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16 Cards in this Set
- Front
- Back
age related sleep changes |
time to fall asleep increases less time in stage 3 and 4, less restorative sleep less time in REM sleep total sleep time and efficiency are reduced circadian rhythm changes- go to bed earlier & get up earlier longer to fall asleep |
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factors correlated with insomnia are: |
4 or more medical conditions female gender use of psychotropic drugs
Insomnia is prevalent issue that is often underdiagnosed
Females more likely to have sleep problems
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depression and sleep are..... |
highly correlated major depression are most strong correlated |
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Sleep Apnea |
Sleep Apnea: repetitive cessation of respiration for greater than 10 seconds
Symptoms include snoring, frequent wakening, daytime fatigue, headache, impaired memory and irritability
Older adults at risk because of decreased strength and elasticity of upper airway muscles
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nursing interventions to promote sleep and interventions |
massage aroma therapy yoga soothing & comfort ask if they need to go to the bathroom
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sleep hygiene |
exercise (not 4 hrs before bed) bath (stimulates body temp dropping) tapes playing ocean waves and waterfall lavender 30 mins of sun a day bed for sleep and sex only
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sarcopenia (affect mobility) |
loss of muscle mass, strength and function |
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gait changes and decreased ROM |
standing, base narrows, less arm swing, more body sway, slower responses, more cautious, decreased ability to get self right |
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why is physical mobility so important |
one of the most important factors for healthy aging inactivity contributes to a multitude of physical and mental issues and impaired functional ability |
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What is the leading cause of deaths of people over 65 |
falls are the leading cause of death for people over 65 40% of falls of seniors are hip fractures falls can lead to a fear of falling 18-30% die within a year of a hip fracture |
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falls risk factor |
new environment risk of falls increases in a new environment glossy floors clutter wet surfaces electric cords throw rugs side rails & restraints care giver not responding to needs in a timely fashion call bell unavailable |
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Falls can be an indicator of..... |
an M.I fall & cough- could be pneumonia or infection
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risk falls assessments |
morse falls scale hendrich 11 home safety check list |
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fall reduction measures |
raised toilet seat bars make toilet seat different color hip protectors proper lighting anti slip shoes adequate proteins and fluids |
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restraints and appropriate alternatives for safety promotion |
includes side rails, seat belts will not prevent falls and can cause serious harm asphyxiation is the most common restraint related death pros must outweigh the cons drugs |
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alternatives to restraints |
toileting regimes unmet needs good sleep help with less confusion try not to switch their room alarms bed & chair
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