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Sleep Disorder, Shift Work

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Shift work disorder (SWD), classified as a circadian rhythm sleep disorder, is caused by a misalignment between the internal circadian rhythm and the required sleep–wake schedule due...

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
Morrissette DA. Twisting the night away: a review of the neurobiology, genetics, diagnosis, and treatment of shift work disorder. CNS Spectr.  2013;18(Suppl 1):45–54. [View Abstract o...

ADDITIONAL READING

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, increased fatigue, decreased alertness, cognitive decrements, increased injury and accident rates, reproductive problems, and incr...

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