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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

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


depression and sleep are.....

highly correlated


major depression are most strong correlated

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



nursing interventions to promote sleep and interventions

massage


aroma therapy


yoga


soothing & comfort


ask if they need to go to the bathroom


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




sarcopenia


(affect mobility)

loss of muscle mass, strength and function

gait changes and decreased ROM

standing, base narrows, less arm swing, more body sway, slower responses, more cautious, decreased ability to get self right

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

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

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

Falls can be an indicator of.....

an M.I


fall & cough- could be pneumonia or infection



risk falls assessments

morse falls scale


hendrich 11


home safety check list

fall reduction measures

raised toilet seat


bars


make toilet seat different color


hip protectors


proper lighting


anti slip shoes


adequate proteins and fluids

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

alternatives to restraints

toileting regimes


unmet needs


good sleep


help with less confusion


try not to switch their room


alarms bed & chair