Sleep- less:The Science of Nightmares

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The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.

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There are many common myths about sleep. We hear them frequently, and may even experience them far too often. Sometimes they can be characterized as "old wives tales," but there are other times the incorrect information can be serious and even dangerous. We compiled this list of common myths about sleep, and the facts that dispel them. Stay Connected to http://sprayablesleep.com/ and sign up http://sprayablesleep.com/signup/ to learn more about the topic

43 Things You Didn't Know About Sleep That Will Keep You Awake Tonight

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Do more women than men have insomnia? How is insomnia diagnosed? How is insomnia treated? What can I do to sleep better? Insomnia is a common sleep disorder. If you have insomnia, you may: Lie awake for a long time and have trouble falling asleep, wake up a lot and have trouble returning to sleep, wake up too early in the morning, feel like you haven’t slept at all What can you do to sleep better? Visit http://sprayablesleep.com/ to learn more about Insomnia symptoms, causes, treatments, diagnosis, and more http://sprayablesleep.com/signup/

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Almost half of all older adults report problems with insomnia, defined as difficulty initiating and maintaining sleep. Insomnia has far-reaching and often subtle effects on health and quality of life, with substantial cost to society. Medically ill older adults are at particular risk for insomnia, since many medical illnesses disrupt sleep and impair alertness. Older adult insomnia is often treated pharmacologically, but older adults are especially vulnerable to adverse effects from hypnotic medication, such as memory impairment and impaired daytime performance. Fortunately, psychological interventions for insomnia have been developed and, especially in the last decade, applied to older adults with insomnia. The resource guide research studies on a variety of important topics relevant to insomnia among older adults. The interventions focus on psychological treatments of insomnia,sleep restriction and stimulus control approaches, and sleep hygiene. http://sprayablesleep.com/signup

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Americans are in the midst of what the Centers for Disease Control and Prevention has called a national sleep epidemic, and society is feeling the impact. In fact, nearly 8 in 10 Americans admit they would feel better and more prepared for the day if they had an extra hour of sleep. Luckily, solutions are not out of reach. The sleep tips below are the Better Sleep Council’s trusted solutions to help avoid the damaging effects of sleep deprivation and general grogginess after a poor night’s sleep. In short, these tips on how to sleep better can make Monday mornings – and every other morning – a lot easier to handle. - See more at: http://sprayablesleep.com/

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Sold as stand-alone supplements and in sleep-inducing desserts, melatonin can help promote good health – but some side effects mean you should proceed with caution. Melatonin: The Pros Restorative sleep. “Restorative sleep is essential, enabling our bodies to reengage functions associated with rejuvenation, such as healing, muscle growth, and repair, and to restore organs, cells, and tissues Cancer and stroke risk. Melatonin is among the most potent antioxidants our bodies manufacture. Antioxidants are substances that protect cells from damage caused by unstable molecules called free radicals, and can help prevent cancer, stroke, heart disease, and other conditions. Studies have also linked low levels of melatonin to breast, prostate, liver, and other cancers. Other benefits. In addition to all of these potential applications, melatonin also may benefit those with migraine headaches, may help boost the immune system, and may one day play a role in helping people with Alzheimer’s disease.

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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

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Damage to the spinal cord above the sacral region causes reflex incontinence. This condition causes loss of voluntary control of urination; but the micturition reflex pathway often remains intact, allowing urination to occur without sensation of the need to void Overflow incontinence occurs when a bladder is overly full and bladder pressure exceeds sphincter pressure, resulting in involuntary leakage of urine. Causes often include head injury; spinal injury; multiple sclerosis; diabetes; trauma to the urinary system; and postanesthesia sedatives/hypnotics, tricyclics, and analgesia Hyperreflexia, a life-threatening problem affecting heart rate and blood pressure, is caused by an overly full bladder. It is usually neurogenic in nature; however, it can be caused functionally by blockage Diseases that cause irreversible damage to kidney tissue result in end-stage renal disease (ESRD). uremic syndrome- An increase in nitrogenous wastes in the blood, marked fluid and electrolyte abnormalities, nausea, vomiting, headache, coma, and convulsions characterize this syndrome. As the uremic symptoms worsen, aggressive treatment is indicated for survival Nocturia - awakening to void one or more times at night An excessive output of urine is polyuria. . A urine output that is decreased despite normal intake is called oliguria. increased urine formation (diuresis) a stoma (artificial opening) Urinary Retention. Urinary retention is an accumulation of urine resulting from an inability of the bladder to empty properly. URINE OVERFLOW- The sphincter temporarily opens to allow a small volume of urine (25 to 60 mL) to escape. With retention a patient may void small amounts of urine 2 or 3 times an hour with no real relief of discomfort or may continually dribble urine. pain or burning during urination (dysuria) as urine flows over inflamed tissues blood-tinged urine (hematuria) Urinary incontinence is the involuntary leakage of urine that is sufficient to be a problem. It can be either temporary or permanent, continuous or intermittentUrinary elimination depends on the function of the kidneys, ureters, bladder, and urethra. Kidneys remove wastes from the blood to form urine. Ureters transport urine from the kidneys to the bladder. The bladder holds urine until the urge to urinate develops. Urine leaves the body through the urethra. All organs of the urinary system must be intact and functional for successful removal of urinary wastes. Intact efferent and afferent nerves from the bladder to the spinal cord and brain must be present INTAKE AND OUTPUT OF URINE Assess the patient’s average daily fluid intake. at home, ask him or her to estimate his or her intake by showing a measurement on a commonly used glass or cup Special receptacles (urimeters) that attach between indwelling catheters and drainage bags are a convenient means of accurately measuring urine volume. A urimeter holds 100 to 200 mL of urine. After measuring urine from a urimeter, drain the cylinder

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