[Clinical practice guideline. Diagnosis and treatment of insomnia in the elderly].

{"article_title":"[Clinical practice guideline. Diagnosis and treatment of insomnia in the elderly].","author":"Medina-Ch\u00e1vez JH, Fuentes-Alexandro SA, Gil-Palafox IB, Adame-Galv\u00e1n L, Sol\u00eds-Lam F, S\u00e1nchez-Herrera LY, S\u00e1nchez-Narv\u00e1ez F","journal_title":"Revista medica del Instituto Mexicano del Seguro Social","issn":"2448-5667","isbn":"","publication_date":"2021 May","volume":"52","issue":"1","first_page":"108","page_count":"","accession_number":"24625494","doi":"","publisher":"Coordinacio\u0301n de Educacio\u0301n en Salud, Divisio\u0301n de Innovacio\u0301n Educativa","doctype":"English Abstract","subjects":"Mexico; Sleep Initiation and Maintenance Disorders diagnosis; Sleep Initiation and Maintenance Disorders therapy; Aged; Aged, 80 and over; Algorithms; Combined Modality Therapy; Decision Support Techniques; Female; Humans; Male; Mexico; Middle Aged; Risk Factors; Sleep Initiation and Maintenance Disorders etiology","interest_area":["Internal Medicine"],"abstract":"Insomnia is the difficulty to initiate or to maintain sleep. It also has to do with waking up too early at least for a month. A patient with insomnia has daytime consequences such as fatigue, sleepiness, changes in mood, lose of concentration, as well as changes in his social performance and his family relationships, among others. The relationship between this disorder and physical and mental health is important due to the impact that it has on the quality of life and life expectancy of those who suffer from it. Unfortunately, insomnia usually goes unnoticed or untreated, which contributes to the onset or worsening of psychiatric and medical conditions. This exacerbates the problem of insomnia in the elderly people. In relation to the treatment it is recommended: 1) the search and management of secondary causes of insomnia, 2) a non-drug therapy that includes sleep hygiene measures, 3) pharmacotherapy. It is not recommended to start a treatment with a hypnotic drug without rule out medications or diseases that cause or exacerbate insomnia. It is not recommended the use of narcoleptics, melatonin, antihistamines or long half-life benzodiazepines. The consequences include limitations on activities of daily living, loss of functionality, impaired quality of life, increased morbidity and mortality, as well as the worsening of preexisting chronic conditions.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=24625494&authtype=shib&custid=ns346513&group=main&profile=eds","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Medina-Ch\u00e1vez JH, Fuentes-Alexandro SA, Gil-Palafox IB, Adame-Galv\u00e1n L, Sol\u00eds-Lam F, S\u00e1nchez-Herrera LY, S\u00e1nchez-Narv\u00e1ez F","Corporate_Authors":"Instituto Mexicano del Seguro Social","Journal_Info":"Publisher: Coordinacio\u0301n de Educacio\u0301n en Salud, Divisio\u0301n de Innovacio\u0301n Educativa Country of Publication: Mexico NLM ID: 101243727 Publication Model: Print Cited Medium: Internet ISSN: 2448-5667 (Electronic) Linking ISSN: 04435117 NLM ISO Abbreviation: Rev Med Inst Mex Seguro Soc Subsets: MEDLINE","Publication_Type":"English Abstract; Journal Article; Practice Guideline","Published_Date":"2014-01-01","Source":"Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2014 Jan-Feb; Vol. 52 (1), pp. 108-19.","Languages":"Spanish; Castilian","Electronic_ISSN":"2448-5667","MeSH_Terms":"Sleep Initiation and Maintenance Disorders\/*diagnosis , Sleep Initiation and Maintenance Disorders\/*therapy, Aged ; Aged, 80 and over ; Algorithms ; Combined Modality Therapy ; Decision Support Techniques ; Female ; Humans ; Male ; Mexico ; Middle Aged ; Risk Factors ; Sleep Initiation and Maintenance Disorders\/etiology","Subjects":"Aged, Aged, 80 and over, Algorithms, Combined Modality Therapy, Decision Support Techniques, Female, Humans, Male, Mexico, Middle Aged, Risk Factors, Sleep Initiation and Maintenance Disorders etiology, Sleep Initiation and Maintenance Disorders diagnosis, Sleep Initiation and Maintenance Disorders therapy","Title_Abbreviations":"Revista medica del Instituto Mexicano del Seguro Social","Volume":"52"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"24625494","RelevancyScore":"785","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"785.033752441406"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=24625494&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=24625494&authtype=shib&custid=ns346513&group=main&profile=eds"}