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I will answer with the presumption that your patient is hospitalised. A good history is necessary to determine the cause of the insomnia; and take a full set of observations. If your patient is comfortable, has adequate prescribed analgesia for any pain and you can allay any anxiety; they should sleep. Try all non invasive methods such as gentle heat packs, repositioning and a warm caffeine free beverage can be soothing (if fluids are allowed). When nothing else works and you cannot identify any common causes for the insomnia, report your findings to the Medical Officer for further assessment. Short term sleeping tablets for patients are at the discretion of the Medical Officer.

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