This document summarizes various topics related to states of consciousness and how consciousness can be altered. It discusses biological rhythms like circadian rhythms which are controlled by the body's internal clock. It also examines sleep cycles and disorders, exploring topics like insomnia, sleep apnea, parasomnias and more. The document then analyzes methods of altering consciousness through different drug categories like depressants, stimulants, opiates, hallucinogens and more, providing details on substances like alcohol, cocaine, marijuana and their effects.
Having a good sleep is what we always want. To be able to relax and forget the hassles that we have experienced after a long day. It is our comfort and sanctuary. Here are facts about sleep and good habits to acquire sound sleep.
Having a good sleep is what we always want. To be able to relax and forget the hassles that we have experienced after a long day. It is our comfort and sanctuary. Here are facts about sleep and good habits to acquire sound sleep.
PROFESSIONAL NURSES ROLE IN MAINTAINING REST AND SLEEP NEEDS IN PATIENTS
- Ms. Johncy Charles
SLEEP
An altered state of consciousness in which the individual’s perception of and reaction to the environment are decreased.
It is a cyclical process that alternates with longer periods of wakefulness.
This sleep-wake cycle influences and regulates various functions in the body.
CIRCADIAN RHYTHM
Period of 24 hours
Circadian rhythm is the rhythm of certain biological activities that take place over a 24 hour period.
The most familiar of them is the sleep-wake cycle.
The circadian rhythms are affected by light, temperature, and other internal and external factors.
All people have biological clocks that synchronize their sleep cycles.
FUNCTIONS OF SLEEP
Purpose of sleep still unclear. Some proposed functions of sleep are as follows:
Body tissue restoration
Release of growth hormone
Repair and renewal of tissues
Preservation of cardiac function.
Reduction of heart rate during sleep
Reduction in workload of heart.
COMMON SLEEP DISORDERS
NURSES ROLE
ASSESSMENT
Sleep history
Health history
Physical examination
Sleep diary
Diagnostic studies
DIAGNOSIS
Activity intolerance
Anxiety
Ineffective breathing pattern
Impaired comfort
Acute confusion
Ineffective coping
Fatigue
Ineffective health maintenance
Impaired memory
Nausea
Ineffective protection
Deficient knowledge
Sleep
Sleep deprivation
Disturbed sleep pattern
Disturbed thought process
PLANNING
Develop a plan that provides sufficient energy for daily activities.
Planning of specific nursing interventions based on the etiology of each nursing diagnosis.
IMPLEMENTATION
Health promotion
Environmental controls
Promoting bedtime routines
Promoting comfort
Establishing periods of rest and sleep
Stress reduction
Bedtime snacks
Medications as prescribed
EVALUATION
Observation of duration of client’s sleep.
Questions about how the client feels on awakening.
Observation of clients level of alertness during the day
A sleep disorder is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functioning.
2015 keynote presentation at the Oregon Counseling Association Conference by Darryl Inaba, PharmD, CATC-V, CADC-III, author of Uppers, Downers, All-Arounders.
The two-process model
The sleep-wake system is thought to be regulated by the interplay of two major processes, one that promotes sleep (process S) and one that maintains wakefulness (process C).
Process S is the homeostatic drive for sleep.
The need for sleep (process S) accumulates across the day, peaks just before bedtime at night and dissipates throughout the night.
it explain about definition of sleep, normal sleep, sleep disturbance, causes of sleep disturbance, management therapy, nursing therapy and its effect om normal life.
PROFESSIONAL NURSES ROLE IN MAINTAINING REST AND SLEEP NEEDS IN PATIENTS
- Ms. Johncy Charles
SLEEP
An altered state of consciousness in which the individual’s perception of and reaction to the environment are decreased.
It is a cyclical process that alternates with longer periods of wakefulness.
This sleep-wake cycle influences and regulates various functions in the body.
CIRCADIAN RHYTHM
Period of 24 hours
Circadian rhythm is the rhythm of certain biological activities that take place over a 24 hour period.
The most familiar of them is the sleep-wake cycle.
