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rest/sleep/comfort/hygiene
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What % of US adults report insufficient sleep?
25%
Sleep is necessary to: (4)
1. fight off infection
2. support the metabolism of sugar to prevent diabetes
3.perform well in school
4. work effectively and safely
Sleep disorders and sleep deprivation increase the risks for: (4)
1. Heart disease
2. High blood pressure
3. Obesity
4. Diabetes
REM
Rapid eye movement
blood pressure down heart rate up
NREM
Non-rapid eye movement
How many stages are in NREM?
4 stages (I,!!,III,IV)
Stage I and II of REM
5% to 50 % of sleep, light sleep
head bobbing, could touch you and wake you up
Stage III and IV
10% of sleep, deep-sleep states (delta sleep)
dreaming/hard to arouse
How much sleep should adults, newborns, preschool age kids, school aged kids/teenagers get a night?
Adults: 7-8 hours
Newborns:16-18 hours
Preschool age kids:10-12 hours
School aged/teenagers: 9 hours
Factors affecting sleep
-Developmental considerations
-Motivation
-Culture
-Lifestyle and habits
-Physical activity and exercise
-Dietary habits
-Environmental factors
-Psychological Stress
-IllnessMedications
Common Sleep Disorders:
·Insomnia
·Narcolepsy
·Sleep apnea
·Restless leg syndrome
·Sleep deprivation
·Parasomnias
What medication is used to treat ADHD is also used to treat narcolepsy?
Adderall
Parasomnias
-Sleep Walking
-Sleep Talking
-Bed Wetting
-Bruxism
-Nocturnal Erections
Bruxism
teeth grinding
Nocturnal erections
wake the patient and ask if they need to go to the restroom
Elements of a Sleep History When a Sleep Disturbance is Noted
·Nature of the problem
·Its cause
·The related signs and symptoms
·When it first began and how often it occurs
·How it affects everyday living
·The severity of the problem and whether it can be treated by nursing
·Patient coping patterns/ success of treatments
Sleep History
-sleep-wake patterns
-effects on daily activities
-presence of sleep disturbances
-use of sleep aides
Sleep Diary/Log
A sleep diary or log provides more specific data on the patient’s sleep-wakefulness patterns over a long period.
Physical Assessment with Sleep Disorder
-decreased energy levels
-facial signs
-behavioral characteristics
-physical data
-mental changes
Sleep Pattern Disturbance (problem)
◦Physical discomfort
◦Exercise just before sleep
◦Physical illness
◦Changes in bedtime rituals
Sleep Pattern Disturbance (etiology)
◦Altered Sleep-Wake Patterns
◦Anxiety r/t inability to fall asleep
◦Activity Intolerance r/t sleep deprivation
◦Fatigue r/t insomnia
Author
Anonymous
ID
101409
Card Set
rest/sleep/comfort/hygiene
Description
rest/sleep/comfort/hygiene
Updated
2011-09-13T05:16:01Z
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