![]() An assessment of bilateral acute otitis media without indication of type (serous, suppurative, or in a disease classified elsewhere) would support code H66.93 (otitis media, unspecified, bilateral). All rights reserved.Answer: Each of the above documentation elements is important to fully identify the nature of the otitis media – answer E. From where did I get access to this article (can be more than one option) Internet search Pamphlets/ souvenirs of Castle Peak Hospital Family and friends Patients’ support group Health care staff OthersĬopyright © 2023 Hospital Authority. I am a Service user/ patient Carer of a service user/ patient OthersĨ. Your comments are most welcome for our continuous improvement.Ħ. We would like to hear feedback from you through the questionnaire below. Thank you for browsing the mental health tips on the IMH internet. Websites with relevant information / Reference If the above methods (sleep hygiene) cannot help you to have a good sleep, you may need to consult a doctor. Avoid staying in bed during the daytime.No matter the quality of sleep the previous night was, wake up at a particular time the next morning.Repeat the above if waking up for more than 20 minutes in the middle of night.If sleep does not occur 20 minutes after going to bed, wake up and go to bed again if you feel sleepy again.Do not read, watch television, listen to music while in bed.Can consider writing the things down and arrange time to do them again the next day If having things unfinished or problems unresolved before sleep, do not think about them again and again.Apart from sleeping, do not stay in bed.Relaxing activities including listening to soft music, reading books, doing relaxation exercises and having a warm bath can help to promote sleep.Avoid drinking too much water and avoid drinking coffee or tea or alcohol before sleep.Avoid being too hungry or too full before sleep.Drink a cup of warm milk can help to promote sleep.A comfortable sleeping environment including comfortable bed sheet and pillow, a quiet and dim environment, an appropriate room temperature are all important for sleep.Do more exercises but avoid rigorous exercises just before sleep.Decrease the time spent in daytime sleep/ nap. ![]() Sleep hygiene can help to fight against insomnia: This is common in people suffering from endogenous depression. This phenomenon occurs for more than 3 nights per week and the sufferer feels tired, sleepy, moody, and irritable during daytime. The sufferer wakes up 1 to 2 hours earlier than his/ her usual wake up time and could not fall asleep again. The sufferer still feels tired when wakes up, as if he/ she has not slept the previous night. The sufferer has intermittent, shallow sleep. This is common in people having anxiety disorders. The sufferer will become anxious, restless and worried. The sufferer has difficulty in getting off to sleep while in bed and needs more than 30 minutes for sleep onset. Insomnia can be broadly divided into 4 types: Sleeping problems bring about distress in the sufferer and affect his/ her daily livingĭifferent researchers and studies define insomnia in different ways.Thinking of the effect of insomnia throughout the day. ![]() Sleeping problems occur at least 3 nights per week and, last for at least 1 month.Difficulty in getting off to sleep and the maintenance of sleep and unsatisfactory sleep quality.On the other hand, ICD-10 of the World Health Organization defines insomnia as follows: Sleeping problems bring about anxiety, tiredness, and worries or resulted in deterioration of work function and role damage. ![]() Sleeping problems persist for more than 1 month 2. According to DSM-IV of the American Psychiatric Association, there are two major criteria in diagnosing sleep disorders: 1.
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