Sleep medicine in clinical practice by Michael H Silber; Lois E Krahn; Timothy I Morgenthaler

By Michael H Silber; Lois E Krahn; Timothy I Morgenthaler

"This colourful talents atlas serves as a transportable, fast reference for step by step maternal-newborn and pediatric nursing talents. The 3rd version of this priceless handbook publications you thru one hundred fifty talents utilizing full-color pictures and rationales, together with 30 maternal-newborn and greater than a hundred pediatric talents. unique beneficial properties comprise: chapters on actual overview, distinctive soreness administration techniques, Read more...

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Sample text

Use the following scale to choose the most appropriate number for each situation: 0=no chance of dozing 1=slight chance of dozing 2=moderate chance of dozing 3=high chance of dozing Situation Chance of dozing Sitting and reading .............. Watching TV ..............  a theater or a meeting) .............. As a passenger in a car for an hour without a break .............. Lying down to rest in the afternoon when circumstances permit .............. Sitting and talking to someone ..............

Paradoxical insomnia (previously known as sleep state misperception) exists when a patient complains of difficulty initiating or maintaining sleep, but a polysomnogram shows normal sleep architecture and efficiency.  Two causes of insomnia seen in first­decade children are sleep­onset association disorder in which children are only able to initiate sleep in the presence of a specific object or person, and limit­setting sleep disorder in which inadequate enforcement of bedtimes leads to children refusing to go to bed at appropriate times (Chapter 10).

Science 1997; 276:1265–8 Page 24 This page intentionally left blank.  This ongoing process results from a need to find a common terminology and diagnostic system that are widely accepted and reflect current practice and research.  The authors recognized that the harmoniously named DIMS (disorders of initiating and maintaining sleep) and DOES (disorders of excessive somnolence) were not clearly separable, with some conditions presenting at times with insomnia and at other times with excessive sleepiness.

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