The document provides information on sleep patterns and disturbances. It defines sleep and describes the physiology of sleep including the reticulating activating system and sleep stages. It discusses non-REM and REM sleep in detail. It also covers sleep requirements and patterns across the lifespan as well as common sleep disorders like insomnia, hypersomnia, narcolepsy, sleep apnea, restless leg syndrome, and sleep deprivation. Finally, it briefly mentions parasomnias.
it explain about definition of sleep, normal sleep, sleep disturbance, causes of sleep disturbance, management therapy, nursing therapy and its effect om normal life.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
This PPT contains Unit 1 of Mental Health Nursing (T.Y.B.Sc.Nursing) & SEMESTER 5 B.Sc. Nursing
The concepts of mental health and mental illness are fundamental to understanding the continuum of psychological well-being and the disorders that can affect an individual's thoughts, emotions, behaviors, and overall functioning. Both concepts are integral to the field of psychology, psychiatry, and mental healthcare, influencing how we perceive and address mental health challenges in individuals and communities.
Psychobiologist study the evolutionary and physiological mechanisms that are responsible for human behavior and try to understand how the brain functions in order to understand why humans behave the way we do.
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.
it explain about definition of sleep, normal sleep, sleep disturbance, causes of sleep disturbance, management therapy, nursing therapy and its effect om normal life.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
This PPT contains Unit 1 of Mental Health Nursing (T.Y.B.Sc.Nursing) & SEMESTER 5 B.Sc. Nursing
The concepts of mental health and mental illness are fundamental to understanding the continuum of psychological well-being and the disorders that can affect an individual's thoughts, emotions, behaviors, and overall functioning. Both concepts are integral to the field of psychology, psychiatry, and mental healthcare, influencing how we perceive and address mental health challenges in individuals and communities.
Psychobiologist study the evolutionary and physiological mechanisms that are responsible for human behavior and try to understand how the brain functions in order to understand why humans behave the way we do.
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.
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.
This PPT aims to give Knowledge and Understanding about Sleep Talking, Types of Sleep Disorder, Stages of Sleep, Factor of Effecting Sleep Talking, Causes of Sleep Talking, Risk and Concern Associated with Sleep Talking, Diagnosis of Sleep Talking, Treatment of Sleep Talking.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
2. DEFINITION-
Sleep is a naturally occurring altered state
of consciousness characterized by decreases in
awareness and responsiveness to stimuli.
3. PHYSIOLOGY OF SLEEP-
Reticular activating system (RAS)and the bulbar
synchronizing region controls cyclic nature of sleep.
During sleep RAS experiences few stimuli from the
cerebral cortex and the periphery of the body.
Wakefulness occurs when this system is activated
with stimuli from the cerebral cortex and from
periphery sensory organs and cells.
Norepinephrine and acetylcholine, in addition to
dopamine ,serotonin and histamine are involved with
excitation.
Gamma – aminobutyric acid(GABA) appears to be
necessary for inhibition.
4. STAGES OF SLEEP-
1. Non-Rapid Eye Movement (NREM)sleep
2. Rapid Eye Movement (REM) sleep
5. 1. NREM SLEEP-
NREM sleep (comprising about75% of total sleep)
consists of 4 stages.
Stage 1 and stage 2 is consuming about 5% and 50%
of a person’s sleep time, respectively, are light sleep.
Stage 3 and 4, each representing about 10% of total
sleep time, are deep sleep stages, termed delta sleep
or slow -wave sleep.
6. Characteristics
stage 1 stage 2
Transitional stage between Person falls into a stage of
wakefulness and sleep. sleep.
A relaxed state. Can be aroused with
Involuntary muscle jerking. relative case.
Stage normally lasts only Constitutes 50% to 55 %
minute. of sleep.
Can be aroused easily.
Constitutes only about 5%
Of total sleep.
7. Stage 3 stage 4
Depth of sleep increase Reaches the
and arousal becomes greatest depth of
increasingly difficult. sleep.
Compose about 10% of Arousal from sleep
Sleep. is difficult.
Physiologic changes
in the body.
8. 2. REM SLEEP-
It is more difficult to arouse a person during REM
sleep than during NREM sleep.
