Screening |
Children’s Sleep Habits Questionnaire (CSHQ)17
|
Assessment Common etiologies to consider |
Poor sleep hygiene18
Restless leg syndrome19
Sleep apnea18
|
In addition to presymptomatic etiologies:
Gastrointestinal dysmotility5
Pain and spasticity6
Dysautonomia5
Circadian rhythm disorders20
Exaggerated myoclonic jerks6,21
Environmental factors: nighttime nursing care,
feedings, and suctioning22
|
Tools |
Sleep journal/diary18
Test ferritin levels19
Sleep study23
|
In addition to presymptomatic tools:
|
Management |
Sleep hygiene counseling24
Treat any contributing medical/environmental factors18
Behavioral interventions to improve sleep18
Consider medication/supplements: melatonin first,
avoid polypharmacy when possible25,26
Take advantage of sedating side effects of
medications indicated for other symptoms27
|