Disscusion | NURS 6670 – Psychiatric Mental Health Nurse Practitioner Role II: Adults and Older Adults | Walden University

I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

Circadian Rhythm Sleep-Wake Disorders

Circadian rhythm is the name given to the body’s internal clock that regulates sleep and wake cycles, hormones, hunger, digestion, and body temperature. Daylight and darkness trigger this process in the suprachiasmic nucleus, which is a protein cluster located in the hypothalamus (Pacheco, n.d.). This internal clock of sorts resets itself every 24-hours and is how our bodies know it is time to sleep and time to be awake. There are different types of disorders that can occur, altering this rhythm and causing sleep problems.

The delayed sleep phase type occurs when the cycle runs slower than 24-hours, causing a delay in the sleep cycle. People with this type tend to stay up late and sleep in and find themselves more alert in the evenings rather than in the mornings (Sadock et al., 2015).

The advanced sleep phase type is the opposite and occurs when the cycle runs faster than 24-hours. People with this type often get up very early in the morning and go to sleep early in the evening and are more alert in the early morning time (Sadock et al., 2015).

The irregular sleep-wake type is when the circadian rhythm is barely functioning or not functioning at all. People with this type tend to sleep several hours at a time all throughout the 24-hour period, instead of getting all of their sleep during the nighttime hours. This is the type that usually causes insomnia and excessive tiredness during the daytime.

Finally, there is the non-24-hour sleep-wake type, or free running type. This type is most common with blindness or TBI’s, when the perception of darkness and light are altered (Sadock et al., 2015). This causes the cycle to be either more or less than 24-hours and the main symptom is severe difficulty in falling asleep.

The diagnostic criteria for circadian rhythm disorders according the DSM-5 are as follows. There must be a “persistent or recurrent pattern of sleep disruption that is primarily due to an alteration of the circadian system or to a misalignment between the endogenous circadian rhythm and the sleep-wake schedule required by an individual’s physical environment or social or professional schedule” (American Psychiatric Association [APA], 2013, Circadian Rhythm Sleep-Wake Disorders section). This disruption in sleep must result in “excessive sleepiness, insomnia, or both”, and it must also cause significant impairment of one’s ability to function socially, academically, or professionally (APA, 2013, Circadian Rhythm Sleep-Wake Disorders section).

The best pharmacological treatment for a circadian rhythm sleep disorder is melatonin. Melatonin is produced naturally by the body and the levels or highest in the evening. This aids the person to slow down and tells their body it’s almost time to go to sleep. Melatonin supplements can take to aid in this process. A good sleep hygiene schedule is also important to maintain, in order to retrain the brains circadian rhythm. This means going to bed at the same time every night and waking up at the same time every morning. It can also mean developing a routine before bed each night, so your body starts to correlate the routine with bedtime. It is also important to sleep in complete darkness as any kind of light disrupts the rhythm and reduces melatonin levels. Exposing oneself to bright light in the morning hours can also help to restart the clock.

If none of these methods help promote a healthy sleep schedule, then the patient may need to be referred to a specialist. Some medical causes to consider are sleep apnea, brain tumors, Parkinson’s disease, anxiety, depression, brain injuries, and Alzheimer’s disease. It is important to rule these medical causes out if melatonin and sleep hygiene do not help.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/dsm-psychiatryonline-org.ezp.waldenulibrary.org/doi/full/10.1176/appi.books.9780890425596.dsm06

Pacheco, D. (n.d.). Circadian rhythm sleep disorders. Sleep Foundation. https://www.sleepfoundation.org/circadian-rhythm-sleep-disorders

Ronningstam, E. (2014). Gabbard’s treatments of psychiatric disorders. American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9781585625048.gg72

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Wolters Kluwer.

Get 20% Discount on This Paper
Pages (550 words)
Approximate price: -

Try it now!

Get 20% Discount on This Paper

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

Custom Writings Help is a Quality-Oriented Company in Online Writing as a result of hiring exceptional professionals to execute clients' tasks.

Essays

Research Papers

At Custom Writings Help,We understand the struggle of research paper writing, and that is why at Custom WritingS Help, we are all out to help you. We pride ourselves on having a team of clinical writers. The stringent and rigorous vetting process ensures that only the 'BEST' Writers are chosen for the job. We have highly qualified Ph.D. and MA writers working with us; we equally offer these experienced writers specific bonuses and incentives to make them deliver highly original, unique, and informative content at reasonably low prices.

Admissions

Thesis Writing Service

Worlwide, Many Masters Students are struggling with Thesis Completion. A thesis is likely to be the longest and most challenging piece of work a student has ever completed. However, unlike essays and other assignments, a student can pick a particular interest topic and work on their initiative. Fortunately, we are there for you. At Custom Writings Help, you are assured of an authentic, imaginative, informative, linguistically great, and advantageous thesis that adheres to all your needs. So, why continue considering different writers when you have discovered the best in the field?

Editing

Custom Papers

Not a single student can avoid writing custom papers. However, a total lack of experience, skills, and time makes it very hard to produce a superb writing piece. Therefore, if you are seeking professional help, turn to us. Our specialized and experienced writers compose a variety of model papers, including custom essays, college term papers, research papers, book reports, MBA essays, executive summaries, dissertations, Ph.D. theses, admission essays, and research proposals for college and university students at any level.

Coursework

Essay Writing

Most of the students disregard the critical principles of essay writing and compose papers below sensible guidelines. Therefore, with Custom Writings Help, one should not worry about his/her essay. Our Writers compose informative and engaging content on all complexities and topics. We write meaningful and smart essays while prioritizing all aspects that bring about a good grade, such as impeccable grammar, proper structure, zero-plagiarism, and conformance to guidelines.

Coursework

Coourse Work Writing

Don't let the seemingly never-ending onslaught of writing assignments get you down. If you are looking where to get course work assistance online, the writers at Custom Writings Help are here to assist you with all of your writing needs. We undertake to unique delivery of papers that meet the professor's requirements. The content is proofread, edited, and checked plagiarism before submission to customers. No matter how big or small your work is, we will deliver on time. Try US Now! !

Coursework

Dissertation Writing Service

High-Quality Dissertation Writing Services are rare. They require Ph.D. academicians – not easily found. However, are an exception. The years, time, and resources we have invested in the dissertation world has given us a competitive advantage over others. Choose to come to Custom Writings Help; You will find perfect Ph.D. consultants who have written hundreds of dissertations theses ready to help you. Let our dissertation-writing services help you craft your dissertation, for you are assured we will give you the results.