19 sleep MS

  1. –State of mental and physical relaxation and calmness
  2. –State of altered consciousness during which person has:
    •Minimal physical activity
    •Changes in level of consciousness
    •Slowing of physiologic processes
  3. •Stages of sleep identified by
    EEG patterns, eye movements, and muscle activity
  4. •Sequence of sleep begins with
    four stages of NREM sleep followed by first REM sleep
  5. •Duration of sleep cycle usually
    60 to 90 minutes
  6. •Sleeper generally goes through ______cycles during sleep period of ______
    Sleeper generally goes through 4 to 6 cycles during sleep period of 7 to 8 hours
  7. •Internal mechanism in living organism capable of measuring time
    •Controls daily variations in hundreds of physiologic processes
    biological clock
  8. •Difficulty falling asleep or staying asleep
    –Medical problems

    •Treatment best focused on modifying causal factors or behaviors
  9. •Characterized by excessive sleep
    –Especially during daytime
    •Causes can be physical or psychological
    •Treat to address underlying cause
  10. NO CURE
    •Sudden, irresistible urge to fall asleep during daytime
    •Can occur during conversation or while driving
    •Lasts a few seconds to 30 minutes or more
  11. –Sudden loss of muscle tone without loss of consciousness
    –Person may fall
  12. narcolepsy Symptoms may be controlled with:
    • –Scheduled daytime naps
    • –Waking at same time
    • –Avoiding caffeine, food, and alcohol after 8 p.m.
  13. –Period of not breathing during sleep following period of loud snoring
    –May cause excessive daytime sleepiness
    –Can increase risk of heart attack or stroke
    sleep apnea
  14. sleep apnea tX
    • –Nasal continuous positive airway pressure (CPAP) device
    • –Dental appliances that reposition tongue
    • –Surgery
  15. •Prolonged inadequate quality and quantity of sleep
    •Can result from age, hospitalization, drug and substance use, illness, and frequent changes in lifestyle patterns
    •Most effective intervention:
    –Treat or minimize causal factors
    sleep deprivation
  16. •Disorders that intrude on sleep in very active ways
    –Sleep terrors

    •Disorders that intrude on sleep in very active ways
    –REM movement disorder
    •Teeth grindingTreatment varies
  17. teeth grinding
  18. •Tingling or crawling in muscles
    •Twitching, burning, prickling, or deep aching in foot, calf, or upper leg when at rest
    •May be decreased by avoiding or reducing smoking, caffeine, and alcohol
    •Symptoms may be relieved by opiates, benzodiazepines, or L-dopa
  19. •Rapid, chaotic eating when partially or fully awake with variable recall of episode
    •Clients gain weight with only moderate daytime eating, are not hungry in morning, and are chronically tired
Card Set
19 sleep MS
19 MS