A 78 year old male reports difficulty falling asleep for ove…
A 78 year old male reports difficulty falling asleep for over a month, waking multiple times during the night, and feeling tired during the day. He lives alone, has chronic knee pain, and drinks two glasses of wine before bed. Medications: lisinopril, acetaminophen PRN, zolpidem Sleep diary: bedtime 9 PM, wakes at 6 AM, naps twice daily. Select all cues from the scenario that indicate factors contributing to insomnia.