Insomnia can be a symptom of an underlying medical conditions including asthma, allergy, arthritis, heart disease, hyperthyroidism, or Parkinson’s disease. It can also occur as a result of pain, jet lag, caffeine, trauma, medications, anxiety, depression, or environmental factors such as noise or heat. Take a relevant history and conduct the necessary assessments to determine the most likely cause of Mrs Browning’s insomnia.
In order to take a sleep history, you will need to ask Mrs Browning a series of questions. Please click on the questions below to obtain Mrs Browning’s answer.
How long have your sleeping difficulties been a problem?
Was the onset gradual or abrupt?
Do you have any trouble getting to sleep?
Once you’re asleep, what is your sleep pattern like? Do you wake often?
What time do you wake up? Can you get back to sleep?
Well, I suppose it has been ongoing for the last 5 or 6 months.
Very gradual, although it has gotten worse over the last few months.
No. I’m usually quite sleepy in the evenings, so getting to sleep isn’t a problem.
Yes, I do tend to wake up at least a few times during the night. Sometimes, I can’t get back to sleep for a long time and have to get up and read a book for a while.
I generally wake up very early these days, around quarter to five or 5am. I often can’t get back to sleep, so I get up and make myself a cup of tea and watch the early news until Denny wakes up.