Hemodialysis patients plagued by insomnia

[okarol]

Hemodialysis patients plagued by insomnia
Adjustments in hemodialysis, avoiding daytime naps may improve sleep
08/06/2008

NEW YORK--Patients with kidney disease treated with hemodialysis have problems sleeping that can't be explained by advanced age or chronic health conditions, according to new research.

"Studies of patients on maintenance hemodialysis have found that 50 percent to 80 percent report some sleep complaint or excessive daytime somnolence," Dr. Mark Unruh, a nephrologist at the University of Pittsburgh Medical Center, and his colleagues report in the August issue of the American Journal of Kidney Diseases.

Because advanced age, poor health and obstructive sleep apnea can also adversely affect sleep, Unruh's group compared sleep quality in a group of 46 patients on hemodialysis with a group of 137 individuals without kidney disease, of similar age, weight, race and percentage of men and women. All of the subjects underwent overnight sleep studies and completed a Sleep Habits Questionnaire.

The physicians found that hemodialysis patients were three times more likely to sleep less than 5 hours per night, and that more than half reported difficulty getting back to sleep, waking up too early, feeling tired and not getting enough sleep.

It's possible, the authors suggested, that changing how hemodialysis is delivered and working with patients to improve their sleep habits--such as not napping during the day and avoiding stimulating activity in the evening--may substantially improve their quality of sleep.

http://www.renalbusiness.com/hotnews/dialysis-patients-sleep-problems.html

[peleroja]

It ain't just hemo patients.  I've had insomnia (both onset and maintenance) for over 40 years, and I've only been on PD for 5 years.  It just gets worse and worse.  No sleeping pill - I wake up 20-30 times a night.  5 mg Ambien - I wake up 10 times a night.  10 mg Ambien - I wake up 5 times a night.  Nothing keeps me asleep.  For that matter, nothing they have prescribed for me (Vicodin, Dilaudid, Percocet, etc.) does anything for my arthritis pain.  Sometimes I hate being me!

[flip]

I take Ativan (lorazepam) when I go to bed...sleep like a baby

[del]

One of the good things about nocturnal hemo is that it helps you sleep better.

[peleroja]

One of the good things about nocturnal hemo is that it helps you sleep better.

Not this particular patient, sad to say.  Last night I counted, and even with the Ambien I woke up 4 times.

[DAUGHTER]

My poor dad neve seems to get enough sleep.. He never was aomeone who needed much sleep but now he says he doesn;t \sleep at all

Ambien doesn;s work I told him to take it anyway

sleep study last week did show he stops breatihing but he won't wear a mask
dialysis nights (after center treatment) he gets all jittery his whole body

what's up with that?

you people are all great i love reading your posts it helps me understand what dad is going through a little bit more
thank you and god bless you all for your  open caring  humorous attitudes