out. I mostly failed the test so narcolepsy pretty much ruled out too. But thanx for the suggestion.
After reading your post, I was going to suggest you be screened for narcolepsy(as well as other sleep disorders) because your symptoms & level of tiredness sound exactly(!!!) like mine and what I've been going through since 1996. Although mine started after getting sick with mono...and took 9 years to get diagnosed!!! To the contrary of you, I had a sleep study done in 2005 and it showed I have a severe case of narcolepsy. I've also done the Provigil-thing and had no success. Then I switched to Ritalin, but after one-and-a-half years with no luck even after increasing the dose to where I was almost taking the max amount allowed per day, I asked to be switched. So the past month-and-a-half, I've been trying Adderall and, for the most part, had considerable luck with it. On the positive side, my level of alertness & ability to "feel" and stay awake have increased, even to the point of staying awake late at night. But this has also proved to be a negative, vicious cycle because many nights I am so "wired" from the med, that I can't fall asleep until well after midnight, often times forcing myself to try, and then struggling(as usual) to wake up in the morning due to being so tired...and I also work Day shift.
Anyways, I hope you have success with the night-shift switch. As I'm sure you know, only you can determine what your body can handle. But please be careful and listen to what it's telling you as far as your level of fatigue goes. Good luck! :spin:
Nov 26, '07Occupation: RN - staff nurse in "the trenches" Specialty: 3 year(s) of experience in Med/Surg; Psych; Tele ; Joined: Aug '04; Posts: 397; Likes: 264Quote from CyndieRN2007Not off topic at all (not for me at least - I would do about anything to feel "normal", so I'm all ears!). Actually, that is not a bad idea. All other labwork usually looks good, but I haven't tested specifically for that one. Perhaps I should instead of diagnosing myself with idiopathic hypersomnia (I'm 100% convinced that this is what I have after doing the research).I know this is off topic, please forgive me....but have you been tested for epstein barr (sp)? I had a friend who was diagnosed with CFS and was later tested for epstein barr (sp) and came out positive. Docs said it was the cause of her chronic fatigue.