Agenda du sommeil - version anglaise

Agenda du sommeil - version anglaise

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2

pages

English

Documents

Lire un extrait

Lire un extrait

Obtenez un accès à la bibliothèque pour le consulter en ligne En savoir plus

Publié par

haute-autorite-sante

Nombre de lectures

141

Licence :

Langue

English

Publié par

haute-autorite-sante

Licence :

Langue

English

Your sleep diary

Start filling out the 1stline D1 with your doctor

Last name:

First name:

Date: .. /

../ ..

M.S. took ½ ZOLPIDEM, went to bed at 7.30 p.m., fell asleep at 9 p.m. after watching TV, slept until 7 a.m., with sleep interrupted by waking between midnight and 1 a.m. M.S. went back to bed for a nap at 1.30 p.m. and slept from 3 to 4 p.m. and then got up. The quality of sleep and wellness were poor.

Sleep-inducing medication

Name of medication

..

. ....

Write down what you have taken each night to help you sleep in the “medication column

Time spent in bed or sleeping (night, daytime nap)

Mark with an “X: - the time you went to bed - the time you got up

Show the time spent asleep by shading the box:

Quality of sleep and wellness during the day

Note the quality of sleep and wellness during the day using: G poor= good P = VG = very good VP = very poor

..