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  • Self-Assessment And Sleep Hygiene

    SleepWell® Program

    Week 2

    Image of man smiling.

    Review Your Current Sleep Habits

    Review your SleepWell® Tracker from the previous week. Complete the “Sleep Trends” chart in your tracker. At this point, you may not know what needs to change. This section explores the following:

    1. Self-assessment of sleep quality, including your sleep environment and lifestyle habits

    2. Sleep hygiene and creating an environment that promotes sleep

    3. Goal-setting and planning successful changes

    SleepWell® Program

    QUICK LINKS: WEEK 2

    Self-Assessment of Sleep Quality

    Avoid Drowsy Driving

    How Much Sleep Do I Need?

    Plan Your Sleep Environment

    Sensory Factors

    Blue Light & Electronics

    Plan to Promote Sleep: Eating and Exercise

    Effects of Caffeine, Nicotine and Alcohol

    Medication and Sleep Aids

    Set Goals

    Improve Sleep Step-by-Step

    Create “If, Then” Plans

    Review and Prepare

    © American Institute for Preventive Medicine

  • Review & Prepare 5

    SleepWell® Program

    Week 2

    Image of women on computer.

    Answer the following.

    *  How did your sleep this week compare to the first week?

    *  What changes did you made to my sleep environment?

    *  What changes did you make to your eating habits?

    *  What Changes did you make to your exercise habits?

    *  What changes will you continue?

    *  What is one S.M.A.R.T. goal you have for next week?

    © American Institute for Preventive Medicine

  • Getting Started

    SleepWell® Program

    Week 1

    Image of women writing and on her laptop.

    Starting today, complete the SleepWell® Tracker for seven full days. Answer the questions and fill in the charts.

    SleepWell® Program

    QUICK LINKS: WEEK 1

    Keep a Sleep Journal

    Why Sleep Enhancement is Important

    When You Don’t Get Enough Sleep

    A Dangerous “Solution” to Busy Lives

    Basics of Sleep

    Insomnia

    Circadian Rhythm, Sleep Drive & Shift Work

    Approaching a Lifestyle Change

    Review and Prepare

    © American Institute for Preventive Medicine

  • Review & Prepare 4

    SleepWell® Program

    Week 1

    Image of sleeping mask, pillow, clock, and pajamas.

    Complete the following.

    *  Why I am concerned about my sleep?

    *  What I think is the biggest challenge with my sleep: (e.g. not being able to fall asleep or stay asleep, waking up often, not feeling refreshed when I wake up)?

    *  Could any medical issues or medications be causing my sleep problems? (If you answered yes to this question, talk with your doctor about your sleep issues.)

    © American Institute for Preventive Medicine

  • Trouble Staying Asleep

    SleepWell® Program

    Week 3

    Image of bucket filled with books.

    What should I do when I wake up in the middle of the night or wake up too early in the morning?

    If you can’t go back to sleep within 10-15 minutes, get out of bed. Go to another room and sit in the dark or do an activity in dim light. After  20 minutes, go back to bed.

    *  Read a book, magazine, or newspaper.

    *  Knit, crochet, braid yarn, or practice tying knots.

    *  Sit in dim, not bright, light.

    *  Work on jigsaw or crosswords puzzles or play cards.

    *  Avoid using a computer, tablet, or smartphone screen. The light from the screen can make you feel alert.

    Create a basket of items to prepare for times you may wake up during the night. This can include a big sweater, blanket, slippers, a book, or other items that are listed above. If you can’t fall back asleep after 10-15 minutes, take the basket to another room and do one of your activities.

    Do not associate your bed with being awake.

    © American Institute for Preventive Medicine

  • How To Talk About Your Sleep Improvements

    SleepWell® Program

    Week 6

    Image of happy couple talking while drinking coffee.

    Others may notice you have more energy during the day. They may know it is because you are sleeping better and changing other lifestyle factors. As with any personal change, how much you talk about it is up to you.

    When you talk about changes you have made, use “I messages.” An “I message” starts with “I” and expresses a feeling.

    Examples:

    *  I think dimming the lights before bed helped me to be more ready for sleep.

    *  I decided to improve my sleep habits so I could be a safer driver.

    Avoid using the word “you” to tell someone else what will work for him or her. Avoid telling someone else why he or she should improve their sleep. This can lead to defensive and negative feelings, even if you are trying to help.

