By Peter Johnson, Zev Borow
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Do not go to bed hungry or inebriated or immediately after exercise or an emotional event. ● Do not go to bed too early. Do not hesitate to sleep late in the morning. ● Avoid smoking, heavy meals, or highly spiced meals close to your bedtime. ● Use sedatives only under the guidance of your physician. Notify Our Office If ● 50 You experience excessive daytime tiredness with frequent naps. Sleep disturbances may be subtle. Copyright © 2005 by WB Saunders Company. qxd 01/07/05 12:17 PM Page 51 Insomnia Patient and Caregiver’s Guide General Information Insomnia is not exclusive to elderly patients, but it is a common accompaniment of the aging process.
There are also elaborate programs and devices to control or promote exposure to light to attempt to speed the body clock’s adjustment. These may be fun to try and are harmless. Call Our Office If ● ● You are planning a long trip over multiple time zones and wish to avoid or diminish the problem of jet lag. You are planning a long trip over many time zones and are concerned about the timing of your medications. Copyright © 2005 by WB Saunders Company. qxd 01/07/05 12:18 PM Page 63 Falls and Instability Patient and Caregiver’s Guide General Information Falls are a major cause of both disability and death in senior citizens.
These toe caps are designed to provide traction as the athlete pushes forward at a run. They also tend to catch in carpet pile and may prompt a spill. This is a particular problem with patients who have difficulty picking up their feet as they walk and, as a result, they shuffle. Copyright © 2005 by WB Saunders Company. qxd 01/07/05 12:18 PM Page 66 Shoes designed for walking as exercise often offer the best balance of a sole designed for nonslip traction without lugs or caps that trip you up. Lace-up shoes will permit a careful adjustment for a snug but not restrictive fit.