Concept Map: Insomnia in Older Adult Veterans by https://padlet.com/michellerybinski/9xd1hnlupof7438m en-us 2025-10-17 04:35:28 UTC 2025-10-21 01:25:04 UTC hello@padlet.com https://padlet.net/icons/8.0/svg/1f971.svg Adult veterans experiencing insomnia michellerybinski https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637025219 2025-10-17 04:36:15 UTC https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637025219 Population/ Veteran Consideration michellerybinski https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637028404

  • PTSD

  • Chronic illness

  • Military habits (hypervigilance)

  • Resistance to therapy

  • Access barriers

    • ]]>     2025-10-17 04:38:15 UTC https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637028404     Risks of Untreated Insomnia michellerybinski https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637030912

  • Poor quality of life

  • Falls and injuries

  • Worsened depression or PTSD

  • Suicide risk

  • Memory and concentration problems

    • ]]>     2025-10-17 04:40:00 UTC https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637030912     Causes/Risk Factors michellerybinski https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637031698

  • PTSD (combat trauma)

  • Chronic pain

  • Depression or anxiety

  • Substance use history

  • Age-related sleep changes

    • ]]>     2025-10-17 04:40:35 UTC https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637031698     Outcome Measure – Epworth Sleepiness Scale (ESS) michellerybinski https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637032530

  • Measures daytime sleepiness (score 0–24)

  • Higher score = more sleepiness

  • Used to compare effectiveness of CBT-I vs meds

  • Patient-reported scale

    • ]]>     2025-10-17 04:41:12 UTC https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637032530     Treatment Options michellerybinski https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637033210 CBT-I (Non-Pharmacologic)

    • Sleep hygiene education

    • Stimulus control

    • Cognitive restructuring

    • Relaxation techniques

    • Long-term benefits

    ]]>     2025-10-17 04:41:47 UTC https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3637033210     Treatment Options michellerybinski https://padlet.com/michellerybinski/9xd1hnlupof7438m/wish/3638338738 Pharmacologic

    • Benzodiazepines, Z-drugs

    • Melatonin, OTC options

    • Risks: dependence, cognitive impairment, falls

    • Short-term relief only

    • ! Beers criteria- caution in older adults !

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