In normal adults, the REM state consumes 20% to
25% of a person’s nightly sleep time.
People who are awakened during the REM state
almost always report that they have been dreaming.
A person who is deprived of REM sleep for several
nights generally then spend more time in REM sleep
on successive nights. This phenomenon, termed REM
rebound, allows the total amount of REM sleep to
remain fairly constant over time.
9. CHARACTERISTICS-
Eyes dart back and forth quickly.
Small muscle twitching, such as on the face.
Large muscle immobility, resembling paralysis.
Respirations irregular; sometimes interspersed with
apnea.
Rapid or irregular pulse.
Blood pressure increases of fluctuates.
10. Increase in gastric secretions.
Metabolism increases; body temperature increases.
Encephalogram tracings active.
REM sleep enters from stage II of NREM sleep and
reenters NREM sleep at stage II; arousal from sleep
difficult.
Constitutes of about 20% to 25% of sleep.
11. SLEEP REQUIRMENTS AND PATTERN-
8 hours of sleep at night has been the accepted
standard for adults.
On the average, infants require 14 to 20 hours each
day.
Growing children require from 10 to 14 hours of
sleep.
for adults is 7 to 9 hours.
Sleep pattern for older adults vary.
Patterns of sleep periodicity appear to be learned.
14. LIFE SPAN CONSIDERATIONS-
Newborns and infants-
Sleeps an average of 16 hours/24 hours
Usually by 8 to 16 weeks of age, an infant sleeps
through the night.
REM sleep constitutes much of the sleep cycle of a
young infant.
15. Toddlers-
May initially sleep 12 hours at night with two
naps during the day and end this stage
sleeping 8 to 10 a night and napping once
during the day.
Begin to resist naps and going to bed at night.
16. Preschoolers-
Sleep 9to16 hours at night, with 12 hours being the
average.
The rem sleep pattern is similar to that of an adult.
Daytime napping decreases
This age group may continue to resist going to bed
at night.
17. School-aged Children-
10-12 hours of sleep.
Sleep needs usually increase when physical
growth peaks.
18. Adolescents-
The growth spurt that normally occurs at this
stage may necessitate the need for more sleep.
Many adolescents do not get enough sleep.
19. Young Adults-
Average amount of sleep required is 8 hours
Sleep is affected by many factors; physical
health, type of occupation, lifestyle etc.
Rem sleep averages about 20% of sleep.
20. Middle-Aged adults-
Total sleep time decreases during these years with
a decrease in stage IV sleep.
The percentage of time spend awake in bed begins
to increase.
Individuals become more aware of sleep
disturbances during this period.
21. Older Adults-
Average of 5 to 7 hours of sleep
Sleep is less sound and stage IV sleep is absent or
considerably decreased. Periods of REM sleep
shorten.
Elderly people frequently have great difficulty falling
asleep and have more complaints of problems
sleeping.
22. SLEEP DISORDERS-
A nurse who interviews a patient to obtain a sleep
history needs to understand common sleep
disturbances to recognize significant data.
The more common sleep disorders are the
Dyssomnias and parasomnias.
A. Dyssomnias: they are sleep disorders
characterized by insomnias or excessive
sleepiness.
B. Parasomnias: they are patterns of waking
behavior that appear during sleep
23. 1. INSOMNIA-
Insomnia is difficulty falling asleep or staying asleep,
even when a person has the chance to do so.
Based on its duration it is classified as:
• Acute insomnia- it is brief and often happens
because of life circumstances.
• Chronic insomnia- is disrupted sleep that occurs at
least three nights per week and lasts at least three
months.
24. Causes:
Insomnia can be caused by psychiatric and
medical conditions, unhealthy sleep habits,
specific substances, and/or certain biological
factors.
Nasal/sinus allergies
Gastrointestinal problems such as reflux
Endocrine problems such as hyperthyroidism
Arthritis
Asthma
Neurological conditions such as Parkinson's
disease
Chronic pain
Low back pain
25. HOW INSOMNIA IS RELATED?
Insomnia & Depression - by psychiatric conditions
such as depression.
Insomnia & Anxiety - Most adults have had some
trouble sleeping because they feel worried.
Insomnia & Lifestyle - Unhealthy lifestyles and sleep
habits can create insomnia.
