Monday 21 June 2010

Mr Sandman Bring Me A Dream: Insomnia (Part II): Sleep Hygiene

Oh how I hated the hygiene seminars at work (Infection Control being the fancy schmancy name they gave it in the hospital).  Every year I sat through the same mind numbing Power Point presentation.  Rubbed the same goop on my hands.  Washed them.  Had the magical blue light waved over my hands.  And, shock horror, still had goop stuck in the cracks in my dry old lady corpse hands.   Mind you it was a lot less goop than the first timers who looked like they had simply waved their hands in the vicinity of the bathroom.  We IC veterans would sit back all cocky and laugh, "Ha Ha", at their poor hand washing skills (yes, yes, we had it all over Scrubs with our hospital humour).  The IC nurse would tutt tutt at us all, then give us a mini chocolate bar and send us on our way.

Pink Avaguard bottles decorated the wards.  Essentially paint stripper, we bathed our hands in it pre and post-patient.  No wonder we had cracked hands, the damn stuff sucked the moisture from your skin until you were left with nothing but desiccated stumps where your fingers used to be.  Scrub, glove and gown, disposable this and disposable that.

Mind you despite the IC crusades, our hospital still managed to have one of the worst gastro outbreaks in the states history.  The air was filled with a miasma of hospital grade bleach and foetid bodily excretions, that couldn't quite be covered by the nuclear powered air freshener that was pumped out almost continually for the length of the outbreak.  Staff fell one by one to the foul khaki beast.  No patients were admitted for three weeks.  The wards soon resembled a ghost town.  It was brilliant. I got paid to see no patients and pretty much drink coffee and catch up on my reading (see even back in the day I was silver lining girl).  Moral of the story though: Hygiene is important people, or the whole world (or a small Australian public hospital) literally goes to shit.

(This does not constitute good hygiene practices)

Similarly hygiene is important with regard to sleep.  Are you a dirty sleeper?  Do you fail to clean in all the right sleepy places?  Is soap anathema in your life?  Then you need Sleep Hygiene. 

All sleep programs start with learning and implementing Sleep Hygiene practices.  It's like starting Bob treatments with increased salt and water.  It's not necessarily a cure all, but it will give you the best fighting chance to start fixing sleep issues.  And lets face it anything that doesn't involve taking yet another pill is always a good thing.  Basically Sleep Hygiene involves changing and managing the behaviours that revolve around sleep.  So break out that big bottle of behaviour bleach and get scrubbing, there's some learning to be had.

  • It Begins at the Beginning: It starts when you get up.  Shocking I know. Who'd of thunk that sleep hygiene starts first thing in the morning.  Our bodies like routine.  When you break that routine it can takes days or even weeks to get back into the normal swing of things.  It's why shift work can be so detrimental to sleep.  Essentially you need to get up and go to bed at the same time each day, day after day.  This sets your body into a routine where 9pm roles around and it already knows it's wind down time.

  • Good Morning Sunshine: As soon as you get up go to your window and pull open the curtains or step outside into the sunshine/light.   Light is powerful.  One of the treatments for Seasonal Affective Disorder (SAD) is light therapy, in the form of a light box. The increased light triggers off chemicals in the brain and body which say "hey buddy wake up, NOW". Personally I think this gives you a good excuse to sit outside and have a cup of coffee and tune out the world, kids, husbands, dogs etc for 10 mins.   A little sunshine, a cup of coffee and some me time can simply lift my mood.

  • Frankie Says Relax: Relaxation techniques are great to get your body in the mood.  Now I'm not talking nookie mood, though a little exercise can help you sleep, I'm talking sleep mood.  Learning some simple techniques such as Focused Breathing or Progressive Muscle Relaxation can work wonders to get your body in the right state to fall asleep.  Yoga and meditation are also good techniques to help you relax.  Mind you I do my yoga whilst listening to AC/DC so I don't know if that really counts but I find it quite soothing (What? You don't find Big Balls relaxing? What about rather humorous? Okay just me then).
  • Gone in 30 Seconds (Make That 20 Minutes): if after lying in bed for 20 mins you are still wide awake it's time to get up.  Go into another room, sit quietly, put on a soft light and read a book or listen to some airy whale song music.  Don't go in the lounge and turn on your favourite Death Metal tunes or play Death Kill Destroy Bloodbath III on your X-box.  The idea is to change your scenery, breathe, relax, and then try again.  

