ONS

PEP Topics

  • Anorexia
  • Anxiety
  • Caregiver Strain and Burden
  • Chemotherapy-Induced Nausea and Vomiting
    • Chemotherapy-Induced Nausea and Vomiting—Adult
    • Chemotherapy-Induced Nausea and Vomiting—Pediatric
  • Cognitive Impairment
  • Constipation
  • Depression
  • Diarrhea
    • Chemotherapy-Induced Diarrhea
    • Immunotherapy-Induced Diarrhea
    • Radiation-Induced Diarrhea
  • Dyspnea
  • Fatigue
  • Hot Flashes
  • Lymphedema
  • Mucositis
  • Pain
    • Acute Pain
    • Breakthrough Pain
    • Chronic Pain
    • Refractory/Intractable Pain
  • Peripheral Neuropathy
  • Prevention of Bleeding
  • Prevention of Infection
    • Prevention of Infection: General
    • Prevention of Infection: Transplant
  • Radiodermatitis
  • Skin Reactions
  • Sleep-Wake Disturbances

Sleep-wake disturbances are actual or perceived changes in night sleep with resulting daytime impairment. There are a number of demographic-, lifestyle-, environment-, disease-, and treatment-related factors that can increase the risk of sleeping problems in patients with cancer, including symptoms such as pain, nausea, anxiety, depression, and hot flashes. Sleep-wake disturbances have been reported in 30%–75% of people with cancer.

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This topic was updated on March 10, 2017.

Recommended for Practice

  • Cognitive Behavioral Interventions/Approach

Likely to Be Effective

  • Exercise
  • Mindfulness Based Stress Reduction

Effectiveness Not Established

  • Acupressure
  • Acupuncture/Electroacupuncture
  • Body-Mind-Spirit Therapy/Qigong
  • Bryophyllum pinnatum
  • Cat's Claw (Uncaria tomentosa, Uncaria guianesis)
  • Cranial Stimulation
  • EEG Biofeedback
  • Expressive Writing/Emotional Disclosure/Journaling
  • Footbath
  • Ginseng
  • Guarana (Paullinia cupana)
  • Guided Imagery/Imagery
  • Haptotherapy
  • Healing Touch
  • Kefir
  • Massage/Aromatherapy Massage
  • Meditation
  • Melatonin
  • Mirtazapine
  • Modafinil/Armodafinil
  • Multicomponent Rehabilitative Intervention
  • Opioids--Interventions for Pain Management
  • Palliative Care
  • Paroxetine
  • Pregabalin
  • Progressive Muscle Relaxation (PMR)
  • Progressive Muscle Relaxation and Guided Imagery
  • Psychoeducation/Psychoeducational Interventions
  • Quetiapine
  • Relaxation and Visual Imagery
  • Relaxation Therapy
  • Stellate Ganglion Block
  • Support Group
  • Trazodone
  • Valerian
  • Venlafaxine
  • Withania Somnifera
  • Yoga
  • Zolpidem
Print Intervention Listing

2017 Authors

Ann M. Berger, PhD, APRN, AOCNS®, FAAN, Grace Dean, RN, PhD, Jeanne M. Erickson, PhD, RN, AOCN®, Ellyn E. Matthews, PhD, RN, AOCNS®, CBSM, Julie L. Otte, PhD, RN, OCN®, Margaretta S. Page, RN, MS, and Catherine Vena, PhD, RN

ONS Staff: Margaret M. Irwin, PhD, RN, MN, Christine M. Maloney, BA, Kerri A. Moriarty, MLS, and Mark Vrabel, MLS, AHIP, ELS

 

2006–2016 Authors

Ann M. Berger, PhD, APRN, AOCNS®, FAAN, Grace Dean, RN, PhD, Genevieve Antoinette Desaulniers, BSN, RN, Jeanne M. Erickson, PhD, RN, AOCN®, Lauran B. Johnson, RN, MSN, Ellyn E. Matthews, PhD, RN, AOCNS®, CBSM, Julie L. Otte, PhD, RN, OCN®, Margaretta S. Page, RN, MS, and Catherine Vena, PhD, RN

ONS Staff: Linda H. Eaton, MN, RN, AOCN®, Margaret M. Irwin, PhD, RN, MN, Christine M. Maloney, BA, Kerri A. Moriarty, MLS, and Mark Vrabel, MLS, AHIP, ELS

About This Topic

Sleep-Wake Disturbances Search Strategy
CJON 2018 article - Sleep-Wake Disturbance: A Systematic Review of Evidence-Based Interventions

Other Resources

Internal Links:

Assessment Tools
Helpful Hints: Cognitive-Behavioral (CB) Approach for Sleep/Wake Disturbance
What to do About Trouble Sleeping