Doctor Discussion Guide

Most patients lack any real relationship with their healthcare provider, so an awkward dialogue takes place during most discussions in doctor’s offices. Here are the essential questions to be thinking about before going to your appointment, and questions to review with your healthcare provider to get the most out of the visit. Just select a condition in the box below and your prep list will appear below.

Sleep Discussion Guide

Written by eHealth Navigator Tuesday, 3 April 2012 5:54PM

Preparing for your initial visit with your healthcare professional may improve the discussion about your specific sleep problem and treatment options. This can help you and your healthcare professional decide if you need to treat your sleep problem and if a prescription treatment may be right for you. This discussion guide is not meant to be a diagnostic tool, it's simply a reference tool that helps you give information to your healthcare professional.

Simply print and mark your answers.

Bring the completed discussion guide with you when you see your healthcare professional.

About your difficulty sleeping
1. How much sleep are you getting each night?
a. 7-8 hours
b. 6-7 hours
c. less than 6 hours
d. other:

2. How long have you been experiencing trouble sleeping?
a. 1 week
b. 1 month
c. 3 months
d. 6 months
e. Other:

3. How often do you have trouble sleeping?
a. 1x a week
b. 2x a week
c. 3x a week or more
d. 1x per month
e. 2x per month
f. Other:

4. Are you having trouble falling asleep, staying asleep, or both?
a. Falling asleep
b. Staying asleep
c. Both
d. Other:

5. If you have trouble sleeping, how many times on average do you wake up in the middle of the night?
a. 1x
b. 2x
c. 3x
d. 4x
e. Other:

6. If you do wake up, for how long?
a. Hours
b. Minutes

7. Which of these are affected by your lack of sleep? (Check all that apply.)
a. Ability to concentrate
b. Job performance
c. Meeting the demands of life
e. Mood
f. Relationship with family and friends
g. Health
h. Other:

8. Share any of the following with your healthcare professional if they apply to you:
Recent life changes
Frequent travel for work
High level of stress or anxiety due to job, family, or some other cause

9. Share with your healthcare professional the steps you've taken to get a better night's sleep. From the list below, check off what you're doing (or have tried).
a. Reducing consumption of beverages with caffeine (coffee, tea, soft drinks)
b. Eating fewer spicy foods
c. Exercising (earlier in the day)
d. Smoking less/quitting
e. Limiting or eliminating naps

10. Your medical history (check all that apply)
a. Have a history of depression, mental illness, or suicidal thoughts
b. Have liver disease
c. Have a history of drug or alcohol abuse or addiction
d. Are pregnant, planning on becoming pregnant, or breast-feeding
e. Other:

11. What are some of the differences between prescription sleep medications and over-the-counter treatments?

12. What side effects can I expect from taking either an over-the-counter treatment or a prescription sleep medication?

13. How can I tell if I have serious sleep problems?


 

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