You are on page 1of 1

MR D 34 YO MALE

Etiology : Bad Sleep Hygiene NP= Sleep hygiene education

Watching Tv, Take a bath Exercise Late Dinner Work late Talk About Problem Hangout
Playing video game with cold water At Midnight

Core body temperature Orexin, BMR,


Light Exposure Dopamine,
(Thermoregulation) Noradrenaline, Metabolism
Endorphine
Dopamine,
Cortisol

SCN stimulated
STRESS

Pineal
VLPO
Gland
Activation
Activity Cortisol

Melatonin GABA Orexin

ARAS O
L
Inhibition P
I
D
E
M

RAS Activation

Hyperarousal state
and alertness

D= Primary Insomnia

Difficulty in Initiating Sleep Difficulty in Maintaining Sleep

Energy Conservation Amygdala


activation
Daytime Fatigue
Ad vitam : Ad Bonam Worried when Thinking
Ad Functionam: Ad bonam About sleep problem
Looks Sleepy

You might also like