Sleep-wake disorders encompass a spectrum of conditions that disrupt the natural patterns of sleep and wakefulness, affecting the quality and timing of sleep. These disorders can manifest in various forms, such as insomnia, hypersomnia, and circadian rhythm sleep-wake disorders. Insomnia involves difficulty falling asleep or staying asleep, leading to impaired daytime functioning. Hypersomnia is characterized by excessive daytime sleepiness despite sufficient nighttime sleep. Circadian rhythm sleep-wake disorders involve disruptions in the body's internal clock, leading to difficulties in sleep timing and alignment with societal norms. These disorders can significantly impact overall well-being, cognitive function, and daily activities, emphasizing the importance of proper diagnosis and management strategies tailored to individual needs.
A sleep-wake disorder is a condition characterized by disturbances in the normal pattern of sleep and wakefulness. These disorders can significantly impact an individual's ability to function during the day and may lead to various health problems if left untreated
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.
This is very simple and very useful for the students of medical and nursing students .it will help you in enhancing your knowledge.i will be happy if you like and share my ppt
A sleep-wake disorder is a condition characterized by disturbances in the normal pattern of sleep and wakefulness. These disorders can significantly impact an individual's ability to function during the day and may lead to various health problems if left untreated
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.
This is very simple and very useful for the students of medical and nursing students .it will help you in enhancing your knowledge.i will be happy if you like and share my ppt
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.
this topic is about sleep, stages of sleep, types of sleep, factors influencing sleep, sleep disorders and their management and various interventions to promote sleep
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.
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.
this topic is about sleep, stages of sleep, types of sleep, factors influencing sleep, sleep disorders and their management and various interventions to promote sleep
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.
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
Transforming Healthcare: The Rise of AI in Telemedicine24HrDOC
Explore the transformative impact of AI in telemedicine with 24HrDOC. Our AI-powered telehealth platform offers 24/7 access to certified doctors for affordable, personalized medical consultations. Revolutionize your healthcare experience today!
ASSISTING WITH THE USE OF URINAL BY ANUSHRI SRIVASTAVA.pptxAnushriSrivastav
Male patients confined to bed usually prefer to use the urinal for voiding.
The use of a urinal in the standing position facilitates emptying of the bladder
If the patient is unable to stand, the urinal may be used in bed. Patients may also use a urinal in the bathroom to facilitate measurement of urinary output.
Provide skin care and perineal hygiene after urinal use and maintain a professional manner
EQUIPMENT
Urinal with end cover (usually attached)
Toilet tissue
Clean gloves
Additional PPE, as indicated
ASSESSMENT
Assess the patient’s normal elimination habits.
Determine why the patient needs to use a urinal, such as a physician’s order for strict bed rest or immobilization.
Assess the patient’s degree of limitation and ability to help with activity
Assess for activity limitations, such as hip surgery or spinal injury, which would contraindicate certain actions by the patient.
Check for the presence of drains, dressings, intravenous fluid infusion sites/equipment, traction, or any other devices that could interfere with the patient’s ability to help with the procedure or that could become dislodged.
Assess the characteristics of the urine and the patient’s skin.
Document the patient’s tolerance of the activity. Record the amount of urine voided on the intake and output record, if appropriate. Document any other assessments, such as unusual urine characteristics or alterations in the patient’s skin.
SPECIAL CONSIDERATION
Urinal should not be left in place for extended periods because pressure and irritation to the patient’s skin can result. If patient is unable to use alone or with assistance, consider other interventions, such as commode or external condom catheter.
It may be necessary to assist patients who have difficulty holding the urinal in place, such as those with limited upper extremity movement or alteration in mentation, to prevent spillage of urine.
