Skip to main content

Sleep Disorder, Shift Work

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • The human system relies on a circadian rhythm coordinated by the suprachiasmatic nucleus (SCN), an endogenous clock in the hypothalamus that links the nervous system to the endocrine...

DIAGNOSIS

Primarily a clinical diagnosis. There are some useful diagnostic aids. 

HISTORY

  • A careful history is critical. Assess for difficulty falling asleep, staying asleep, or nonrestorative sleep.

  • Not...

TREATMENT

  • The only therapeutic modality recommended by the American Academy of Sleep Medicine is planned (prescribed) sleep schedules (6)[C].

  • Other commonly used strategies include sleep hygiene optimi...

ONGOING CARE

PATIENT EDUCATION

  • Discuss sleep hygiene and optimizing the sleep environment.

  • Shift workers who need to sleep in the daytime should ensure a cool, dark, and quiet sleep environment.

  • Reserve ...

REFERENCES

1
Stevens RG, Hansen J, Costa G, et al. Considerations of circadian impact for defining “shift work” in cancer studies: IARC Working Group Report. Occup Environ Med.  2011;68(2):154–162...

ADDITIONAL READING

  • Sack RL, Auckley D, Auger RR, et al. Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders. An American Academy of Sleep Medicine review. Slee...

CODES

ICD10

G47.26 Circadian rhythm sleep disorder, shift work type 

ICD9

327.36 Circadian rhythm sleep disorder, shift work type 

SNOMED

  • 192000006 Work shift change (disorder)

  • 3745000 sleep-wake schedule d...

CLINICAL PEARLS

  • SWD is associated with shortened and disturbed sleep, fatigue, decreased alertness, cognitive decrements, increased injuries and accidents, reproductive problems, and risks to cardiova...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×