Luke, a 71 year old male, presents to his PCP office for his annual check

Luke, a 71 year old male, presents to his PCP office for his annual check up. Luke mentions he goes to sleep at 9:30 PM and wakes up at 4:45 AM every morning. He wishes he could sleep later into the morning, as he previously did in his 20’s. He denies daytime sleepiness or changes in function related to his sleep complaint. Which of the following would the clinician consider when addressing Luke’s concern? • Educate Luke that his total sleep time is adequate and he is experiencing an age-dependent shift in the timing of the sleep period. • All of these should be done. • Consider adding Trazodone 25mg PO QHS. • Add Insomnia Disorder and begin non-pharmacological measures for sleep.

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