The urinal may also be used standing or sitting at the bedside or in the patient’s bathroom, if patient is able to do so.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Ayurveda hair cosmetlogy on Indralupta or Alopecia.pptxAyurgyan2077
This presentation focuses on the management of alopecia through ayurveda treatment. It begins with the description of hair in classical ayurveda and conventional medicine textbooks. The common hair related problems like khalitya, indralupta, palitya, hariloma and darunaka are mentioned in Ayurveda. Next is the causes of hairfall like Asthi dhatu kshaya, sveda kshaya, conditions like darunaka or dandruff, fungal infestation, excessive use of lavana-kshara, etc. Few evidences from the researched done previously on Indralupta or alopecia and above mentioned causes are also mentioned.
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
What can we really do to give meaning and momentum to equality, diversity and...Rick Body
A copy of the slides for my talk on how we can meaningfully improve diversity and inclusion in emergency care research, at the Royal College of Emergency Medicine Research Engagement Day in May 2024.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
3. Definition:
Sleep wake disorder:
Sleep disorders (or sleep-wake
disorders) involve problems with the quality,
timing, and amount of sleep , which result in
daytime distress and impairment in
functioning.
4. Understanding SWD:
These are the group of disorder
that involve disturbance in the
quality , timing and amount of
sleep or in a behavior for
psychological condition that
associated with the sleep.
5. Importance of Sleep:
• Sleep is a basic human need
• Critical to both physical and mental health.
There are two types of sleep:
Rapid eye movement (REM) – when most dreaming
occurs
Non-REM – has three phases, including the deepest sleep
• Sleep is also important circadian rhythm.
• How much sleep we need varies depending on age and
varies from person to person.
6. According to the National Sleep
Foundations:
• Most adults need about seven to nine hours of restful
sleep each night.
• Many of us do not get enough sleep. A third of adults
report that they usually get less than the recommended
amount of sleep and only about 30% of high school
students get at least eight hours of sleep on an average
school night.2 An estimated 34 percent of Americans
report their sleep quality as “poor” or “only fair.”
• More than 50 million Americans have chronic sleep
disorders
6
8. o Rapid eye movement sleep:
• The phase of sleep in which most dreams occur.
• During rapid eye movement sleep, a person’s brain activity,
breathing, heart rate, and blood pressure increase, and the eyes
move rapidly while closed
• . The muscles in the arms and legs become temporarily unable to
move.
• Rapid eye movement sleep is thought to play an important role in
memory and learning.
• Also called REM sleep
8
9. o Non-rapid eye movement sleep:
• The phase of sleep that is considered the quiet or restful phase.
• During the three stages of non-rapid eye movement sleep, a
person falls asleep and then moves from a light sleep into a deep
sleep
• . This is when a person’s brain activity, breathing, and heart rate
slow down, body temperature drops, muscles relax, and eye
movements stop
• . Non-rapid eye movement sleep plays an important role in
helping the body repair tissues, build bone and muscle, and
strengthen its immune system.
• Also called non-REM sleep and NREM sleep
9
11. Insomnia disorder:
Difficulty in initiating or
maintaining sleep
Dissatisfaction with sleep
quantity and quality.
This happens even if you have
the time and the right
environment to sleep well.
More common among middle-
aged and older adults. APA
11
12. Percentage of insomnia in worldwide:
In Asia, studies on the Chinese ageing population show that 6–41%
of the elderly experience insomnia.
In Egypt, 50% of the patients older than 60 years old had insomnia.
An Iranian study conducted in six hospital clinics with 696
individuals reported a much higher prevalence rate of 62.1%
In Pakistan study suggest that 42.1% of the people met the criteria
of insomnia.
12
13. Different type of insomnia:
• Acute insomnia
• Acute insomnia is short-term insomnia that can last from a few days to a few
weeks. It’s the most common type of insomnia.
• Also referred to as adjustment insomnia because it typically occurs when you
experience a stressful event.
• Such as the death of a loved one or starting a new job.
14. • Chronic insomnia:
• Insomnia is considered chronic if you have trouble sleeping at least three days per
week for at least one month.
• Chronic insomnia can be primary or secondary.