Insomnia & Food- Alcohol , Caffeine, Nicotine,
Heavy meals, etc.
Insomnia & The Brain- may be caused by certain
neurotransmitters in the brain that are known to be
involved with sleep and wakefulness.
26. Symptoms-
Difficulty falling asleep
Difficulty staying asleep (waking up during the night and
having trouble returning to sleep)
Waking up too early in the morning
Unrefreshing sleep (also called "non-restorative sleep")
Fatigue or low energy
Cognitive impairment, such as difficulty concentrating
Mood disturbance, such as irritability
Behavior problems, such as feeling impulsive or
aggression
Difficulty at work or school
Difficulty in personal relationships, including family, friends
and caregivers
28. Treatment-
Non-Medical (Cognitive & Behavioral) Treatments
for Insomnia
There are psychological and behavioral techniques that
can be helpful for treating insomnia.
Relaxation training, or progressive muscle relaxation,
teaches the person to systematically tense and relax
muscles in different areas of the body.
Stimulus control helps to build an association between
the bedroom and sleep by limiting the type of activities
allowed in the bedroom.
Cognitive behavioral therapy (CBT) includes
behavioral changes
Major classes of prescription insomnia medications
include benzodiazepine hypnotics, non-benzodiazepine
hypnotics, and melatonin receptor agonists.
29. 2. Hypersomnia-
It is a sleep related disorder that causes excessive
daytime sleepiness in people, often regardless of the
presence of other sleeping disorders, or poor sleep
hygiene.
People with hypersomnia will often sleep in excess of
10 hours
Hypersomnia is a relatively rare sleeping disorder,
affecting under 1% of the population. It is slightly
more common in females than in males, and typically
starts in early adulthood. It is very rarely found in
children.
30. DIAGNOSIS
Polysomnogram and multiple sleep latency tests are
both good tools in detecting hypersomnia and other
sleeping disorders.
The multiple sleep latency test measures the speed
at which a person enters deep sleep over numerous
2 hour intervals.
People with hypersomnia and other related disorders
like narcolepsy tend to fall asleep very quickly, and
this is considered the best test for detected these
sleeping disorders.
The polysomnogram test measures the subject’s
brain waves and bodily movements during sleep
phases, and this is good for detecting other sleep
disorders that may be leading to the daytime
sleepiness.
31. TREATMENT
Hypersomnia is most commonly treated with
stimulants like amphetamine and modafinil.
Antidepressants, Behavioral changes are also
instituted in most cases, and for those with idiopathic
hypersomnia, this is one of the only treatment
methods available at present.
Proper sleep hygiene is the most important
behavioural change that must be implemented.
32. 3. Narcolepsy-
It is a neurological disorder caused by the brain's inability
to regulate sleep-wake cycles normally.
The main features of narcolepsy are fatigue and cataplexy.
Its prevalence in the developed world is approximately the
same as that of multiple sclerosis or Parkinson's disease.
Despite the perception that people with narcolepsy are
perpetually sleepy, they do not typically sleep more than
the average person.
Narcolepsy is considered a "state boundary" control
abnormality.
33. SYMPTOMS-
The main symptoms associated with narcolepsy are:
Excessive daytime sleepiness
Cataplexy
Hypnogogic hallucinations
Sleep paralysis
Disturbed nocturnal sleep
Leg jerks, nightmares, and restlessness.
34. TREATMENT-
Treatment for narcolepsy includes the use of medication
as well as behavioral therapy.
Behavioral therapies
Counseling
Antidepressants are also often used to treat
cataplexy, hypnagogic hallucinations and sleep
paralysis.
sodium oxybate, a strong sleep-inducing agent, may
be given at night to improve disturbed nocturnal sleep
and reduce daytime sleepiness and cataplexy.
35. 4. Sleep Apnea -
Obstructive sleep apnea is a sleep disorder in which
breathing is briefly and repeatedly interrupted during
sleep.
Obstructive sleep apnea occurs when the muscles
in the back of the throat fail to keep the airway open,
despite efforts to breathe.
36. Symptoms-
Chronic snoring
Difficulty concentrating
Depression, irritability
Sexual dysfunction
Learning and memory difficulties
Falling asleep while at work
On the phone or driving.
