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NURS 6670 Nava is a 47-year-old female who has been in care for the last 9 months for a major depressive episode.

NURS 6670 Nava is a 47-year-old female who has been in care for the last 9 months for a major depressive episode.

Nava is a 47-year-old female who has been in care for the last 9 months for a major depressive episode.

Answer:

Review of nursing diagnosis: Nava is a 47-year-old female who has been in care for the last 9 months for a major depressive episode. She has struggled with depression intermittently since her 20s, but at this point she is on combination therapy with sertraline and bupropion and has achieved an excellent remission. However, she is asking for some help with her sleep. She says she has always had insomnia to some degree, mostly trouble falling asleep, but she thought that once she felt better from her depression it would improve. A review of Nava’s sleep hygiene habits reveals that there are numerous areas that could benefit from improvement.

Good sleep hygiene is almost always needed for the treatment of insomnia. Insomnia itself does not have a single cause, and treating insomnia with an effective treatment plan typically involves addressing one or more causative factors. These can include health behaviors (including sleep hygiene), medical conditions, mental health issues, medications, and other contributing factors such as sleep environment, psychological stressors, and circadian rhythm.

The first step to improving insomnia is to assess baseline sleep hygiene. Sleep hygiene refers to the habits you develop to promote good sleep, and evaluate the presence or absence of that habits in your life. It includes a variety of components, including

Question:

Nava is a 47-year-old female who has been in care for the last 9 months for a major depressive episode. She has struggled with depression intermittently since her 20s, but at this point she is on combination therapy with sertraline and bupropion and has achieved an excellent remission. However, she is asking for some help with her sleep. She says she has always had insomnia to some degree, mostly trouble falling asleep, but she thought that once she felt better from her depression it would improve. A review of Nava’s sleep hygiene habits reveals that there are numerous areas that could benefit from improvement. Nava’s sleep hygiene habits should ultimately be improved to include all the following except:

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