The circadian rhythms are affected by light, temperature, and other internal and external factors.
All people have biological clocks that synchronize their sleep cycles.
FUNCTIONS OF SLEEP
Purpose of sleep still unclear. Some proposed functions of sleep are as follows:
Body tissue restoration
Release of growth hormone
Repair and renewal of tissues
Preservation of cardiac function.
Reduction of heart rate during sleep
Reduction in workload of heart.
COMMON SLEEP DISORDERS
NURSES ROLE
ASSESSMENT
Sleep history
Health history
Physical examination
Sleep diary
Diagnostic studies
DIAGNOSIS
Activity intolerance
Anxiety
Ineffective breathing pattern
Impaired comfort
Acute confusion
Ineffective coping
Fatigue
Ineffective health maintenance
Impaired memory
Nausea
Ineffective protection
Deficient knowledge
Sleep
Sleep deprivation
Disturbed sleep pattern
Disturbed thought process
PLANNING
Develop a plan that provides sufficient energy for daily activities.
Planning of specific nursing interventions based on the etiology of each nursing diagnosis.
IMPLEMENTATION
Health promotion
Environmental controls
Promoting bedtime routines
Promoting comfort
Establishing periods of rest and sleep
Stress reduction
Bedtime snacks
Medications as prescribed
EVALUATION
Observation of duration of client’s sleep.
Questions about how the client feels on awakening.
Observation of clients level of alertness during the day
A sleep disorder is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functioning.
2015 keynote presentation at the Oregon Counseling Association Conference by Darryl Inaba, PharmD, CATC-V, CADC-III, author of Uppers, Downers, All-Arounders.
The two-process model
The sleep-wake system is thought to be regulated by the interplay of two major processes, one that promotes sleep (process S) and one that maintains wakefulness (process C).
Process S is the homeostatic drive for sleep.
The need for sleep (process S) accumulates across the day, peaks just before bedtime at night and dissipates throughout the night.
it explain about definition of sleep, normal sleep, sleep disturbance, causes of sleep disturbance, management therapy, nursing therapy and its effect om normal life.
Primary sleep disorders:
Primary sleep disorders are those disorders not attributable to another cause, which includes dyssomnias and parasomnias.
Dyssomnias: are primary disorders of initiating or maintaining sleep/ excessive sleepiness, characterized by abnormalities in the amount, quality, or timing of sleep.
Insomnia:
Difficulty initiating or maintaining sleep or nonrestorative sleep that lasts for 1 month and causes significant distress or impairment in social, occupational, or other important areas of functioning.
Hypersomnia:
Excessive sleepiness for atleast 1 month that involves either prolonged sleep episodes or daily daytime sleeping that causes significant distress or impairment in social, occupational or other functioning.
Narcolepsy:
A rare sleep disorder in which a person, usually under the age of 20, has recurrent sudden episodes of irresistible sleep attacks of short duration 10 - 15 minutes (directly enters into REM sleep).
Breathing related sleep disorder:
Sleep disruption leading to excessive sleepiness or, less commonly, insomnia, caused by abnormalities in ventilation during sleep. These disorders include obstructive sleep apnea (repeated episodes of upper airway obstruction), central sleep apnea (episodic cessation of sventilation without airway obstruction), and central alveolar hypoventilation (hypoventilation resulting in low arterial oxygen levels).
Circadian Rhythm Sleep Disorder:
Persistent or recurring sleep disruption resulting from altered functioning of circadian rhythm or a mismatch between circadian rhythm and external demands. Subtypes include; delayed sleep phase, jet lag, shift work and unspecified.
Delayed sleep phase: A persistent pattern of late sleep onset and late awakening times, with an inability to fall asleep and awaken at a desired earlier time.
Jet lag: Sleepiness and alertness that occur at an inappropriate time of day relative to local time, occurring after repeated travel across more than one time zone.
Shift work: Insomnia during the major sleep period or excessive sleepiness during the major awake period associated with night shift work or frequently changing shift work.
