Insomnia and fatigue are two of the most frequent consequences after traumatic brain injury (TBI). About 30% of individuals suffer from chronic insomnia, an additional 20% have symptoms of insomnia, and up to 75% have significant and persistent fatigue. There is a strong empirical basis for the effectiveness of cognitive-behavioral interventions for the management of insomnia and fatigue in the general population and in other patient populations, and emerging research shows that these interventions seem applicable with similar benefits to people with TBI. Insomnia and Fatigue After Traumatic Brain Injury: A CBT Approach to Assessment and Treatment is written by a team of four scientist-practitioners in psychology who are experts in sleep medicine, cognitive-behavioral therapy for insomnia, and traumatic brain injury (TBI). Together they have authored this assessment and intervention manual for insomnia and fatigue, intended for clinicians working with the TBI population. Based on cognitive-behavioral principles, the manual integrates evidence-based interventions and techniques used by expert clinicians working with these populations. Throughout the development process, there has been an ongoing integration of the best available research, specialized clinical expertise, and knowledge transfer expertise: all of these perspectives were used to choose, revise, and format the content of the manual as to ensure that it would be most useful for the target audience. Authored by specialists in sleep medicine, CBT and TBI Covers both assessment and treatment for TBI insomnia and fatigue Contains treatment plans in detail Suitable for inpatient and outpatient settings Appropriate for mild to severe TBI Includes extensive patient handouts
Handbook of Sleep Disorders in Medical Conditions reviews the current knowledge on the nature and manifestations of sleep disorders associated with a variety of common medical conditions, including epilepsy, traumatic brain injury and dementia. It also provides clinical guidelines on how to assess and treat them with pharmacological and non-pharmacological interventions. Although the general principles of sleep medicine may be applied to some extent to patients with comorbid medical conditions, this book makes the case that an adaptive approach is warranted when considering the particularities of each condition. In addition, clinicians must also be cautious when prescribing sleep medications as some pharmacological agents are known to exacerbate symptoms associated with the medical condition, such as cognitive deficits (i.e. difficulties with memory and attention) in cancer patients experiencing chemo brain, or in persons with neurologic conditions (e.g. mild cognitive impairment, dementia, stroke, brain injury). A differential approach to evaluating and treating sleep is thus warranted. Presents a general overview on assessing and treating sleep disorders that are applicable to a diverse set of patients Provides a comprehensive, up-to-date review of the literature on the prevalence and manifestations of sleep problems related to specific medical conditions Includes practical information regarding special considerations for the assessment and treatment of sleep issues in specific medical conditions
Traumatic brain injury (TBI) is a public health issue of worldwide proportions, affecting motorists, victims of interpersonal violence, athletes, military service members, and Veterans, among others. Management of Adults with Traumatic Brain Injury provides evidence-informed guidance on the core topics in brain injury medicine, including the epidemiology and pathophysiology of TBI, the medical evaluation and neuropsychological assessment of persons with TBI, and the common cognitive, emotional, behavioral, and other neurological disturbances for which persons with TBI and their families seek clinical care. The volume offers many useful features to its readers, including: Chapters written by an internationally known group of editors and contributors offering cutting-edge, multidisciplinary perspectives in brain injury medicine. Guidance on the identification and management of early and late postinjury neuropsychiatric disturbances as well as their psychological and psychosocial consequences. Identification of special issues relevant to the evaluation and treatment of TBI and postconcussive symptoms among military service members, and Veterans. Discussion of the ethics and methods of forensic assessment of persons with TBI. Key Clinical Points that highlight concepts, assessment issues, and clinical management strategies in each chapter. A wealth of tables and figures to enhance the accessibility and clinical utility of the book, as well as appendices of additional readings and relevant websites for persons and families affected by TBI and the clinicians providing their care. Impressive breadth and depth of coverage, logical structure, clinically rich detail, and concise presentation make Management of Adults with Traumatic Brain Injury a must-read for every physician, nurse, and mental health practitioner working to improve the lives of persons with TBI.