  • Your Bed is not the Location for a Small Imaginary Agricultural Enterprise:  Bed's should be used for one of two things.  Sleep or Sex.  Unfortunately most us, myself included, use the old tempurpedic as a laundry, home office, pet bed, library and general store all.  Personally I blame my lap top.  It's a foul temptress, drawing me to use it in bed with it's seductive mobility and perfect lap fittedness (okay so I don't know if that last one is a word, but it's my blog damn it, and I'll make up words and you can't do anything about it, so niki niki na na).  The problem with this is that your bed is no longer associated with blissful sleep or earth shattering, hanging from the chandelier sex that leaves you so blissfully exhausted you can't help but fall asleep.  You need to make you bed and bedroom into a blissful sleep haven, not be tending your imaginary corn field or taking a quiz to work out which Smallville character you are most like.

  • Siestas are the invention of Al Qeida:  If you sleep or nap during the day you might as well resign yourself to partying on down with 3am.  A short powernap for 20 mins can be great if you are struggling, but once you go over that you start to put your body clock out of whack again.  This is a hard one, especially when you have fatigue issues.  Sometimes despite my best efforts my body wins the fight and I simply nod off only to wake up two hours later with a sexy line of drool joining the corner of my mouth and my t-shirt.  I know then that the night ahead will not be filled with sweet dreams. 

  • Lets Get Physical: Exercise helps you sleep, but not if you are doing it at 10pm.  We should all exercise on a regular basis but no exercise within four hours of when you intend to go to sleep.  Mornings (HA! yeah right I can barely coordinate my body enough to brush my hair in the mornings) or afternoons are fine and shouldn't interfere with sleep.  So try your best to get a little exercise each day.

  • Rituals Aren't Just for The Obsessive Compulsive:  Rituals gets a bad rap.  But they aren't all satanic kitten sacrifices or checking your locks 1,000 times to prevent the destruction of the world, sometimes they are good things.  Part of the whole sleep hygiene process is teaching your body to identify sleep cues by developing a sleep ritual that you can do every night to get your body in the mood.  Have a warm bath, put on some soothing music, lower the lights, put some soothing oils in your oil burner, read a book, meditate, what ever takes your fancy.  Doing this every night, your body learns to recognise the signs for bed time. Think Pavlovs dogs, you're ringing the bell to make yourself salivate for sleep.

  • Margaritas Do Not Equal Sleep:  Caffeine, nicotine and alcohol are all bad for sleep and shouldn't be consumed within 4-6 hours of going to bed.  It's disappointing I know.  How can margaritas ever be anything but good.  They taste so yummy, come in flavours like strawberry or kiwi, presented in a cute salt rimmed glass, sometimes with an umbrella; it just feels wrong to say anything bad about them.   But the truth is if you partake of a few margaritas, beers, wine or any form of alcohol you're sleep pattern is going to take a hit.  You may initially go to sleep/pass out but your sleep will be fragmented.  Add to that some caffeine or nicotine and you might as well get used to sitting up all night watching infommercials and purchasing more ShamWows than you could ever use in six lifetimes.

  • Milk Moustaches Are Sexy:  if you have an empty stomach when you go to bed you'll wake up.  A little snack like a glass of milk will help you feel fuller, and contains the magical ingredient tryptophan, which is known to help you sleep.  Other tryptophan filled foods are turkey and lettuce.  So you could have a glass of milk and a turkey and lettuce sandwich, yummo.  
  • Feeling Hot Hot Hot:  temperature is also important in getting a good nights sleep.  Having a warm bath is relaxing but the drop in temperature when you get out is the actual signal for your body to get sleepy.  Dropping the temperature in your bedroom can help with dropping off to sleep.  It's hard to pick a good temperature as everyone is slightly different as to what is comfortable (eg my internal thermostat is set at Sahara Desert, so cool to me is about 4C).  In general 18 to 22C (65-72F) is about the right range for optimal sleep.  
  • Pimp My Bedroom: bedroom design is important.  Cluttered rooms make for poor sleeping environments.  Now whilst we can't all afford (or be bothered) to have a bedroom that looks like something from some boutique hotel and spa retreat, we can do some things to make the environment a bit more conducive to sleep.  Darkness is key.  Invest in some blackout curtains or a sexy sleeping mask.  Quiet is also a prerequisite.  If you live in a noisy area use some ear plugs or use a white noise machine.  If all else fails you can always invest in one of these.