    What worked for you may not work for someone else. Everyone needs to find what works for him or her. If someone has experienced sleep problems for more than three weeks, it is important for him or her to seek a doctor’s advice.

    If someone you care about is also working to improve their sleep, you can help in the following ways:

    *  Model healthy lifestyle behaviors like eating fruits and vegetables and exercising regularly.

    *  Help with driving, childcare, chores, etc.

    *  Practice healthy ways to manage stress.

    *  Plan times together to be physically active. Go for a walk outside or at a mall.

    *  Plan times together to relax. Picnic at the park, watch a movie together, or just sit and talk about your day.

    © American Institute for Preventive Medicine

  • Take A Step Back

    SleepWell® Program

    Week 4

    Image of man thinking about a problem at his computer.

    Step back and look at your worries from an outsider’s point of view. Imagine how others might handle these issues. You can also use this technique to look at your job or family duties.

    Ask yourself these questions:

    *  What can I expect of myself in this situation?

    *  Are my expectations realistic, given my abilities, strengths, and weaknesses?

    *  What do others expect of me?

    *  What ideas would others have for me?  When you imagine how someone else might respond to a situation, you may actually come up with helpful ideas!

    © American Institute for Preventive Medicine

  • Sweet Slumber

    Sleep Well

    Dream catcher.

    A good night’s sleep repairs your body and recharges your brain. Getting enough quality sleep is essential to your physical health and emotional well-being. Without it, you’re at risk for chronic disease, problems thinking, mental health issues, and obesity. If you’re not getting enough sleep, even 1-2 hours more per night can make a difference in your day-to-day functioning.

    The right amount of good quality sleep (7 to 9 hours for most adults) helps you be your best self.

    © American Institute for Preventive Medicine

  • Summary

    SleepWell® Program

    Week 6

    Image of women sleeping.

    Continue to make sleep a priority. Assess your energy and make adjustments to your lifestyle and sleep habits as needed. Practice relaxation and stress management techniques.

    Return to each week’s activities and suggestions regularly. The more tools you use, the more you will understand what works for you. Improving your sleep takes self-discovery and patience. Going back and spending time on a previous week’s activities may help you.

    Reflect on your experience.

    Complete the following.

    *  Ways my sleep improved since starting the SleepWell® program.

    *  Changes I think are having the biggest impact on my sleep.

    *  In what areas do I still need to make changes? These can be in my sleep environment, lifestyle behaviors, stress management, communication with others, or another factor that affects my sleep.

    © American Institute for Preventive Medicine

  • Stress & Sleep

    SleepWell® Program

    Week 4

    Image of women sitting in bed and touching her forhead.

    Stress is linked to more than 50 percent of all sleep-related problems. You face stressors daily. Common examples are work and family demands, traffic jams, and health problems. Some stress helps you to be more productive. Too much or chronic stress can cause damage to your body. High stress levels can cause, or worsen, many health issues. These include heart disease, diabetes, obesity, depression, gastrointestinal problems, muscle problems, headaches, and   back pain.

    Your Body’s Response to Stress

    *  Heart rate and breathing speed up.

    *  Blood pressure rises.

    *  Blood moves to major muscles.

    *  Muscles tense.

    *  Sweating occurs.

    *  Blood sugar increases to supply the body with energy.

    *  Brain waves increase. You feel more alert and may have racing thoughts.

    *  Stress hormones (cortisol and adrenaline) increase. Adrenaline makes you feel “on edge” and amped up.

    Cortisol is one of the hormones released when you are stressed. Cortisol increases your appetite, especially for sugar and starchy carbohydrates. Consuming these foods in large amounts promotes belly fat, high blood pressure, and diabetes. During sleep, your body attempts to repair the damage caused by stress. Sleep lowers cortisol (a stress hormone) and raises growth hormone (a repair hormone).

    Without enough sleep, levels of cortisol in the body stay high. High cortisol levels keep the body alert, increase blood pressure, and continue to damage cells. This raises the risk for cardiovascular disease and stroke. You may feel like you are in a state of hyper-alertness. Even if you fall asleep, your brain does not enter deep sleep. When you wake, you do not feel rested.

    When you do not get enough sleep, you are less able to cope with stress. Improving the length and quality of your sleep is one of the most effective stress management techniques.

    © American Institute for Preventive Medicine