Evaluation of sleep disorder in elderly patients begins with a complete sleep history. The assessment of includes a detailed multidisciplinary approach. Sleep-related problems in the elderly include hypersomnia, disorientation, delirium, impaired intellect, decreased cognition, psychomotor complaints, increased accidents, and falls. [] In the geriatric population, the most frequent complaints are problems initiating or maintaining sleep. [] Whenever possible, interview the bed partner, because he or she often notices problems with the patient's sleep of which the patient is unaware.

These data help determine the sleep pattern of the patient, the severity of the disorder, and the possible causes leading to sleep disturbances. They also help differentiate between SA and PLMS. Having the patient maintain a sleep diary for several weeks before arriving for assessment is advisable. This provides a reliable perspective about the patient's condition for the clinician, and the patient learns more about his or her sleeping patterns. Remember that individuals with this disorder have a lifetime risk for suicide, which is significant.

Inquiring about suicidal ideation at each visit is always important. Photoshop C6 Extended Keygen Download. In addition, the interviewer should inquire about past acts of self-harm or violence. If the reply is positive for these thoughts, inquire about specific plans, suicide notes, family history (anniversary reaction), impulse control and access to firearms. If the patients has suicidal thoughts, the chart should document that the patient does not have an immediate plan or that he/she was referred for psychiatric hospitalization. [] Inquiring about homicidal ideation or intent during each patient interview is also important. Ask the following types of questions to help determine homicidal ideation or intent: •.