Final answer:
The patient's expression of sleep issues and signs of depression should prompt a thorough psychosocial and sleep hygiene assessment by a social worker, rather than immediately starting on sleep medication like diphenhydramine. The Beck short form can help evaluate her mental health status.
Step-by-step explanation:
Understanding Sleep Disorders and Support Strategies
The scenario described suggests that the patient is experiencing insomnia and potential depression after the death of her husband. According to the National Institute of Health, examining sleep hygiene is the first step in addressing sleeplessness. The symptoms described, such as an inability to find enjoyment in activities and the loss of social connections, alongside sleep troubles, indicate a need for a mental health assessment rather than just sleep medication.
Recommended Assessments and Treatments
Considering the patient's condition, starting with a recommendation for sleep hygiene improvements is advisable. However, the disclosure by the patient has prompted the nurse to involve a social worker, which is appropriate given the psychosocial components of the patient's condition. Approaching her situation holistically, the assessment on a Beck short form would be beneficial to evaluate for depression, while sleep aids like diphenhydramine at bedtime might be discouraged due to their potential for dependence and side effects.
In cases where individuals exhibit symptoms like profuse sweating, increased heart rate, and difficulty sleeping, it is important to consider a multifaceted approach that includes both medical and psychosocial assessments. Sleep deprivation can lead to serious health and cognitive issues, as highlighted in studies by Banks & Dinges and Williamson & Feyer. Therefore, a thorough evaluation before any recommendation for medication is crucial.