Healthcare providers have a significantly higher risk of migraine than the general population, and nurses have the highest migraine risk of all HCPs, according to a nationwide, population-based cohort study in The Journal of Headache and Pain. Emotional stress, heavy workloads and rotating night shift sleep disturbances are among the biggest risk factors.
“Nurses and physician assistants are under unique stressors when it comes to their own health,” Noah Rosen, MD, Director of Northwell Health’s Headache Center in Great Neck, NY, tells Florence Health. “Often they will skip meals or drink less in order to cut down on bathroom breaks, both of which can be triggers for migraines. Shift work, with aberrant sleep, can also be a significant stressor.”
Likewise, the researchers indicate that night shifts may result in sleep deprivation, poor quality sleep and difficulty falling asleep, and epidemiological data of nurses show that working more than eight night shifts significantly increases the risk of migraine.
A migraine attack can happen at any time. Some 113 million workdays are lost each year in the U.S due to migraine, and some 90 percent of individuals who live with migraine say they simply can’t function at work once the pain settles in. If migraines are affecting your ability to care for your patients, consider these points.
Always eat breakfast
Of course, you’re rushed! But fasting or skipping meals can trigger a migraine due to alterations in your blood glucose levels. Plan to eat a high-protein breakfast, try to skip the high-carbohydrate meals and schedule snacks during your workday. Simply sneaking in a piece of fruit in between patients could help.
Stay well hydrated
To avoid getting dehydrated, drink at least eight ounces of water several times a day. While caffeine may seem to help the pain, it can also create withdrawal symptoms, so try to limit your intake of caffeinated beverages.
Rethink your schedule to create time for yourself
Ensure that sleep, meals, hydration and stress reduction techniques are built into your daily schedule, says Dr. Rosen. “Using break time is important: hydrate, meditate or take a walk,” he suggests. “These can be very effective at preventing migraine.”
Consider your workplace environment
Since environmental factors can cause migraine, take a look around your workplace. Bright light can trigger migraine, so if possible, avoid fluorescent lighting. If you have your own office, see if you can get a lamp with an incandescent bulb instead. Since strong smells can trigger symptoms, you may need to have a respectful conversation with a co-worker who uses strong-smelling aftershave or perfume.
Be aware of early symptoms
Some people notice symptoms of their migraine before the pain starts, Dr. Rosen emphasizes. “This is called the prodrome, and it can include yawning, a change in your level of energy, mood changes and hunger,” he says. “This awareness can be helpful to prepare you for a migraine and so you can try to limit other triggers.”
Talk to your supervisor
If you think migraine attacks are hindering your ability to function at work, it’s time to talk with your supervisor about getting some support. You may be covered under the Americans with Disabilities Act (ADA), which protects employees who have hidden or episodic disabilities, such as migraine. The Department of Labor’s Job Accommodation Network describes the ADA and explains how to request certain accommodations. Under Title 1, for example, you may request and secure certain reasonable accommodations at work. This could mean working in an environment where you have less exposure to chemical odors or requesting an alternate assignment or flex time. Be aware that if migraine “substantially limits one or more major life activities,” you may be covered under the ADA.
- Higher migraine risk in healthcare professionals than in general population: a nationwide population-based cohort study in Taiwan. The Journal of Headache and Pain.
- Migraine at Work. American Migraine Foundation.
- What to do When a Migraine Comes Out of Nowhere and You Are at Work. American Migraine Foundation.
- Managing Headaches in the Workplace. National Headache Foundation.
- Excusing Yourself During a Migraine Attack. American Migraine Foundation.