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19 Cards in this Set
- Front
- Back
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Three states of being?
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Wake, REM sleep and NREM sleep
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sleep History?
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BEARS: Bedtime, Escessive daytime sleeping, Awakenings, Regularity, Snoring
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Sleep onset association disorders?
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Child needs a certain environment to sleep
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Limited setting sleep disorder?
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Most common in 2-6 y/o, prolonged sleep latency
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Adjustment sleep disorder?
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After stressful event, may be anxiety disorder
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Circadian rhythm disorder
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from suprachiasmotic nucleui, sleep phase delay or advanced sleep phase, can manipulate with light
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Transient insomnia?
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<2 weeks
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Intermittant insomnia?
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Repetitive episodes of traansient insomnia
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Chronic insomnia?
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at least 6 months
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Etiology of insomnia?
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Medical, Psychiatric(affective disorder, anxiety, schizo, personality, somatiform), drugs(tobacco, alcohol), primary sleep disorder, circadian
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Primary sleep disorder?
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Psychophysiologic insomnia (traumatic experience and sleeps better away from home), sleep state misperception, inadequate sleep hygiene, circadian rhythm, restless leg symdrome
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Estrogen effects on REM?
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Estrogen increases REM sleep
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Progesterone effects on REM?
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Benzo-like effect, sedating
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Sleep and menstration?
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More sleep complaints in late luteal phase
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PMS and sleep
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daytime sleepiness, sleep onset, maintains insomnia
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Percentage of elderly who have insomnia?
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50%
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Gender insomnia in elderly?
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F>M
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Risk factos for insomia with elderly?
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Depression, respiratory symptoms, disability, fair to poor health, Widowed
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Benzos for insomnia?
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Hypnotics, cognative dysfunction and tolerance
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