Now, I'm not saying these tips will work for everyone (and I've probably missed a few vitally important ones).  Or that they are easy to implement in our busy days.  And just like Pantene, it wont happen over night, but it will happen.   Sometimes it can take as long as 6wks to get your body into the groove.  But it's a great starting point.  It's free.  And, if like me you are already the human maraca, it's a pill free option and that's always good.  Even if you require medication or take herbal remedies to sleep you should still add these tips into your sleep routine. 

Here's wishing all my nocturnal readers a good nights sleep.

(Image from here)

The Sort Of Sleeping Beauty Michelle :)

Whilst I find whale songs and new age music in general like nails on a chalk board, I do have a late night music selection which I crank out to relax.  One of my favs is by Australian band George, featuring the incredible vocals of Katie Noonan, Breathe in Now (2002).

From LYRICSMODE.COM lyrics archive


    1. Tried to leave a comment on part one, but blogspot was being tempermental. I'm so glad you mentioned the light snack, it really does help. When I was in an eating disorders support group, my nutritionist told me that I light snack would help my body stay asleep. She mentioned milk, bananas or a bowl of cereal. I do take sleeping meds, but I have noticed the light snack does improve my quality of sleep. Thanks for sharing.

    2. I can't get through my day with out a cup of coffee on my back porch in the morning. It doesn't matter what the weather.
      Now If can just convince my husband that 1-3 hour naps are the work of the devil, I'll be all set.

    3. Timing is impeccable, as always. I am "Non-Compliant," yet aGain and have stopped the rat-poison until the "Dust-Settles." This means the sleep-faking is over and I need to become a Hygienest once again and stick to my guns. Thank-you for the delightful combo of Laughter at our Plight, along with powerful Toxin-Free remedies for that Devastating... "Thief In The Night." Kate

    4. Michele - blogspot has been temperamental lately. The light snack thing is one most people don't think of. My dietician is a big fan of it to to keep glucose levels stable.

      Sarah - coffee is a beautiful thing. There's no point talking to me in the morning if I don't have a couple of cups. It was a hard decision to stop my afternoon one but it does help. But I still miss it. :( Good luck with the husband!

      Kate - I'm good for a while and then get slack. Case in point yesterday was a bad day so went back to bed in the afternoon, only to have my delightful husband come in and yell "hygiene" at me because he was so funny, and apparently cares, damnit! I may have to block him from my blog :)

    5. those red shoes on the header always make me smile when i log on. sleep at the mo im sleeping in the afternoon, something that ive not really done before but i guess my body needs it because im sleeping at night too.

      having a bath for me each night really calms me and my body down, i couldnt manage without it. x

    6. Too funny, Michelle!
      I am envious...

    7. Great post, and good info in there as well! The caffeine thing trips me up all the time, I have coffee or pop in the evening and then oops, not falling asleep so easy!

      And awesome Star Wars pic - love it!

    8. Em - glad you like the header. It makes me smile too. Some people can just sleep, so glad you are one of those. My sister can sleep anywhere anytime. She has never had an issue. I remember as kids she'd put her head on the pillow and be asleep in 2 secs and absolutely nothing woke her, and believe me as the annoying little sister I tried :)

      Anon - glad you liked it :)

      Brahm - I had to make a conscious decision about the coffee as I am addicted, I still miss having that extra cup at night.

      Is it possible to have a Star Wars pic that's not awesome! Star Wars ROCKS!!!

    9. Hi Michelle

      sleep deprivation makes me evil, good job I spend every day alone :>? I have very cold feet but have to have then outside the covers or I get overheated, weird! Also, I get overheated if I managed to drop off to sleep and then wake up, it seems to kick off my 'boil in the bag' feeling, same if i'm really tired and desperately need to sleep (but that usually means I can't get to sleep because i'm Too tired!-Bob's a real pain in the arris sometimes)

      Thanks for all the humour, really perks me up when i'm teed off with Dys.

      1. Sleep deprivation is horrible. I get hot at night or if I try to sleep too, go figure? I tend to just lie on top of the blankets now I've given up on being under even in winter. You're right bob is a real pain in the proverbial sometimes.


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