Parasomnias: are disorders characterized by abnormal behavioral or psychological events associated with sleep, specific sleep stages, or sleep–wake transition. These disorders involve activation of physiological systems, such as the autonomic nervous system, motor system, or cognitive processes, at inappropriate times during sleep.
Nightmare disorder:
Repeated occurrence of frightening dreams that lead to waking from sleep.
Sleep terror disorder:
Repeated occurrence of abrupt awakenings from sleep associated with a panicky scream or cry.
Sleepwalking disorder (Somnambulism):
Repeated episodes of complex motor behavior initiated during sleep, including getting out of bed and walking around.
Sleep and rest, BSC NURSING FIRST YEAR NURSING FOUNDATION , UNIT X , MEETING NEEDS OF PATIENT , PHYSIOLOGY OF SLEEP, SLEEP DISORDERS, FACTORS AFFECTING SLEEP, PROMOTING SLEEP AND STAGES OF SLEEP.
Introduction
The sleep – wakefulness cycle is genetically determined rather than learned and is established sometime after birth.Sleep is a naturally recurring state of mind and body, characterized by altered consciousness, relatively inhibited sensory activity and [inhibition of nearly all voluntary muscle during REM sleep] reduced interactions with surroundings.
Sleep can be regarded as a physiological reversible reduction of conscious awareness. Nearly one third of human life is spent in sleep. Disorders of sleep can affect activities of daily living (ADL) of an individual.
Definition
It is an easily reversible state of relative unresponsiveness and serenity which occurs more or less regularly and repetitively each day.
The EEG recordings show typical features of sleep which is broadly divided into two broadly different phases:
1. D-sleep (desynchronised or dreaming sleep), also called as REM- sleep (rapid eye movement sleep),active sleep, or paradoxical sleep.
2. S-sleep (synchronised sleep), also called as NREM-sleep (non-REM sleep), quiet sleep, or orthodox sleep. S-sleep or NREM-sleep is further divided into four stages, ranging from stages 1 to 4. As the person falls asleep, the person fifi rst passes through these stages of NREM-sleep.
Stages of sleep
The EEG recording during the waking state shows alpha waves of 8-12 cycles/sec. frequency. The onset of sleep is characterised by a disappearance of the alpha-activity.
Stage 1, NREM-sleep is the first and the ligh test stage of sleep characterised by an absence of alphawaves, and low voltage, predominantly theta activity.
Stage 2, NREM-sleep follows the stage 1 within a few minutes and is characterised by two typical EEG changes:
i. Sleep spindles: Regular spindle shaped waves of 13-15 cycles/sec. frequency, lasting 0.5-2.0
seconds, with a charac teristic waxing and waning amplitude.
ii. K-complexes: High voltage spikes present intermittently.
Stage 3, NREM-sleep shows appearance of high voltage, 75 μV, δ-waves of 0.5-3.0 cycles/sec.
Stage 4, NREM-sleep shows predominant δ-activity in EEG. NREM-sleep is followed by REM-sleep, which is a light phase of sleep. The EEG is characterised by a return of α-waves (α-wave sleep); other changes are similar to stage 1 NREM-sleep. One of the most characteristic features of the REM-sleep is presence of REM or rapid (conjugate) eye move ments. The other features include generalised mus cular atony, penile erection, autonomic hyperactivity (increase in pulse rate, respiratory rate and blood pressure), and movements of small muscle groups, occurring intermittently. Although it is a light stage of sleep, arousal is diffificult. These stages occur regularly throughout the whole duration of sleep. The first REM period occurs typically after 90 minutes of the onset of sleep, although it can start as early as 7 minutes after going off to sleep, e.g. in narcolepsy, in major depression, and after sleep deprivation.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
2. What Is Consciousness?
Awareness? Aware of what?
Why is it like a stream?
Changes from normal consciousness are known as
altered states of consciousness.
3. The Rhythms of Life
Chronobiology – the
study of biological
rhythms
Circadian rhythms
are biological
changes that occur
on a daily schedule,
including the sleep-
wake cycle and the
body temperature
cycle.
