If a patient can't sleep...there may be a reason!

We were sent this simple, but extremely sensible advice from two Registered General Nurses in the Midlands.

Many patients struggle to sleep well in the unfamiliar surroundings of a ward. They are highly likely to be anxious and the noise, smells, light and the thought that they are surrounded by other strangers, sometimes whilst being in pain or discomfort, are all extremely good reasons for staying awake.

If you are the relative of a patient who cannot communicate their needs, tell the staff anything that you feel may be helpful. Enforce the message by writing the information in bold letters on the notice board above the bed. Many people regularly wake in the night and simply need a few sips of water. They may be hungry if, through surgery or a procedure, they have missed a meal. They may be frightened and will benefit from a nurse reassuring them or simply holding their hand. Or they may be in pain and requiring a dose of their regular painkillers from the chart. Or, of course, they may simply need a bedpan, commode or to help to visit the bathroom.

Nurses also need to be aware that their conversation or noisy shoes can wake patients. Some hospitals around the world have very strict rules about footwear at night.