There are at least four reasons why a sleep clinician should be familiar with rating scales that evaluate different facets of sleep. First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem. In three or four minutes (the time to review ten standard scales), a clinician can come to a broad understanding of the patient in question. For example, a selection of scales might indicate that an individual is sleepy but not fatigued; lacking alertness with no insomnia; presenting with no symptoms of narcolepsy or restless legs but showing clear features of apnea; exhibiting depression and a history of significant alcohol problems. This information can be used to direct the consultation to those issues perceived as most relevant, and can even provide a springboard for explaining the benefits of certain treatment approaches or the potential corollaries of allowing the status quo to continue. Second, rating scales can provide a clinician with an enhanced vocabulary or language, improving his or her understanding of each patient. In the case of the sleep specialist, a scale can help him to distinguish fatigue from sleepiness in a patient, or elucidate the differences between sleepiness and alertness (which is not merely the inverse of the former). Sleep scales are developed by researchers and clinicians who have spent years in their field, carefully honing their preferred methods for assessing certain brain states or characteristic features of a condition. Thus, scales provide clinicians with a repertoire of questions, allowing them to draw upon the extensive experience of their colleagues when attempting to tease apart nuanced problems. Third, some scales are helpful for tracking a patient’s progress. A particular patient may not remember how alert he felt on a series of different stimulant medications. Scale assessments administered periodically over the course of treatment provide an objective record of the intervention, allowing the clinician to examine and possibly reassess her approach to the patient. Finally, for individuals conducting a double-blind crossover trial or a straightforward clinical practice audit, those who are interested in research will find that their own clinics become a source of great discovery. Scales provide standardized measures that allow colleagues across cities and countries to coordinate their practices. They enable the replication of previous studies and facilitate the organization and dissemination of new research in a way that is accessible and rapid. As the emphasis placed on evidence-based care grows, a clinician’s ability to assess his or her own practice and its relation to the wider medical community becomes invaluable. Scales make this kind of standardization possible, just as they enable the research efforts that help to formulate those standards. The majority of Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is devoted to briefly discussing individual scales. When possible, an example of the scale is provided so that readers may gain a sense of the instrument’s content. Groundbreaking and the first of its kind to conceptualize and organize the essential scales used in sleep medicine, Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is an invaluable resource for all clinicians and researchers interested in sleep disorders.
Many patients experience sleep disturbances secondary to their primary illness and this often has a negative effect on their quality of life. This book provides an evidence-based introduction to the interface between sleep wide range of medical disorders. A clinically focused, comprehensive review for physicians and other health providers, this state-of-the-art reference can also serve as a textbook for those who wish to become familiar with the impact of sleep on quality of life.
Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the development of new diagnostic and therapeutic approaches has been disappointingly slow. Translational Research in Traumatic Brain Injury attempts to integrate expertise from across specialties to address knowledge gaps in the field of TBI. Its chapters cover a wide scope of TBI research in five broad areas: Epidemiology Pathophysiology Diagnosis Current treatment strategies and sequelae Future therapies Specific topics discussed include the societal impact of TBI in both the civilian and military populations, neurobiology and molecular mechanisms of axonal and neuronal injury, biomarkers of traumatic brain injury and their relationship to pathology, neuroplasticity after TBI, neuroprotective and neurorestorative therapy, advanced neuroimaging of mild TBI, neurocognitive and psychiatric symptoms following mild TBI, sports-related TBI, epilepsy and PTSD following TBI, and more. The book integrates the perspectives of experts across disciplines to assist in the translation of new ideas to clinical practice and ultimately to improve the care of the brain injured patient.
If ever a book could be called timely, this is it. Sleep disorders medicine has made rapid advances in recent years. The field has attained growing respectability, with a textbook recently published, a congressionally man dated National Commission on Sleep Disorders Research, and a growing public awareness of the importance of sleep disorders. However, this rapid growth has made the discrepancy among certain components of the field all the more obvious. Thus, we find that patients who complain of insom nia are almost never in the majority of those seen in sleep disorders centers, in spite of the well-known fact that the prevalence of such individ uals in our society is by far the largest. Current articles on insomnia abound, but they tend to be facile recitations of diagnosis and impractical global recommendations for treat ment, without providing the essential details. Indeed, the clinical profes sions really do not know what to do about insomnia. This is reflected in a number of observations I have made in the recent past. For example, the majority of individuals who complain of insomnia take alcohol, aspirin, over-the-counter medications, hot baths, and a host of other nostrums, but rarely seek a physician. In the unlikely event that a physician is consulted, he is likely to prescribe a sleep medication but without any particular consistency, or any clear instructions on its use.
