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Case Study 1: Mr. Martinez Has Insomnia Mr. Martinez is a 45-year-old adult male of Hispanic descent with high cholesterol and high blood pressure. He is overweight and smokes cigarettes. He works at a construction company. When Mr. Martinez presented to the clinic, he said he was worried about his risk of having a heart attack and dying young like his father. When taking Mr. Martinez’s history, you learn that he suffers from insomnia. You take a general health, sleep, and medication history. You also perform a mental status exam. Based on his history, your examination of him, and his negative history of sedative medications, you decide to explore his insomnia further. You give him a sleep diary to track how long it takes him to fall asleep, how often he wakes, and how long he is awake. Mr. Martinez returns in a month with several nights of his sleep diary completed. He also provides you with information about his sleep hygiene (sleep habits and environment). The data he provides indicate possible chronic insomnia. It is unclear if his apparent insomnia is caused by a separate health condition (secondary insomnia) or if it is its own disorder (primary insomnia). Following
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HEALTH SCIENCE
NURSING

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