271.docx – Running Head: UNIT 6 DQ RESPONSES Evidence-Based Practice Unit 6: Discussion and Responses Course: NU671-8H: Clinical Decision-Making Herzing

UNIT 6 DQ RESPONSES 2Evidence-Based PracticeThe first two diagnoses in the presented case study are insomnia and alcohol use. This is not a surprising fact that majority of those patients who have insomnia are addicted to alcoholism. Some people consume alcohol at night to unwind or help them feel drowsy and while alcohol can act as a sedative that slows down brain activity. The research suggests alcohol consumption generally has a negative impact on sleep quality and between 35 and 70% of individuals who use alcohol have insomnia.Treatment Plan for InsomniaDiagnostic TestingThere is no specific test to diagnose insomnia. The healthcare providers perform a physical exam and ask questions to learn more about sleep problems and symptoms. The key information for the diagnosis of insomnia is reviewing patients’ sleep history. Actigraphy can help in diagnosing insomnia but insomnia questionnaires are more effective in making diagnosis,identification of sleep apnea, and other types of sleep disorders. Blood tests are also recommended to take a sample of blood to test for thyroid disease, low iron levels, or other conditions that can cause sleep problems.Therapeutic PlanTrazodone 50 mg daily at bedtime is recommended. Trazodone is an effective drug whichis recommended for primary (difficulty in falling asleep or maintaining the sleep cycle) as well as secondary insomnia (insomnia caused by a mental disorder). According to the study of Jaffer et al. (2017) evidence for the efficacy of trazodone has been repeatedly demonstrated for primaryinsomnia as well as secondary insomnia including for symptoms that are a result of depression and dementia. The study has also mentioned that Trazodone in low doses (50 to 150 mg/day)