Insomnia Treatment Plan Comprehensive Nursing Paper Example

Insomnia Treatment Plan Comprehensive Nursing Paper Example

Provision of health care and medical services in the 21^st requires that all interventions utilize the best evidence-based practice as implementing these practices has resulted in better patient outcomes, improved quality of life, and enhanced patient safety. (Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Insomnia- F51.01

 Diagnostics

 A diagnosis of insomnia was arrived at since the patient reported having trouble sleeping over the last few years. The patient admits to sleeping only two to three hours. According to Rieman et al. (2017), insomnia is a clinically diagnosed complaint of challenges falling asleep, trouble remaining asleep, and losing sleep in the early morning hours, leading to dysfunctions during the daytime.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Therapeutics

A diagnosis of insomnia necessitates the initiation of therapeutic interventions where one may prescribe medications (pharmacological) like zaleplon, zolpidem, or eszopiclone (Matheson & Hainer, 2017). Alternatively, non-medication treatment like cognitive-based therapy, amongst other strategies. (Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Educational

The provider should consider offering psycho-education or sleep hygiene rules and health practices like clockwatching, physical exercise, and regulation of sleep distracting environmental factors like too much light, noise, or extreme temperatures on either side.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Consultation/Collaboration)

Since insomnia could have physical, physiological, organic, or co-occur with other psychiatric conditions, the psychiatrist should be in constant consultations and collaborate with the other members of the patient’s healthcare team.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Alcohol Use F10.9

Diagnostics,

To diagnose the patient as having alcohol use disorder (AUD) as per DSM-5 that outlines a confirmation of AUD diagnosis, the patient will have to report that alcohol is taken in large amounts over a more extended period than the one intended, there was a persistent desire to cut down and control unsuccessful alcohol use and the individual having to spend much time in search of alcohol using alcohol or recovering from its effects within 12 months (Kranzler et al., 2018)(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Therapeutics, 

Pharmacological intervention includes a prescription of Naltrexone taken once daily. Gabapentin is also another medication that can be used (Kranzler & Soyka, 2019). Counseling constitutes part of non-pharmacological interventions, with more intensive psychosocial interventions forming part of the treatment plan.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Educational, 

Patient education will entail information on the drawbacks of taking alcohol oat the health, physical, social, economic, and psychological front. The patient would also be made aware of stress coping techniques and the need to have hobbies and other health-promoting recreation activities.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Consultation/Collaboration)

Many of the patients who have AUD use alcohol as an escape route to drown their sorrow or temporarily avoid issues in their lives that are bothering them. However, suppose AUD is comorbid with other conditions like depression. In that case, the provider should cooperate with the rest of the team to treat and manage other health conditions pushing the patient to take alcohol.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Anxiety-41.9

Diagnostics, 

According to Strohle et al. (2018), three of the six symptoms of generalized anxiety disorder must be present for a provider to confirm a diagnosis of GAD. These are restlessness, irritability, muscle tension, sleep disturbance, lack of concentration, and being fatigued quickly. Furthermore, the excessive worry and anxiety have to last more days than not for the past six months.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Therapeutics, 

The prescribing authority could recommend antidepressants of either SSRI or SNRI as the first-line medication at the medication level. Other medications to use are Buspirone or Benzodiazepines in limited circumstances. Acupuncture and CBT constitute non-pharmacological intervention (Yang et al., 2021).(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Educational, 

The patient diagnosed with anxiety is taught how to relieve tension through exercise and massage, the importance of adequate rest, avoid the use of alcohol, caffeine, or nicotine.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Consultation/Collaboration)

Like the two, anxiety has several causes, so part of its successful management collaborates with the interdisciplinary healthcare team to address any underlying cause through team effort.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Referral

Based on these findings, I will refer the patient for CBT because it capitalizes on the client’s reasoning and real-life experiences to alleviate the symptoms and improve their cognitive capabilities.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Strength of the Evidence Presented in Three of the Articles Cited

The three articles cited have level I evidence, meaning they rank among the very top as authorities in the contents they address. Thus, for example, Riemann et al. (2017) are a clinical guideline, Kranzler et al. (2017) comprises a meta-analysis, and Yang (2021) is a systematic review with a meta-analysis on randomized control trials.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

References

Kranzler, H. R., Feinn, R., Morris, P., & Hartwell, E. E. (2019). A meta‐analysis of the efficacy of gabapentin for treating alcohol use disorder. Addiction, 114(9), 1547-1555.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., … & Spiegelhalder, K. (2017). European guideline for the diagnosis and treatment of insomnia. Journal of sleep research, 26(6), 675-700(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

Yang, X. Y., Yang, N. B., Huang, F. F., Ren, S., & Li, Z. J. (2021). Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomized controlled trials. Annals of general psychiatry, 20(1), 1-14.(Insomnia Treatment Plan Comprehensive Nursing Paper Example)

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