• Primary chronic insomnia, which is also called idiopathic insomnia, doesn’t have
an obvious cause or underlying medical condition.
• Secondary insomnia, also called comorbid insomnia, is more common. It’s chronic
insomnia that occurs with another condition.
• Common causes of chronic insomnia include
• chronic medical conditions, such as diabetes, Parkinson’s disease, hyperthyroidism.
• mental health conditions, such as depression, anxiety, and attention deficit
hyperactivity disorder
• medications, including chemotherapy drugs, antidepressants.
• caffeine and other stimulants, such as alcohol, nicotine, and other dugs.
14
15. • Onset insomnia:
• Onset insomnia is trouble initiating sleep. This type of insomnia can be
short term or chronic.
• According to a 2009 study, people with chronic onset insomnia often
have another sleep disorder, such as restless leg syndrome or periodic
limb movement disorder.
• Maintenance insomnia:
• Maintenance insomnia is difficulty staying asleep or waking up too early
and having trouble getting back to sleep.
• This type of insomnia causes you to worry about not being able to fall
back asleep and not getting enough sleep.
• Maintenance insomnia can be caused by mental health conditions, such
as depression.
15
16. Hyper somnolence disorder:
• Hypersomnia is a condition in which you
feel extreme daytime sleepiness.
• If you have hypersomnia, you fall asleep
several times during the day.
• That occur even after full night sleep.
• Distress and impairment during day time
functioning.
16
17. Who gets hypersomnia?
• Hypersomnia is more common in females
than males. It's thought to affect about 5%
of the population. It’s usually diagnosed in
adolescence or young adulthood (mean age
is 17 to 24 years.
• Hypersomnolence was more prevalent in
adolescent girls compared to boys . The
prevalence of hypersomnolence varied by
age group in both boys and girls, with
teens between the ages of 15–16 years
endorsing the highest rates of
hypersomnolence , followed by 17–18
year-olds.
18. Narcolepsy
• The name Narcolepsy come from French word
narcolepsie
• Combination of Greek word narke (numbness) and
leptos(seizure)
• Chronic sleep disorder
• Cause drowsiness and frequent nap attacks during day
time.
• Occurring at least 3 time a week for past 3 months.
• Also characterized by cataplexy , hallucination ,and
sleep paralysis.
18
19. Hyper somnolence VS Narcolepsy
Hypersomnolence:
Pathological condition
Characterize by unusual
sleepiness.
Symptoms are excessive night
time sleep ,sleepiness daytime.
Narcolepsy:
Chronic neurological disease
Characterize by excessive and
sudden daytime sleep.
Symptoms are excessive day
time sleep , temporary paralysis
, hallucination, muscle
weakness etc.
19
20. Rate of narcolepsy in PAKISTAN:
• This result was in agreement with previous
studies that were conducted in Karachi, in
which the prevalence rate of sleep disorders
ranged from 20% to 30% [19–23].
• Our study showed that narcolepsy prevalence
is 43.5%, and it is dominant in females
(45.3%)
20
21. Obstructive sleep apnea
• Characterized by episodes of complete
collapse of the airway or partial collapse
with an associated decrease in oxygen
saturation or arousal from sleep.
• It often associated with snoring ,
chocking , gasping
21
22. Symptoms of OSA
• Excessive daytime sleepiness.
• Loud snoring.
• Observed episodes of stopped breathing during sleep.
• Waking during the night and gasping or choking.
• Awakening in the morning with a dry mouth or sore
throat.
• Morning headaches.
• Trouble focusing during the day.
22
23. REM Sleep behavior disorder:
• Complex motor behavior during REM sleep.
• Like punching , shouting , jumping out of bed
• Often associated with Parkinson disease and
other neurological disorder.
• Characterized by dream-enactment behaviors.
• That emerge during a loss of REM sleep atonia.
23
24. Non REM Sleep arousal disorder:
24
• Incomplete awakening from sleep.
