title: Sleep disturbance in Parkinson's disease: a human response to illness.
abstract: Parkinson's Disease (PD) is a progressive neurodegenerative movement disorder. Although PD is diagnosed and recognized by the associated motor symptoms, historically the associated non-motor symptoms have been clinically under-appreciated. One of the most distressing of the non-motor symptoms is a sleep-wake pattern disturbance, estimated to affect more than 60% of people living with PD. A review of the literature utilizing the Human Response to Illness Model as an organizing framework will facilitate a comprehensive understanding of the far-reaching impact of sleep disturbances in PD. The four concepts of the model, including the physiological, pathophysiological, experiential, and behavioural perspectives, provide a foundation for holistic insight into this issue. In turn, this will facilitate a greater understanding of the neuroscience nursing educational, interventional and research opportunities that can optimize an individual's adaptation to this response.
authors.affiliation: University of Manitoba, Faculty of Nursing, Manitoba, Canada. tamwells@shaw.ca
authors.forename: Tamara
authors.initials: T
authors.lastname: Wells
authors.forename: Jo-Ann V
authors.initials: JA
authors.lastname: Sawatzky
authors.forename: Diana E
authors.initials: DE
authors.lastname: McMillan
mesh_terms: D006801:Humans; D008954:Models, Biological; D016294:Models, Nursing; D008960:Models, Psychological; D024802:Nurse's Role; D010300:Parkinson Disease / Q000150:complications* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D010347:Patient Care Planning; D010353:Patient Education as Topic; D011788:Quality of Life / Q000523:psychology; D012307:Risk Factors; D012890:Sleep / Q000502:physiology; D012893:Sleep Wake Disorders / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control