Which statement best describes nonpharmacologic approaches to sleep disturbances at end of life?

• A. Pharmacologic options should be used first to ensure rest.
• B. Wait until daytime to sleep to adjust circadian rhythm.
• C. Use pharmacologic sleep aids as first resort.
• D. Sleep hygiene, relaxation techniques, consistent schedules, environment optimization; reserve pharmacologic options for refractoriness.

Answer: (C)