The Hospital Is an Enemy of Sleep

"I couldn't sleep because there were people complaining about pains, the hall light was reflecting into the room, which had its door left open for some reason, and neither I nor my roommate could move from the bed," a patient wrote to."I remember the irony of a night nurse, saying to a lady from another room who was asking for something to sleep, 'You never really sleep in the hospital.'" The patient was describing an experience in a hospital in northern Italy.

On this point, things are changing."In the past, measurements could be taken or the room entered at any time of day or night. Now there is a tendency to absolutely avoid entering at night, or it is done only to check that the patient is not unwell. The patient is not awakened unless something urgent happens," said Francesca Casoni, MD, a neurophysiopathologist at the Sleep Medicine Center of the IRCCS San Raffaele Turro Hospital in Milan, Italy.

Sleep deprivation can be even more critical in worsening the conditions of older adult patients."Sleep disturbance is one of the major risk factors for delirium," said Casoni."An elderly patient, perhaps delirious and disoriented, could get up, fall, and suffer, for example, a hip fracture. All this only prolongs hospitalization times and risks worsening their condition because they will need more rehabilitation and more medication.

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