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39 Cards in this Set
- Front
- Back
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chronic inability to sleep or remain asleep during the usual sleep period?
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Insomnia
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dream period, paralysis of muscles and therefore cannot act out dreams?
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REM(rapid eye movement)
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difficulty maintaining/initiating sleep for at least one month not due to a mental d/o or substance abuse?
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Primary insomnia
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Name the 3 ways sleep can be assessed?
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1.self report(7-8hrs,good,avg)
2.behavioral-alertness 3.a Polysomnograph-sleep EEG |
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Sleep can be changed by?
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1.behavioral(depression)
2.situaltional/developmental: (work,weather,stress,exercise 3.Physiological:meds,REM rebound, |
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difficulty initiating/maintaining sleep or excessive sleepiness?
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Dyssomnias
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prolonged or excessive sleep that interferes with function?
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hypersomnia
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absence of breathing,:occurs 200-300x/nt, snoring,feels tired during day, dx via EEG, tx with Bipap?
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OSA
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brief episodes of deep sleep?
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Narcolepsy
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sudden collapse of muscle tone associated with intense emotion?
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Cataplexy
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sense of being unable to move after waking or at sleep onset?
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Sleep paralysis
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dreamlike images that appear before sleep onset?
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Hypnagogic hallucinations
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Name causes of circadian rhythm sleep d/o?
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-jet lag
-shift work |
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programmed to stay up late and sleep late?
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delayed sleep phase
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early evening sleepiness and early awakening?
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advanced sleep phase
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leg jerking causing awakening?
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Periodic limb movement d/o
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inability to get back to sleep without eating or drinking?
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Nocturnal eating/drinking syndrome
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abnormal sleep disorders that intrude into sleep including diorders of arousal and sleep stage transition?
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Parasomnias
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(sleep walking)-ensure safety
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somnambulism
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Person recalls dream, client is a/o when awaken?
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Nightmares
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arousal of ANS(HR,RR,sweating,No dream assoc,confused,not oriented?
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Sleep terrors: do not wake up
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teeth grinding)see dentist?
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sleep bruxism
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(bed wetting)?
How is it treated? |
1.Sleep enuresis
2.DDAVP,immipramine or behavioral method |
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1.When do parasomnia most often occur?
2.when do they decrease? 3.Can they reoccur and why? |
1.childhood & adolescence
2.with age 3.yes, due to stress |
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Client with psychoses how is sleep affected?
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Decreased REM
Frightening hallucinations |
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Client with mood d/o how is sleep affected?
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antidepressants suppress REM
depression either decrease or increases sleep mania decrease sleep without complaint |
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Client with anxiety d/o how is sleep affected?
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insomnia, usually difficulty falling asleep(worries before bedtime)
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Client with panic d/o how is sleep affected?
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sudden awakenings
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Client with PTSD how is sleep affected?
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nightmares
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What medical condition cause sleep d/o?
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Dementia:sundowning(agitated,verbal and restless as nighttime approaches)
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What substance can induce sleep d/o?
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Anxiolytics
caffeine cocaine ETOH Hypnotics |
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Physiologic theory about sleep d/o?
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Higher core body temp and increased vasoconstriction at HS lead to insomnia also increased HR and met rate
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Psychological theory about sleep d/o?
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anxiety
cognitive arousal racing thoughts grief loss birth of new baby |
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Environmental condition theory about sleep d/o?
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bedroom: negative stimulus
memories of boyfriend/spouse |
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Explain Sleep d/o nursing process?
ASSESSMENT: |
# HRS of sleep/night
hx of insomnia contributory factors disturbances and relaxation techniques attempted |
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Explain sleep d/o nursing process:
PLANNING/INTERVENTION? |
normalize sleep schedule
relaxation techniques education reduce stimulation and stimulants |
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Excessive sleepiness?
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Hypersomnia
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Explain the Nsg process for hypersomnia:
Assessment: |
1.apnea & restlessness(ask bed partner)
determine ETOH use Encourage to keep sleep log |
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Explain the NSg process for hypersomnia:
planning/intervention? |
1.Referral
2.tx mental/physical d/o 3.safety(loss of concentration 4.schedule 5.daylight/environmental cues |