4. Rhythm of Body
TemperatureCircadian rhythms are controlled by the
suprachiasmatic nucleus (SCN) which is located in
the hypothalamus and acts as an internal clock.
Levels of a hormone secreted by the pineal
gland, melatonin, are affected by light and darkness;
thus melatonin may play a role in controlling
biological rhythms.
5. The Rhythms of Life
By isolating volunteers in an environment without time
cues, researchers have found the free-running sleep-
wake cycle extends to about 25 hours.
To correspond to the 24-hour day, the cycle must be
reset every day by external cues, especially sunlight.
Jet travel and shift work can disrupt the sleep-wake
cycle.
The symptoms of Jet leg result from the difference
between our internal clock and the time in our
environment.
It is easier to adapt to phase delays (east-west travel)
than to phase advances (west-east travel).
Rotating shifts can be improved by using a clockwise
rotation (days to evenings to nights), which involves a
series of phase delays.
6. The Study of Sleep
A sleep cycle lasts
approximately 90
minutes and starts with
non-REM (NREM)
sleep.
We descend through
NREM Stages I to 4
and then ascend
through them to rapid
eye movement (REM)
sleep.
7. The Study of Sleep
The average adult repeats this cycle about four
to six times each night.
Sleep decreases from about 16 hours at birth to
about 7 to 8 hours in young adulthood, with little
change thereafter.
8. The Study of Sleep
Sleep efficiency (time in
bed actually asleep) is
lower among elderly
people, who experience
less slow-wave sleep
and spend increased
time in the lighter stages
of sleep.
Naps
9. The Study of Sleep
Infants spend about 50%
of their sleep in REM,
perhaps to provide
stimulation needed for
brain development.
Sleep may have evolved
to fill time, but the
amount of sleep in each
species depends on
vulnerability to predators
and the need to find
food.
10. The Study of Sleep
Most cases of insomnia are of short duration.
Sleeping pills have limited usefulness and should
be used with care.
The stimulus control method is an effective
treatment for sleep onset insomnia.
20. Altering Consciousness
with Drugs
Alcohol
• Most widely used psychoactive
substance in United States and
throughout world
• Associated with range of medical
and mental health problems
21. Fun facts about alcohol!
• Energy, but no nutrients
• Slows rate at which fat burns
• Likely to deposit unburned
fat on hips, thighs, and
stomach
27. Altering Consciousness
with Drugs
Stimulants
Speed up CNS
activity
Mimic body’s
reaction to
stress
(Inc bp and
respiration)
Stimulate release
of
neurotransmitters
dopamine and
norepinephrine
Amphetamines;
“Uppers” or
“speed”
Suppress
appetite
28. Altering Consciousness
with Drugs
Amphetamines:
Low to moderate
doses
• Increase alertness
• Elevate mood
• Reduce appetite
and need for sleep
• Induce euphoria
Amphetamines:
Larger doses
• Cause irritability
and anxiety
• Induce serious
reaction
indistinguishable
from paranoid
schizophrenia
31. Altering Consciousness
with Drugs
Ecstasy
• Methylenedioxymetham
phetamine (MDMA)
• Synthetic substance
can be manufactured
from readily available
materials
• Also known as XTC,
Adam, MDM, hug,
beans, and love drug
High doses
• Can interfere with
body’s ability to
regulate temperature
32.
33. Altering Consciousness
with Drugs
Caffeine
• most widely-used
stimulant
• Found in
chocolate (usually
very little),
beverages, some
nonprescription
drugs
Nicotine
• Stimulant
• Potent; activates
brain, heart, and
nervous system
34. Altering Consciousness
with Drugs
Opiates
or
opioids
Naturally occurring
or synthetic drugs
with properties
similar to opium
Narcotic analgesics
or narcotics
Morphine, codeine,
and heroin
Produce analgesia
and sleepiness
Highly addictive
and potentially
dangerous
35. Altering Consciousness
with Drugs
Hallucinogens
• Often natural compounds; some produced in
lab
• Changes perception, thought, emotions, self-
awareness
• time and space distortions, and symptoms
similar to those found in severe psychological
disorders
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