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Rest And Sleep Pp


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Rest And Sleep Pp

  1. 1. Rest and Sleep: Foundations of Nursing Nursing 111 Foundations of Nursing Nancy Duphily
  2. 2. Rest and Sleep <ul><li>Rest: state in which motor/cognitive response decreased, awareness of environment maintained </li></ul><ul><li>Sleep: naturally occurring altered state of consciousness characterized by decreased awareness </li></ul><ul><li>and responsiveness to stimuli </li></ul>
  3. 3. Functions of Sleep <ul><li>Returns the body to its physiological and psychological state </li></ul><ul><li>Slows the functions of the body </li></ul><ul><li>Repairs epithelial and brain cells </li></ul><ul><li>Increases protein synthesis, cell division, tissue renewal </li></ul>
  4. 4. Functions of Sleep <ul><li>Helps the body to conserve energy (BMR decreases) </li></ul><ul><li>Increases oxygen, leading to increased cerebral blood flow, improved memory, </li></ul><ul><li>increased learning </li></ul><ul><li>Moral: Get sleep before a test! </li></ul>
  5. 5. Sleep Regulation <ul><li>Reticular Activating System (RAS) </li></ul><ul><li>Bulbar Synchronizing Region </li></ul>
  6. 6. Sleep Deprivation Symptoms <ul><li>Decreased reflexes,response time,judgment, hearing and sight, motivation </li></ul><ul><li>Cardiac Arrhythmias </li></ul><ul><li>Irritability </li></ul><ul><li>Confusion </li></ul><ul><li>Agitation </li></ul>
  7. 7. Sleep Cycle Changes <ul><li>Stage I NREM :light sleep, short stage, decreased vital signs, noise awakens one easily; “daydreaming” </li></ul><ul><li>Stage II NREM : Sound sleep; 10-20 minutes; increased relaxation </li></ul><ul><li>Stage III NREM: Begins deep sleep; decreased movement; decreased vital signs; last 15-30 minutes </li></ul>
  8. 8. Sleep Cycle Stages <ul><li>Stage IV NREM: Deepest sleep; difficult to awaken; 15-30 minutes; sleepwalking and bedwetting can happen here </li></ul><ul><li>REM Sleep: dreams (color); changes in vital signs; begins ninety minutes after the start of sleep; difficult to awaken; averages 20 minutes </li></ul><ul><li>1-2-3-4-3-2-REM typical cycle </li></ul>
  9. 9. Diagnostic Sleep Tests <ul><li>Polysomnogram </li></ul><ul><li>EEG: electroencephalogram </li></ul><ul><li>EMG: electromyogram </li></ul><ul><li>EOG: electrooculogram </li></ul>
  10. 10. Factors Affecting Sleep <ul><li>Excessive Daytime Sleepiness (EDS) </li></ul><ul><li>Exercise and Fatigue </li></ul><ul><li>Food and Caloric Intake </li></ul><ul><li>Physical Environment </li></ul><ul><li>Illnesses </li></ul><ul><li>Substances </li></ul><ul><li>Stress </li></ul>
  11. 11. Conditions For Proper Rest <ul><li>Physical Comfort </li></ul><ul><li>Freedom from worry </li></ul><ul><li>Sufficient sleep </li></ul>
  12. 12. Sleep Requirements Across the Life Span <ul><li>Newborns/Infants </li></ul><ul><li>Toddlers </li></ul><ul><li>Preschool </li></ul><ul><li>School age </li></ul>
  13. 13. Sleep Requirements Across the Life span <ul><li>Adolescents </li></ul><ul><li>Adults </li></ul><ul><li>Elderly </li></ul>
  14. 14. Sleep Assessment <ul><li>Daily exercise </li></ul><ul><li>Sleep Cycle </li></ul><ul><li>Sleep Environment </li></ul><ul><li>Food and Fluids </li></ul><ul><li>Relaxation /Exercise </li></ul><ul><li>Coping, stress </li></ul><ul><li>Vocation </li></ul>
  15. 15. Nursing Diagnosis:Disturbed Sleep Pattern <ul><li>PLAN,IMPLEMENTATION: </li></ul><ul><li>Client Teaching( sleep hygiene,medication </li></ul><ul><li>Support Bedtime Rituals </li></ul><ul><li>Creating a Restful Environment </li></ul><ul><li>Promote Comfort and Relaxation </li></ul><ul><li>EVALUATION: client describes measures to induce sleep </li></ul>
  16. 16. Sleep Medications <ul><li>Sedative- Hypnotic Medications </li></ul><ul><li>Antianxiety Medications </li></ul><ul><li>Onset and Duration </li></ul><ul><li>Effect on NREM,REM Sleep </li></ul><ul><li>Dosing </li></ul><ul><li>Medication Dependency </li></ul>
  17. 17. Common Sleep Disorders <ul><li>Parasomnia: behavior interfering with sleep or that occurs with sleep </li></ul><ul><li>Primary disorders: the client’s sleep problem is the main disorder </li></ul><ul><li>Secondary disorders; sleep disturbances caused by other clinical conditions </li></ul>
  18. 18. Parasomnias <ul><li>Arousal disorders: sleepwalking, sleep terrors </li></ul><ul><li>Sleep wake transition disorders: sleep talking </li></ul><ul><li>REM sleep disorders: nightmares </li></ul><ul><li>Other: bruxism,nocturnal enuresis, periodic limb movements </li></ul>
  19. 19. Primary Sleep Disorders <ul><li>Insomnia </li></ul><ul><li>Hypersomina </li></ul><ul><li>Narcolepsy </li></ul><ul><li>Sleep Apnea </li></ul><ul><li>Sleep Deprivation </li></ul>
  20. 20. Secondary Sleep Disorders <ul><li>Depression </li></ul><ul><li>Alcoholism </li></ul><ul><li>Dementia </li></ul><ul><li>Parkinson’s disease </li></ul><ul><li>COPD </li></ul><ul><li>Thyroid disease </li></ul>
  21. 21. Question: What is Sleep? <ul><li>Sri Ramana Maharishi: “How can you know sleep when you are awake? The answer is to go to sleep and find out what it is.” </li></ul><ul><li>Q: “But I cannot know it in this way.” </li></ul><ul><li>Maharishi: “This question must be raised in sleep.” </li></ul><ul><li>Q: “But I cannot raise the question then.” </li></ul><ul><li>Maharishi: “So that is sleep”. </li></ul>