Hi! I have worked in LTC for 7 yrs. now and I don't believe Apap has anything in to actually make you go to sleep. I do believe that it helps my elderly residents with their pain, therefore they are more relaxed and able to get to sleep. I have arthritis in my knee and I know if it's hurting there's no way I can fall asleep. I also know from what my residents tell me that not all nurses are willing to take that extra step in giving out PRN meds. Sometimes I think we need to remember to put ourselves in the patients shoes,even when we're rushed because of staffing shortages.