Shift Work Disorder
Recognizing and Managing Shift Work Disorder, an Underdiagnosed Condition: Improving Quality of Life
CME Information
Learning Objectives
Upon completion of this activity, participants should be better able to
- Recognize the role of circadian rhythms in sleep/wake function
- Identify the risks and comorbid conditions associated with shift work disorder
- Utilize screening questions and diagnostic tools to improve the identification and diagnosis of shift work disorder
- Implement management strategies for patients with shift work disorder that optimize sleep, alertness, and circadian rhythm alignment
- Utilize techniques to provide patient education about improving quality of life with effective management
Overview
Nearly 18% of the U.S. labor force works alternative hours that place individuals at risk for shift work disorder. Although this circadian rhythm disorder poses serious risks to the patient’s functioning, health, safety, and quality of life, it is largely undiagnosed and undertreated. Excessive sleepiness, lack of alertness and/or insomnia in shift work disorder affect work performance, cause errors on the job, and are associated with a higher risk for injuries and accidents and missed family and social activities. Patients with shift work disorder also are at increased risk for GI disorders, cardiovascular and metabolic dysfunction, heart disease, stroke, and cancer. Management includes using bright lights during awake hours to combat drowsiness, medication for excessive sleepiness or insomnia, and proper sleep/wake hygiene measures. Clinicians can motivate their patients by explaining that effective management of shift work disorder equals improved overall quality of life.
Published on October 4, 2011
None