Some insomnia may be treated and resolved by creating good sleep habits, which include the following: No treatment may be necessary for acute insomnia. In addition, the physician may order blood tests to rule out other conditions that could cause the insomnia. The physician may have the patient keep a sleep diary for several weeks to collect more information. To aid in the diagnosis of insomnia, a physician may have the patient complete a questionnaire to obtain information on wake-sleep patterns in addition to a complete medical history and physical examination. Some common conditions that may cause insomnia include Alzheimer’s disease, arthritis, asthma, cancer, depression, gastroesophageal reflux disease, heartburn, heart failure, lung disease, Parkinson’s disease, and stroke. In both of these instances, the underlying condition will be coded and sequenced first. Secondary insomnia is a sleeping problem due to another condition.Ĭode 327.01 is assigned for insomnia due to a medical condition classified elsewhere, and code 327.02 is assigned for insomnia due to a mental disorder. Primary insomnia (307.42) is sleeping problems not directly associated with any other health condition or problem. Insomnia may be described as primary or secondary. Insomnia unspecified is classified to code 780.52, and insomnia with sleep apnea goes to code 780.51. alcohol-induced sleep disorders (291.82) and.Some common causes of insomnia include stress, anxiety, depression, medications, caffeine, nicotine, alcohol, a change in environment or work schedule, and poor sleep habits.Ĭommon insomnia disorders include the following: Some common symptoms of insomnia include difficulty falling asleep, waking up often during the night, trouble getting back to sleep, waking up too early, daytime fatigue or sleepiness, irritability, depression, anxiety, difficulty focusing on tasks, increased errors or accidents, and tension headache. Insomnia is more common in older people due to a change in sleep patterns, a change in activity, a change in health, or an increase in medication usage. Insomnia may affect a person’s energy level, mood, health, work performance, and quality of life. Chronic insomnia occurs at least three times per week for one month or longer. Acute insomnia is generally considered short term, lasting one night to a few weeks. Insomnia can be classified as acute or chronic. In addition, it may take 30 or more minutes to fall asleep at night. However, people with insomnia may get only six or fewer hours of sleep per night three or more times per week. Most people need seven to eight hours of sleep per night. People with insomnia will awaken unrefreshed, which may eventually cause disruption during their day. Clinicians in either primary settings or specialized clinics should have knowledge to manage insomnia with confidence.Insomnia is a sleeping disorder that makes it difficult for someone to fall asleep and/or stay asleep. Insomnia causes a significant burden of medical, psychiatric, societal consequences on the individual and societal level. Additional assessment tools, such as sleep diary or log, various questionnaires, actigraphy, and multichannel polysomnography (PSG) have been used as an aid to diagnosis, although many are limited in their validation. The cornerstone of the insomnia evaluation and diagnosis is a comprehensive history obtained by the clinical interview with patient and/or family. Population-based studies suggest that while about one-third of the general population complains of sleep disturbance, only 10-15 percent has associated symptoms of daytime functional impairment, and even fewer, only 6-10 percent have impairments sufficient for the diagnostic criteria of insomnia. Although the exact pathophysiology of insomnia is poorly understood, it is often believed to arise from a state of hyperarousal in multiple neurophysiological and/or psychological systems. Insomnia results in some form of daytime impairment in the patient's normal activites. Insomnia has been defined as both a symptom and a disorder, and is characterized as sleep that is chronically unrestorative or poor in quality often due to difficulty in initiating sleep, in maintaining sleep, or with waking up too early. Insomnia is the most common sleep problem affecting nearly one-third of the population as either a primary or comorbid condition.
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