BROOKE HARBOR HEALTH SYSTEM INTRANET ALL TRAINING SYSTEMS OPERATIONAL
BH

Brooke Harbor Health System

PMHNP Clinical Learning Environment

TRAINING ENVIRONMENTFictional educational health system · No real patient data

Clinical setting · BH-SLP

Sleep Medicine

Evaluation and treatment of sleep complaints through integrated psychiatric, behavioral, medication, circadian, and medical assessment.

Care setting overview

Sleep Medicine

BH-SLP

Evaluation and treatment of sleep complaints through integrated psychiatric, behavioral, medication, circadian, and medical assessment.

Care model
Interdisciplinary sleep evaluation and treatment
Typical pace
Scheduled assessment with sleep diaries, behavioral treatment, testing, and longitudinal response review
Population
Patients with insomnia, hypersomnolence, circadian disruption, parasomnias, sleep-related breathing or movement concerns, and psychiatric-sleep overlap

Common presentations

  • Chronic insomnia, circadian rhythm disruption, hypersomnolence, and irregular sleep schedules
  • Possible obstructive sleep apnea, restless legs, parasomnias, or medication-related sleep disturbance
  • Sleep disruption associated with mood, anxiety, trauma-related, psychotic, substance-related, or neurocognitive conditions

PMHNP priorities

  • Define the sleep pattern, schedule, environment, daytime effects, and treatment target
  • Identify breathing, movement, neurologic, medical, medication, and substance contributors
  • Use behavioral treatment when indicated and refer for sleep testing or specialty evaluation based on the clinical question

Care team

PMHNPs, sleep physicians, behavioral sleep clinicians, pulmonologists, neurologists, respiratory therapists, psychologists, pharmacists, primary care clinicians, and sleep technologists