Abstract
Abstract Insomnia is a significant health problem often ineffectively managed in primary care. Patients should be briefly screened for sleep issues at every visit. Insomnia management focuses on patient education in nonpharmacologic treatments including sleep hygiene, sleep restriction, stimulus control, relaxation techniques, mindfulness practices, and cognitive therapies. Hypnotics should be used appropriately and sparingly. No single treatment is fully effective; each patient will require a unique blend of treatments for maximal effectiveness. Nurse practitioners should work closely with patients to find the best mix of modalities for them.
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