37. TREATMENT-
The treatment of choice for obstructive sleep apnea is
continuous positive airway pressure device (CPAP).
Second-line methods of treating sleep apnea include
dental appliances, which reposition the lower jaw and
tongue, and upper airway surgery to remove tissue in
the airway. In general, these approaches are most
helpful for mild disease or heavy snoring.
Lose weight
Avoid alcohol
Quit smoking
38. 5. Restless Legs Syndrome (RLS)-
Restless Legs Syndrome (RLS), also known as
Willis-Ekbom Disease, is a neurologic sensorimotor
disorder that is characterized by an overwhelming
urge to move the legs when they are at rest.
The urge to move the legs is usually, but not always,
accompanied by unpleasant sensations.
RLS symptoms occur during inactivity and they are
temporarily relieved by movement or pressure
39. CAUSES
The exact cause of RLS is unknown.
Primary RLS is the most common type of RLS. It is
also referred to as familial (because it is hereditary) or
idiopathic (because the causes are unknown) RLS.
Secondary RLS, on the other hand, is believed to be
caused by a separate underlying medical condition or
in association with the use of certain drugs.
40. Symptoms-
The urge to move the legs is usually, but not always,
accompanied by unpleasant sensations.
The symptoms of restless legs syndrome (RLS) are
often difficult to put into words, as each person’s
experience with RLS is different. Some people use
comparisons, such as "like ants crawling through my
legs" or "like soda running through my veins" to try to
describe the symptoms and feelings
41. Treatment-
Lifestyle changes
Underlying iron or vitamin deficiency
Healthy and balanced
Horizant® (gabapentin enacarbil) was approved by
the FDA in 2011 for the treatment of moderate-to-
severe primary RLS.
Mirapex® was approved by the fda in 2006 for the
treatment of moderate-to-severe primary rls.
Requip® (ropinirole hydrochloride), a drug
commonly used to treat Parkinson disease, was
given fda approval at lower doses for the treatment
of moderate-to-severe primary rls in 2005.
42. HOME REMEDIES-
walking
massaging the legs
stretching
hot or cold packs
vibration
acupressure.
Practicing relaxation techniques such as meditation
or yoga have been known to alleviate symptom
43. 6. Sleep Deprivation-
Sleep deprivation occurs when an individual fails to
get enough sleep.
CAUSES:
• Voluntary behavior People who engage in voluntary,
but unintentional, chronic sleep deprivation are
classified as having a sleep disorder called
behaviorally induced insufficient sleep syndrome.
• Work hours
• Personal obligations
44. SYMPTOMS
Mood
Irritability
Lack of motivation
Anxiety
Symptoms of depression
Performance
Lack of concentration
Attention deficits
Reduced vigilance
Longer reaction times
45. Distractibility
Lack of energy
Fatigue
Restlessness
Lack of coordination
Forgetfulness
TREATMENT:
The only sure way for an individual to overcome
sleep deprivation is to increase nightly sleep time
to satisfy his or her biological sleep need; there is
no substitute for sufficient sleep.
46. PARASOMNIAS-
The term “parasomnia” refers to all the abnormal things
that can happen to people while they sleep, apart from
sleep apnea.
Some examples are sleep-related eating disorder,
sleepwalking nightmares, sleep paralysis, REM sleep
behavior disorder, and sleep aggression. Sexsomnia,
sometimes called “sleepsex,” is also a parasomnia. It
refers to sexual acts that are carried out by a person
who is sleeping. Parasomnias can have negative
effects on people during the daytime, including
sleepiness.
Parasomnias can occur as a person is falling asleep or
at any point in the sleep cycle.
Sleep paralysis can be quite frightening, especially
when it occurs with hallucinations.
47. ASSESSMENT OF PATIENTS WITH SLEEP
DISORDERS-
Usual sleep
Time of sleeping and waking time
Number of hours of undisturbed sleep
Quality of sleep
No. of naps
Effect on daily chores
Energy level
Means of relaxing before bedtime
Bedtime rituals
48. Sleep environment
Pharmacological aids
Nature of sleep disturbance
Onset
Cause
Severity
Symptoms
Interventions attempted and its result