SLEEP DISORDERS

Pediatric Sleep Needs

• Newborns 16-18 hrs/day
• Infants - about 12 hours
• Age 1-5: 9 hrs/night
• Most dramatic decline 8 - 9 yoa
• Adolescent NEEDS 9 - GETS 7-8

Pediatric Sleep D.O.

• Sleep-onset insomnia
• Parasomnias
• Sleep disordered breathing
• Movement disorders

Circadian Changes

• Teens: difficult to arouse in a.m.
• Teens: excessive daytime sleepiness 
• Sleep deprivation: stay up late/get up late
•       Social activities/computer use
•       Serious implications

Older Adults

• Flattened circadian rhythms
• Earlier bedtime/morning awake
• Decreased slow-wave sleep
• More frequent arousals
• Advanced sleep phase syndrome

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Hazards of Caffeine

Nicotine

ALCOHOL

Stimulants

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Benzodiazepines

Complementary
Alternative
Modalities