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Sleep Assessment

Parents referred by Dr __ regarding sleep
Current age of child:

ASSESSMENT:
Sleep Location:
Bedtime:
Description of sleep routine:
Time sleep achieved/Time it takes to fall asleep:
Sleep aids (breast/bottle, rocking, pacifier, parent present):
Morning wake time:
Number of Night wakings: 
Will he or she fall back to sleep in their own bed?  
How long does it take to fall back to sleep?  
Does child need to get up to go to the bathroom at night?  
Does your child wet the bed?  
Does your child snore? 

Does child use screens before bedtime?  
How long before bedtime does child turn off their screen?  

Does child nap?  
Does child wake up feeling refreshed? 
Does child fall asleep at school?  

Does your child drink caffeinated beverages?  
Does your child take any medications to help them sleep? 
 
Parents: 

  1. How are you affected by your child’s sleep/night time wakings? 
  2. Do you feel anxiety or depression? 
  3. Do you use any alcohol or drugs? 
Plan/Teaching: 
-need for age-appropriate sleep discussed
  • 4-12 months: 12-16
  • 1-2 years: 11-14
  • 3-5 years: 10-13
  • 6-12 years: 9-12
  • 13-18 years: 8-10
  • The more a child sleeps, the more they will sleep  
  • Those who fall asleep on their own have better sleep  
  • Sleep improves when parent involvement decreases 
  • RISK: if there is no sleep consolidation by 18 months research shows there are behavior challenges, emotional disturbances, decrease in cognitive performance & language skills (measured at 3.5 yrs); obesity 
-routine is key! Help them develop self-soothing skills 
-child might be upset with changes at first but it's to consistently stick with it 
-if they are still taking a bottle before bed, swap it to water
-swap the bottle for a snack or cup of milk OUTSIDE of bedroom, then brush teeth, follow routine.  
 
If they get out of bed: then silently return your toddler to bed each time they get out. What you are teaching them is that their behaviour is not being rewarded by a response from you. 

Resources:
https://www.verywellfamily.com/how-to-get-your-child-to-stop-sleeping-in-your-bed-1094985 
 
http://sleeptightsolutions.com/getting-your-baby-to-sleep-might-not-be-rocket-science/ 
 
Rewards System: https://www.verywellfamily.com/how-to-create-a-reward-system-for-kids-that-works-1094752 
 
Co sleeping: 
https://www.verywellfamily.com/co-sleeping-with-a-toddler-4157986 
https://www.healthline.com/health/parenting/co-sleeping-with-toddlers#takeaway 
 
https://www.babysleep.com/sleep-advice/month-16/ 

Marc Weissbluth book