Download Pediatric Sleep Problems: A Clinician's Guide to Behavioral by Lisa J. Meltzer PDF

By Lisa J. Meltzer

Sleep difficulties are universal in teenagers. among 25-40% of stripling event sleep problems akin to sleep nervousness, insomnia, widespread waking, not on time circadian rhythm, evening terrors, and nocturnal enuresis or encopresis sooner or later in the course of adolescence or youth. but, so much healthcare prone obtain little if any education in paediatric sleep difficulties -- and so much education that does exist has a tendency to stress clinical instead of behavioural interventions. This ebook offers powerful behavioural interventions for universal paediatric sleep difficulties. step by step directions express readers the best way to clinically check and deal with teenagers from tots to little ones, and case examples follow the directions to real-life eventualities. The authors additionally supply greater than 30 handouts and worksheets for folks and kids, together with sleep logs and instructions for a sequence of artistic, at-home interventions.

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Safety is the primary concern when treating sleep-related rhythmic movement disorders. Most children do not cause serious self-injury. For these families, providing education and reassurance, along with simple suggestions, such as tightening screws on the crib or bedframe so that the noise does not disturb parents’ sleep, is sufficient. For children who are likely to cause self-harm, however, safety measures must be taken, such as moving the mattress to the floor in children who engage in body rolling; or children with severe head banging that has resulted or may result in injury may benefit from a protective helmet.

Specifically, 50% of parents reported that their infants were getting enough sleep, yet only 34% of parents reported so for toddlers, 32% for preschoolers, and 25% for schoolage children were obtaining as much sleep as they needed. Another national survey in the United States reported that more than half of adolescents ages 13 through 18 were taking naps on school days to “make up” for not getting enough sleep at night (National Sleep Foundation, 2011). Overall, 60% of teenagers surveyed were getting less than 8 hours of sleep per night.

In particular, DLMO appears to affect the timing of nighttime sleep onset for many young children. As a result, parents may attempt to put children to bed either too early or too late to be consistent with their circadian biology, which may result in bedtime struggles. In addition, napping may alleviate homeostatic sleep pressure, significantly interfering with the ability for young children to fall asleep at night. Together, these factors can contribute to prolonged bedtime battles. Although toddlerhood and the preschool years are typically associated with fewer nighttime awakenings than infancy, most children in this age range continue to have at least 1 nighttime awakening per week in which they will alert their parents to being awake.

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