RICHARD M. BERLIN, M.D.
In hospitalized patients, the commonest causes of acute insomnia are the effects of illness, environmental sleep disruption, medication, anxiety, and depression. Treatment should correct underlying medical disorders; reduce environmental sleep disruptions; and lower anxiety with psychological interventions, sedative or hypnotic medication, and relaxation training. Special clinical problems include chronic pain, delirium, and insomnia in the elderly.
BERLIN RM. Management of Insomnia in Hospitalized Patients. Ann Intern Med. ;100:398–404. doi: 10.7326/0003-4819-100-3-398
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Published: Ann Intern Med. 1984;100(3):398-404.
Hospital Medicine, Pulmonary/Critical Care, Sleep Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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