Implementing Routine Insomnia Screening in a Primary Care Clinic

Implementing Routine Insomnia
Screening in a Primary Care
Clinic

Background and Significance
 Healthy sleep is crucial for the physical health and mental wellbeing of
an individual.
 Insomnia is a disease related to sleep affecting about 10- 30 % of the
population (Bhaskar et al., 2016)
 One of the risk factor for insomnia is age and increases after
menopause.
 Some of the adverse health effects of insomnia includes impairment in
the decision making capacity, lack of concentration in work, increasing
chance or accidents, reduction in the quality of life (Bhaskar et al.,
2016).

Background and Significance
 Chronic insomnia causes functional impairments in patients, psychological and the
cognitive issues.
 It increase the health care utilization, thus increasing the health care costs associated
with care utilization.
 An appropriate sleep cycle is necessary for the appropriate functioning of brain. Some of
the comorbidities includes hypoxemia, gastro- esophageal reflux disease and dyspnea.
 About 40 million Americans have chronic insomnia, and another 20 million people have
episodic insomnia, with an estimated cost of 16 billion dollars in medical care (Reeve &
Bailes, 2010).
 Similar results has been show by a study among the Indian workers, which showed that
13.8 % of people suffered from insomnia of which about 96 .5% of the population went
undiagnosed.

Purpose of the project
 The screening of insomnia is not good enough for several reasons.
 The reason involves failure of the patients to disclose their symptoms
properly, absence of routine screening about insomnia , or tendency of
the patients to self treat, before diagnosing the symptoms (Gagnon et
al., 2013).
 Primary care providers are often consulted for sleep disorders , Hence ,
the primary care providers should have an efficient and the systematic
screening system. Efficient and consistent assessment for insomnia
should take place during the visit (Gagnon et al., 2013).

Purpose of the project
 Aim of the project: To implement a routine screening of insomnia in
primary care clinic and reducing the rate of the missed diagnosis of
insomnia.
 Routined diagnosis of insomnia will close any gap left in the insomnia
screening.

Purpose of the project
 Family Health Care and Wellness Center (SFHWC) is a primary health
care clinic and a project site, where routine assessment of insomnia is
not conducted.
 A proposal was provided by the Doctor of Nursing (DNP) student for this
projects , which was received in a positive manner and permission to
carry on with the project is granted.
 A routine screening of insomnia was completed by using the Insomnia
Severity Index (ISI) questionnaire.