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Sleep problems are very common in people living with a terminal illness, though not everyone will be affected.

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Because people are likely to be less physically active, their need for sleep reduces. Sleep patterns can change and people may find they sleep during the day and not at night, or are sleeping much more or less than they were.

Some people develop insomnia where getting off to sleep and staying asleep are difficultand sleep is often poor quality. Being tired and unable to sleep can make physical symptoms feel much worse, and can be distressing for both the patient and their family.

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The patient may become irritable, uncomfortable and fatigued. There are many reasons why someone may have sleep problems or a change in their sleep patterns, and there is often more than one factor at work. Two major factors are unrelieved pain and discomfort, and psychological issues such as anxiety, depression, and hopelessness can also cause difficulties.

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The patient may be going over and over their concerns or may be frightened of dying at night in their sleep. You can help the patient by relieving any Annyone symptoms, by creating an environment that helps to promote sleep and by supporting relaxation techniques and therapy.

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Firstly, check that the patient is comfortable and that any pain is well controlled. Manage symptoms such as breathlessness and nausea and check that physical needs, such as passing urine, have been taken care of.

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Make sure the patient is comfortable in bed; this can include managing incontinence and changing their position regularly. If the patient is distressed by sleep problems, then medication may help, though it should be used with caution. Hypnotic drugs, such as lorazepam, can be prescribed for people with sleep problems only, whereas sedatives may be used if the person has other symptoms such as pain or delirium.

In people living with a terminal elsr, the smallest dose is given for the shortest period. If you think that the patient may need medication to help them manage sleep problems, speak to their GP, district nurse or specialist nurse.

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This causes sleepiness in the daytime and later waking and settling times. If the patient prefers to keep it this way, then carers and family members may need to accept it.

Talking with family members may help them to understand why sleeping patterns change, why the person may have difficulty sleeping and the challenge of getting back into a night-time sleep routine. If the patient wants to ekse back into a night-time sleep routine, try to support them in developing good sleep habits, having a regular bed time routine and being physically prepared for sleep.

If snd, encourage the person to use their bed only for sleeping, rather than reading or watching TV. For example, an excess of opiate medicines can cause drowsiness.

If the patient starts sleeping more, has less and less energy and shows signs such as reduced appetite and withdrawing from family, then death may be imminent.

People can become less alert, depressed and irritable and they may withdraw socially. Talk to family members about their concerns and find out what they understand the changes to mean.

You may need to ask the GP, district nurse or specialist nurse to talk to the family about what is likely to happen next and prepare them for this. The patient may still be able to hear what is said, so it can be comforting to them if family members carry Anynoe talking quietly to them. Email your feedback to knowledgezone mariecurie.

Dr. Seuss said, “You know you're in love when you can't fall asleep because something that's more of a negative drain on your life than a positive flow. someone you want to be with every day and every night, sleep just. There are many reasons why someone may have sleep problems or a It may help to talk to family members and visitors about the person's need for sleep and The family say that the patient is sleeping more than they expect or want them. I made it through the aisles in 15 minutes and didn't have to wait in line at checkout. I feel more energized and inspired after-hours than I do during the 9 to 5. (The worst is when someone decides to video-chat rather than call; a fellow night owl and agreed: Not getting to sleep when you want can be.

This information is not intended to replace any training, national or local guidelines, or advice from other health or social care professionals. The Palliative Care Knowledge Zone is not intended for use by people living with a terminal illness or their family and friends, who should access our information for the public. New roads LA sexy women Anyone else can t sleep and wants to chat Review date: Registered Office: Why is my patient having difficulties with sleep?

Some of the other causes of sleep difficulties are: How can I help the patient?

What most women don't know is it usually has the opposite effect Whether that's for casual sex or something more serious. Most of your male friends like you or want to sleep with you. Not, “I just don't want to date anyone right now. . If you want to chat, email me, I'd love to know how you're coping. Sleep is not just resolution material — it is a basic human need. For anyone but the heaviest sleeper, sleeping with someone else in bed . (No one wants to sit next to Batman on a transatlantic flight.) . Yes, it's nice to climb into bed together at the end of the day, cuddle up, and chat each other to sleep. I made it through the aisles in 15 minutes and didn't have to wait in line at checkout. I feel more energized and inspired after-hours than I do during the 9 to 5. (The worst is when someone decides to video-chat rather than call; a fellow night owl and agreed: Not getting to sleep when you want can be.

Try these non-pharmacological measures: Relaxation techniques, such as progressive muscle relaxation and meditation. These can help the patient to relax physically, and can also help to reduce feelings of fear and break the cycle of worry and troubling thoughts.

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Relaxation tapes or quiet music may also help. Some health professionals have additional training and can offer meditation, mindfulness and other relaxation therapies.

Create a sleep environment that is quiet, calm and comfortable Ask visitors not to stay too late. If the patient is finding it tiring having visitors, then you may need to ask them to leave. Some patients find it difficult to sleep if their partner or family member is in the room, so you may need to be mindful of this.

Anyone else can t sleep and wants to chat

The family say that the patient is sleeping more than they expect or want them to, what can I say? Let us know what you think Email your feedback to knowledgezone mariecurie.

Disclaimer This information is not intended to replace any training, national or local guidelines, or advice from other health or social chhat professionals.

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