• Involve behaviors such as sleepwalking, night terrors,
or confusion.
• During these episodes, individuals may exhibit intense
fear, panic, or confusion.
• They may engage in automatic behaviors, such as
sitting up in bed, walking around, or even leaving the
bed and moving around the house.
• Although they may seem awake, individuals usually
have limited awareness of their surroundings and may
not respond to attempts at communication.
25. Sleep related hypoventilation disorder:
• It is a respiratory disorder
• Characterized by abnormally slow or shallow
breathing during sleep.
• Leading to insufficient oxygen intake and increased
levels of carbon dioxide in the blood.
• It often associated with obesity, neuromuscular
disorder.
25
26. OSA vs SRH
Obstructive Sleep Apnea
(OSA):
OSA occurs when the muscles in
the throat relax too much during
sleep.
Causing the airway to collapse
partially or completely.
This obstruction leads to pauses in
breathing or shallow breathing
episodes.
Common symptoms include loud
snoring, choking or gasping during
sleep, daytime sleepiness, and
difficulty concentrating.
Sleep-related
Hypoventilation:
Sleep-related hypoventilation refers
to a condition where a person's
breathing is insufficient during
sleep,
leading to elevated levels of carbon
dioxide (hypercapnia) and reduced
levels of oxygen (hypoxemia) in the
blood.
hypoventilation can occur due to
various factors such as reduced
respiratory drive, lung diseases,
neuromuscular disorders, or obesity
hypoventilation syndrome (OHS 26
27. Central sleep apnea:
• Lack of respiratory effort
during sleep.
• Cause stop of air flow
• Lead to decree in oxygen
saturation.
• Often associated with heart
failure, stroke and other
neurological disorder.
27
28. What is Central Apnea?
• Nerves from the area of the brain called the brainstem
control breathing
• . Any damage to the brainstem or the spinal cord from
things such as trauma, brain tumors and brain bleeds
can cause breathing to be too shallow or stop all
together. This is called central apnea.
• There are also genetic conditions (something you were
born with) which effect the part of the nervous system
that control breathing.
28
29. Night mare disorder:
• A type of sleep disorder that involves undesirable
experiences that occur while you're falling asleep,
during sleep.
• Recurrent episodes of disturbing or frighting dream
that wake individual from sleep.
• Associated with significant distress of impairment in
social, occupational and other areas of functioning.
29
30. Circadian rhythm sleep wake
disorder:
• Also known as sleep-wake cycle disorders.
• Problems that occur when your body's internal clock,
which tells you when it's time to sleep or wake, is out
of sync with your environment.
• Your internal clock, called a circadian clock.
• It involve mis – match between an individual sleep
wake schedule.
• Characterized by insomnia , excessive sleepiness or
both.
• Associated with shift of work and irregular sleep
schedule.
30
32. o Medical condition:
• Cardiac conditions.
• Neurological conditions.
• Endocrine conditions.
• Pulmonary conditions.
• Gastrointestinal conditions.
33. o Psychological conditions:
• Depression may cause alternation in REM sleep.
• 40% people with depression have insomnia.
• PTSD cause night mares which lead to disturbance in
sleep.
• Anxiety disorder predispose to insomnia.
33
34. o Environmental problems:
• Stress full or life threating event may cause
insomnia.
• Shift work may disturb sleep cycle.
• Sleep deprivation may occur due to result of our
warm or noisy environment.
34
35. o Substance use:
• Drugs of abuse and alcohol have disruptive effects on
sleep,
• Interfering with the ease of falling asleep.
• Increasing the difficulty in maintaining sleep.
• Altering the cycling of sleep stages from non-rapid
eye movement (NREM) sleep to rapid eye movement
(REM) sleep.
• Insomnia may result of use of caffeine , alcohol or
withdrawal from any of these.
• Medications that cause insomnia include
Corticosteroids and Bronchodilator’s
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