Hot Flashes and Sleepless Nights

Credit

Speaker

Tara Harding, DNP, FNP-C Related seminars and products

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Tara Harding, DNP, FNP-C, is a family nurse practitioner who specializes in women’s health, operating Simply You Wellness Clinic with patients worldwide. Dr. Harding’s expertise includes treatment for PMDD/PMS, endometriosis, miscarriage, infertility, PCOS, and more. She empowers her patients to become partners in their health journey, supporting them as they navigate the path to optimal health and well-being.

Additionally, Dr. Harding has drawn from her own personal women’s health challenges to leverage her knowledge to help patients. As a result, her unique and successful approach to healthcare is the foundation for the podcast that she hosts, Hopeful Hints: An Infertility Podcast.

Dr. Harding received her master’s and doctorate degree from George Washington University and has received an additional certification through the American Society of Reproductive Medicine.

Speaker Disclosures:
Financial: Tara Harding is the owner of Simply You Wellness and has employment relationships with South Central Health and Ashley Medical Center. Tara Harding receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Tara Harding is a member of the American Society of Reproductive Medicine, the North Dakota Nurse Practitioners Association, the American Nurses Association and North Dakota Nurses Association, and the American Association of Colleges of Nursing.

 

Additional Info

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Objectives

1. Differentiate vasomotor symptoms (VMS) from other common causes of night waking (e.g., thyroid dysfunction, sleep apnea, restless legs) using patient history, symptom diaries, and clinical red flags.
2. Formulate individualized treatment plans for hot flashes and night sweats by integrating FDA-approved non-hormonal therapy (Fezolinetant), hormone therapy, off-label pharmacologics, and evidence-based lifestyle or behavioral strategies.
3. Apply patient-centered counseling scripts and practical movement/environmental strategies to improve sleep quality, reduce fatigue, and increase adherence to treatment plans in menopausal patients.
4. Implement exercise and movement-based interventions) e.g, aerobic and resistance training, cooling strategies, pacing techniques) to support thermoregulation, reduce hot flash severity, and enhance sleep quality in menopausal patients.

Outline

Stop Guessing: What's Really Driving Night Sweats

• The physiology behind VMS: estrogen withdrawal, hypothalamic instability, and neurotransmitter pathways
• Standardized assessment tools: HFRDIS, Menopause Rating Scale, symptom diaries
• Rule out look-alikes: thyroid dysfunction, sleep apnea, restless legs

The Nighttime Playbook: Getting Patients Back to Sleep

• Cooling strategies, dietary triggers, and environmental modifications
• Exercise as intervention: aerobic, resistance, and mind-body approaches
• Why symptoms may worsen before improving—and how to counsel through it

Mind-Body Interventions That Actually Work

• Paced respiration: technique, implementation, and clinical evidence
• CBT for menopause: cognitive restructuring and behavioral strategies
• MBSR, progressive muscle relaxation, and guided imagery

Non-Hormonal Pharmacologic Options

• Fezolinetant (Veozah): mechanism, efficacy, dosing, and monitoring
• Traditional options: paroxetine, venlafaxine, gabapentin—when to use each
• Supplements and botanicals: what works, what doesn't

Putting It All Together

• Treatment algorithm: lifestyle → non-hormonal pharmacologics → HRT if appropriate
• Monitoring timeline and red flags
• Insurance navigation and patient education strategies

Target Audience

• Chiropractors
• Nurse Practitioners
• Nurses
• Physical Therapists
• Physician Assistants
• Physicians
• Other healthcare professionals.