This Week in Sleep Medicine: May 28, 2019
While You Were Sleeping: What Sleep Technologists Need to Know This Week
"Sleeping beauty of a Hedgehog" (Oct 2017) by Boyana.kjfg (CC by 4.0)
Your media watchdog for headlines and trends
relevant to sleep technology and patient education.
From the commentary: “An article in the journal Academic Medicine offered a three-step approach for physicians faced with racism that included first assessing the severity of the illness or injury, then trying to cultivate a therapeutic alliance with the patient or family, and depersonalizing the event. But these provide actions to be taken after an incident has occurred.”
Takeaway: Racism in the workplace against healthcare workers is nothing new, but that doesn't mean it shouldn't be an ongoing conversation among medical staffers and leaders. Just as no patient should suffer bigotry at the hands of a healthcare worker, so too should a healthcare worker be protected against bigotry from patients while on the job. How we get there is the chief reason for the ongoing conversation, however uncomfortable it might be.
From the corrected proof: “This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time.”
Takeaway: Today's research into ACEs continues to reveal long-term consequences from trauma, violence and abuse—all which have a significant impact on sleep quality. We can't possibly know whether our patients have experienced an ACE (or are even themselves aware of its impact on their lives). But we can maintain a level of compassion for all patients by remembering this as a potential underlying factor for their sleep problems.
HEALTH LITERACY WATCH
Position Statement from NCCHC: Adolescent Sleep Hygiene
May 19, 2019
From the website: “Numerous sequelae of impaired sleep have been identified, including the following:
- Psychological: Patients with impaired sleep have been found to be 4 times more likely to develop new major depression over the next 3 to 5 years, 2 times more likely to develop anxiety, and 7 times more likely to develop substance use disorders (Morin, 2012). Insomnia is also associated with suicide risk (Wong, 2016).
- Medical: Patients with impaired sleep have higher rates of hypertension, heart disease, and diabetes mellitus (Mitchell, 2012).
- Academic: Poor sleep interferes with executive functioning tasks including attention, information processing, and self-regulatory processes such as impulse control.
- Social: Incarcerated adults with impaired sleep have demonstrated limited ability to fully partake in or benefit from prison-based programs (Harner, 2014) and school performance appears worse in those with impaired sleep (Montgomery, 1983, Saarenpaa-Heikkila, 1995). ”
Takeaway: If jails can better ensure that their incarcerated teens are getting adequate sleep, they might be doing them a huge favor when they transition back into free society.