sleep hygiene; good sleep practices

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Indications

Management

  • try to sleep only when you are drowsy
  • if you are unable to sleep within 20-30 minutes or stay asleep, leave your bedroom & engage in a quiet activity elsewhere
    • but avoid bright lights[4]
  • do not permit yourself to fall asleep outside the bedroom
  • return to bed when - & only when - you are sleepy
  • repeat this process as often as necessary throught the night
  • maintain a regular rise time, even on days off work & on weekends
  • maintain a regular bed time, but do not go to bed unless sleepy
  • maintain a regular period of preparation for bed (30 minutes)
  • use your bedroom only for sleep & sex
  • spend no more than 8 hours in bed
  • daytime exposure to natural light
  • avoid napping during the daytime
  • if daytime sleepiness becomes overwhelming, limit nap time to a single nap of < 1 hour, no later than 3 pm
  • distract your mind
  • relax mentally before going to sleep
    • avoid emotionally upsetting activities or conversation close to bedtime
    • avoid worrying in bed
  • lying in bed unable to sleep & frustrated needs to be avoided
  • try reading or watching a videotape or listening to books on tape
  • it may be necessary to go into another room to do these
  • avoid caffeine within 4-6 hours of bedtime.
  • avoid the use of nicotine close to bedtime or during the night
  • do not drink alcoholic beverages with 4-6 hours of bedtime
  • while a light snack before bedtime can help promote sound sleep
  • exercise regularly
  • avoid strenous exercise within 6 hours of bedtime
  • control the nighttime environment
    • minimize light, noise & extremes of temperature in the bedroom
    • avoid television, radio, computer or texting in bed
    • try a familiar background noise, i,e, a fan or other 'white noise'
  • wear comfortable clothing to bed

More general terms

Additional terms

References

  1. Publications Committee, Sleep Hygiene wellness brochure, AASM
  2. 2.0 2.1 Kelly Y et al Changes in Bedtime Schedules and Behavioral Difficulties in 7 Year Old Children. Pediatrics, October 14, 2013 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24127471 <Internet> http://pediatrics.aappublications.org/content/early/2013/10/09/peds.2013-1906.abstract
  3. 3.0 3.1 Gangwisch JE et al. Earlier parental set bedtimes as a protective factor against depression and suicidal ideation. Sleep 2010 Jan; 33:97. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20120626
  4. 4.0 4.1 Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013