Night shift factory worker at routine surveillance reports persistent fatigue, daytime sleep difficulty, weight gain since starting nights six months

Question

Night shift factory worker at routine surveillance reports persistent fatigue, daytime sleep difficulty, weight gain since starting nights six months ago. What is the most appropriate management?

Accepted Answer

Assess for shift work sleep disorder, advise on sleep hygiene and circadian adaptation, consider fitness for continued nights

Answer

Prescribe melatonin and continue nights

Answer

Refer for sleep study for OSA

Answer

Transfer to day shifts immediately

Answer

Reassure symptoms are normal and will resolve

Shift work sleep disorder — DOccMed MCQ

Night shift factory worker at routine surveillance reports persistent fatigue, daytime sleep difficulty, weight gain since starting nights six months ago. What is the most appropriate management?