|Author||: Meir H. Kryger,Thomas Roth,William C. Dement|
|Publisher||: Elsevier Health Sciences|
|Release Date||: 2010-11-01|
|ISBN 10||: 1437736092|
|Pages||: 1766 pages|
Principles and Practice of Sleep Medicine, 5th Edition, by Meir H. Kryger, MD, FRCPC, Thomas Roth, PhD, and William C. Dement, MD, PhD, delivers the comprehensive, dependable guidance you need to effectively diagnose and manage even the most challenging sleep disorders. Updates to genetics and circadian rhythms, occupational health, sleep in older people, memory and sleep, physical examination of the patient, comorbid insomnias, and much more keep you current on the newest areas of the field. A greater emphasis on evidence-based approaches helps you make the most well-informed clinical decisions. And, a new more user-friendly, full-color format, both in print and online, lets you find the answers you need more quickly and easily. Whether you are preparing for the new sleep medicine fellowship examination, or simply want to offer your patients today's best care, this is the one resource to use! Make optimal use of the newest scientific discoveries and clinical approaches that are advancing the diagnosis and management of sleep disorders.
"Tina Sullivan's book,"Nourish Your Noggin," came along at just the right moment. My daughter had suffered two back-to-back concussions. Tina's book provided me with excellent guidance as to what to feed my recovering child and very importantly, what NOT to feed her. "Nourish Your Noggin" also provided excellent brain injury resources, such as websites, brain injury specialists, etc. During such a scary time, Ms. Sullivan's book was a like a soothing balm on a painful wound. I highly recommend this book not only for those dealing with brain injuries, but also for anyone who wants the best nourishment for their child or for him or herself. I learned so much from this highly informative, helpful book!"Rosemary A. In 1990, when I sustained my traumatic brain injury, there was virtually no information about how foods could affect your brain or brain recovery. The hypoglycemia diet was the only one that mentioned how it can affect brain clarity and brain fog. As a board certified health Psychologist and Neuropsychologist, I knew then that what you ate did affect your brain. Tina Sullivans expertise in nutrition as an Integrative Health and Nutrition Coach has provided you, the reader, with a book written with love that provides knowledge of brain injury, how and why food affects the brain and some really wonderful menus." Dr. Diane Roberts Stoler, Ed.D, Licensed Psychologist, Board Certified Health Psychologist, Board Certified Sport Psychologist, Neuropsychologist, Author: Coping with Mild Traumatic Brain Injury Tina Sullivans Nourish Your Noggin could not be a more welcome book for our military medical providers and families. Just shy of 2 million U.S. military personnel have deployed to Iraq or Afghanistan since the start of military operations in 2001 with Traumatic Brain Injury (TBI) or concussion as one of the most common forms of combat-related injury. Nourish Your Noggin brings a real awareness to TBI, helps you walk through health care choices, and gives you healthy choices for a well-nourished brain. This book is a must read! Colonel (Retired) Mike Santacroce, USMC, OIF/OEF Veteran, Bronze Star Since I started The Healthy Brain Program?? in Canada, people have been asking me about what is the best kind of food for the brain. There is a subgroup of patients who have suffered head injury and are interested in optimizing their brain function and quality of life. To this population, you have delivered a terrific service. Thank you for your dedicated effort on this usually ignored topic. Stephen J. Kiraly, MD, FRCPC, ABPN, Clinical Associate Professor Faculty of Medicine, University of British Columbia, Department of Psychiatry, Division of Geriatric Psychiatry. Consultant Geriatric Psychiatry, Vancouver Coastal Health Authority, Canada.
Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
An expert on traumatic stress outlines an approach to healing, explaining how traumatic stress affects brain processes and how to use innovative treatments to reactivate the mind's abilities to trust, engage others, and experience pleasure--
Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is a comprehensive, timely and up-to-date review of pediatric sleep disordered breathing (SDB) and offers a thorough focus on several key areas: namely, the normal development and maturation of the airway and breathing during sleep, the techniques that are in place for assessment of SDB in children, the clinical manifestations and characteristics of several pediatric populations at risk for SDB, the implications of SDB in various end-organ systems, and, finally, a critical review of the evidence on current therapeutic approaches. This unique and complete text is of welcome interest to all practicing physicians and healthcare professionals who evaluate children with sleep problems -- namely pulmonologists, pediatricians, sleep physicians, pediatric neurologists, pediatric otolaryngologists, and family practitioners, as well as clinical researchers, pediatric nurse practitioners and respiratory therapists. Written by a distinguished and international panel of authors who are renowned experts in their field and who offer an expanded view of the problems associated with SDB, Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is an indispensible resource for all physicians who evaluate children for sleep-disordered breathing.