Sleep And Rest Ch.33

Front 1

Is a condition in which the body is inactive or engaging in mild activity, after which the person feels refreshed

Back 1

Rest

Front 2

Is a cyclically occuring state fo decreased motor activity and perception

Back 2

Sleep

Front 3

Why do we need to sleep

Back 3

sleep and rest are essential for physical, mental, and spiritual well-being

Front 4

How much sleep do we need?

Back 4

vary widely among individuals even though the accepted standard has been 8 hrs. per night for adults, there is no correct amt.. or pattern of sleep that maintains well being in all people

Front 5

Newborns sleep how many hours?

Back 5

as much as 16-20hrs.

Front 6

what are the benefits of sleep?

Back 6

promotes healing,
decreases physical demands,
decreases psychological demands,
protects body functions,
conserves energy, and
physiological and physchological restoration

Front 7

This is described as a cyclical psysiological process, it alternates w/ longer periods of wakefulness, and influences physiological function and behavioral response

Back 7

Sleep

Front 8

Describe the circadian rhythm in sleep?

Back 8

24hr; day/night cycle,
influence bilogical and behavioral functions,
different people fuction best at different times of the day, "morning person vs night person",
Hospitals usually do not adapt care to an individual's sleep wake cycle,
can be difficult for client's to be well rested, and hospital routines often interrupt sleep

Front 9

What is the physiology of sleep?

Back 9

REM=Rapid Eye MOvement
4 stages of Non-REM sleep,
1 stage of REM sleep

Front 10

how manystages are there for the sleep cycle?

Back 10

there are four stage

Front 11

This stage is non-Rem and is lightest level of sleep,
lasts a few minutes,
person is easily aroused

Back 11

Stage I:Non-REM

Front 12

This stage is the period of sound sleep, lasts 10-20 min., arousal is still relatively easy

Back 12

Stage II: Non-REM

Front 13

This stage is the initial stages of deep sleep, lasts 15-30min., sleeper is difficult to arouse

Back 13

Stage III: Non-rem

Front 14

This stage is the deepest of sleep, lasts 15-30min., very difficult to arouse sleeper

Back 14

Stage IV: Non-REM

Front 15

This is when the dreaming occrs, usually begins about 90 min. after sleep has begun, the duration increases w/ each cycle and averages 20min., very difficult to arouse sleeper, and restores and rests the body

Back 15

REM Sleep

Front 16

What are the sleep requirements for the neonate?

Back 16

average 16 hrs.

Front 17

What are the sleep requirements for the adolescent

Back 17

average 7.5-9 hrs.

Front 18

What are the sleep requirements for the adult

Back 18

average 6-8.5hrs

Front 19

In reference to the adult what happens to their sleeping patterns

Back 19

quality of sleep tends to decrease,
stage 4 Non-REM sleep decreases or is eliminated,
awaken more often during the night,
may take more time to fall asleep.

Front 20

What are the factors affecting the quality and quantity of sleep?

Back 20

sleep habit and routines,
illnessess,
medication,
alcohol and stimulants,
lifestyle habits,
psychological stress and emotional disturbances,
caffeine-difficulty falling asleep and frequently awakens during the night,
environmental factors,
moderate fatigue,
wt.-wt. gain may increase the length of sleep and wt. loss may shorten or fragmaent sleep,
altered hormonal levels may increase or decrease the length of sleep

Front 21

What are some types of sleep disturbances

Back 21

Insomnia,
Parasomnias,
Narcolepsy,
Sleep apneas,
Obstructive,and
Central

Front 22

what is the most common sleep disorder?

Back 22

insomnia

Front 23

this type of sleep disturbance includes:
SIDS, somnambulism, nocturnal enuresis, night terrors, and bruxism

Back 23

Parasomnias

Front 24

this type of sleep disturbance includes:
CNS disorder, sudden sleep attacks in waking periods, and falling asleep several times throughout the day

Back 24

Narcolepsy

Front 25

this type of sleep disturbance includes:
Lack of airflow through the nose/mouth for periods of 10 sec. or longer during sleep

Back 25

sleep apneas

Front 26

this type of sleep disturbance includes:
This is the most common form where the upper airway becomes blocked.

Back 26

Obstructive

Front 27

this type of sleep disturbance includes:
Dysfunction in the brain's respiratory center

Back 27

Central

Front 28

What are some behaviors of sleep deprivation?

Back 28

irritability, slurred speech, disorientation, decreased reasoning, deteriorated mental status, psychotic behaviors, decreased motivation, increased sensitivity to pain, and stressful attitude.

Front 29

How would you assess the pt. in reference to their sleep patterns?

Back 29

determine the client's current sleep pattern,
if sleep is adequate, assessment is brief,
sleep is subjective,
how did you sleep last night?,
review factors affecting the client's sleep,\
evaluate the client's response to sleep disturbance

Front 30

What is an example of a nursing diagnosis in ref. to sleep?

Back 30

Sleep pattern disturbances related to:
pain, urinary frequency, nausea, incontinence, stress/anxiety, nightmares, sensory overload
*anxiety
*coping, ineffective (family or individual)
*fear
*hopelessness
*diarrhea
*urinary incontinence

Front 31

What would you plan in ref to a sleep diagnosis?

Back 31

select nursing interventions that will promote sleep,
Involve sleep partner as needed,
Plan activities that promote rest/sleep

Front 32

What are some possible implemenation in ref to sleep?

Back 32

environmental controls,
bedtime rituals,
control symptoms which disturb sleep,
techniques to promote comfort,
interventions which maintain psychological well-being and reduce stress,
routines,
medications,and
client teaching

Front 33

What is the evaluation in ref to sleep?

Back 33

return to client's usual sleeping pattern,
minimal sleep deprivation symptoms,
client's knowledge of ways to promote sleep,and
ask client if expectations of care are being met.

Front 34

Describe ICU-itis

Back 34

constant RTC stimulation
Monitors beeping, suction, vents, lights, people, activity,
Unable to differentiate between night and day,
and can become psychotic in behavior.