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It's Not Too Late: Insomnia Research and Palliative Care

Department of Nursing, School of Health and Environment, University of Massachusetts–Lowell; Hospice of the North Shore, Danvers, Massachusetts; todd_hultman{at}uml.edu

The purpose of palliative care is to alleviate noxious symptoms and promote quality of life in patients and families facing life-threatening illness. Although research in palliative care has made advances in evidenced-based practice, research into sleep disturbances in the context of advanced disease has remained very limited. This research deficit is critical given that sleep disturbance can have a significant impact on quality of life. The purpose of this article is to explore relationships between sleep disturbance and palliative care as reflected in the literature. From this perspective, the author concludes with issues of relevance to nursing care of patients with advanced disease.

Key Words: palliative care • insomnia • sleep disturbance • advanced disease

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