By Gregory Stores

ISBN-10: 0511040571

ISBN-13: 9780511040573

ISBN-10: 0521653983

ISBN-13: 9780521653985

Sleep disturbances are usual difficulties that reason nice misery to victims and their households. they're implicated in numerous difficulties, from negative academic functionality or disturbed habit to injuries or different actual difficulties. but, there isn't any updated, entire, one-stop resource of knowledge for clinicians bearing on sleep problems in teens. normally, examine into sleep issues has ordinarily happened inside of separate, unconnected clinical disciplines, often related to adults. As sleep disturbances are linked to severe illnesses, opting for and treating the matter early is vital for stable long term overall healthiness and health and wellbeing. Gregory shops addresses this want with a cross-disciplinary evaluate of accessible medical info and coverings, illustrated by means of real instances. This publication might be crucial examining for all pros keen on baby healthcare from infancy to early life, and also will be valuable to common readers trying to find up to date details and references.

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Detailed information is also needed about the following aspects: ( The child’s 24-hour sleep–wake schedule (Table 5), bearing in mind the possibility of variation from one day to another and diVerences between weekdays and weekends. The evening meal is a useful starting-point, followed by preparation for and timing of bedtime; time and process of getting to sleep; events during the night disturbing the continuity of sleep (including their nature and timing); what happens if the child wakens or is disturbed at night; time and ease of waking up and getting up (spontaneous or induced waking); level of alertness, mental state and behaviour during the day; daytime naps; mealtimes and other daytime activities.

Most children between about 5 years of age and puberty sleep particularly soundly and are very alert during the day. Various conditions which cause excessive daytime sleepiness in adults may not have this eVect in children of this age because of their high level of alertness (although overnight sleep may become longer). In contrast, many adolescents are sleepy during the day. Their amount of SWS becomes proportionately less than at an earlier age, the timing of their sleep phase may be physiologically delayed and, with the onset of puberty, sleep requirements do not continue to decrease as they had steadily done so throughout earlier development.

Past and present treatment for the sleep problem and their eVects, including exact methods used, for how long and who was involved. Detailed information is also needed about the following aspects: ( The child’s 24-hour sleep–wake schedule (Table 5), bearing in mind the possibility of variation from one day to another and diVerences between weekdays and weekends. The evening meal is a useful starting-point, followed by preparation for and timing of bedtime; time and process of getting to sleep; events during the night disturbing the continuity of sleep (including their nature and timing); what happens if the child wakens or is disturbed at night; time and ease of waking up and getting up (spontaneous or induced waking); level of alertness, mental state and behaviour during the day; daytime naps; mealtimes and other daytime activities.

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A Clinical Guide to Sleep Disorders in Children and Adolescents by Gregory Stores


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