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SUPRIYA PATKAR
 The cyclic nature of sleep is thought to be
controlled by centers located in the lower part
of the brain.
 Circadian- Latin word- Circa dies- about a
day
 When a person’s biologic clock coincides with
sleepwake pattern, the person is said to be in
circadian synchronization.
 NON RAPID EYE MOVEMENT (NREM)
 RAPID EYE MOVEMENT (REM)
EEG provides a good picture of what occurs
during sleep.
 Also referred as slow wave sleep.
 Brain waves of a sleeper are slower than the
Alpha & Beta waves compare to awake
person.
 Most of night sleep is NREM sleep.
 Arterial blood pressure falls.
 Pulse rate decreases.
 Peripheral blood vessels dilate.
 Cardiac output decreases.
 Skeletal muscle relax.
 BMR decreases.
 Growth hormones levels peak.
 ICP decreases.
 Stage I
 Stage II
 Stage III
 Stage IV
 Occurs every 90 minutes & lasts 5 to 30
minutes.
 Dreams takes place.
 Brain is highly active.
 Brain metabolism increases.
 Sleeper may be difficult to arouse or may
awake spontaneously.
 Muscle tone is decreased.
 Gastric secretions increase.
 Heart & respiratory rate are irregular.
7-8
hrs(4-6
cycles)
Stage
I,II,III (20-
30 min)
Stage IV
Stage III,
II (20 min)
I REM
stage
10min
 Sleep exerts physiologic effects on both the
nervous system & other body structures.
 Sleep in some way restores normal levels of
activity & normal balance among parts of the
nervous system.
 Sleep is also necessary for protein synthesis
which allows repair process to occur.
 The role of sleep in deterioration in mental
functioning related to sleep loss.
 Persons with inadequate amounts of sleep tend
to become emotionally irritable, have poor
concentration & experience difficulty making
decisions.
 Illness
 Environment
 Fatigue
 Lifestyle
 Emotional stress
 Stimulants & alcohol
 Diet
 Smoking
 Motivation
 Medication
 Parasomnias – behavior that may interfere
with sleep or that occurs during sleep.
Types
 Arousal disorders
 Sleepwake transition disorder
 Parasomnias associated with REM sleep
 Others
 Primary sleep disorders – are those in which
the person’s sleep problem is the main
disorder.
Types
 Insomnia
 Hypersomnia
 Norcolepsy
 Sleep apnea
 Sleep deprivation
 EEG
 EMG
 ECG
 Spo2
 Physical examination
 Sleep diary
Rest & sleep

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Rest & sleep

  • 2.
  • 3.
  • 4.  The cyclic nature of sleep is thought to be controlled by centers located in the lower part of the brain.
  • 5.  Circadian- Latin word- Circa dies- about a day  When a person’s biologic clock coincides with sleepwake pattern, the person is said to be in circadian synchronization.
  • 6.  NON RAPID EYE MOVEMENT (NREM)  RAPID EYE MOVEMENT (REM) EEG provides a good picture of what occurs during sleep.
  • 7.  Also referred as slow wave sleep.  Brain waves of a sleeper are slower than the Alpha & Beta waves compare to awake person.  Most of night sleep is NREM sleep.
  • 8.  Arterial blood pressure falls.  Pulse rate decreases.  Peripheral blood vessels dilate.  Cardiac output decreases.  Skeletal muscle relax.  BMR decreases.  Growth hormones levels peak.  ICP decreases.
  • 9.  Stage I  Stage II  Stage III  Stage IV
  • 10.  Occurs every 90 minutes & lasts 5 to 30 minutes.  Dreams takes place.  Brain is highly active.  Brain metabolism increases.
  • 11.  Sleeper may be difficult to arouse or may awake spontaneously.  Muscle tone is decreased.  Gastric secretions increase.  Heart & respiratory rate are irregular.
  • 12. 7-8 hrs(4-6 cycles) Stage I,II,III (20- 30 min) Stage IV Stage III, II (20 min) I REM stage 10min
  • 13.  Sleep exerts physiologic effects on both the nervous system & other body structures.  Sleep in some way restores normal levels of activity & normal balance among parts of the nervous system.  Sleep is also necessary for protein synthesis which allows repair process to occur.  The role of sleep in deterioration in mental functioning related to sleep loss.  Persons with inadequate amounts of sleep tend to become emotionally irritable, have poor concentration & experience difficulty making decisions.
  • 14.  Illness  Environment  Fatigue  Lifestyle  Emotional stress  Stimulants & alcohol  Diet  Smoking  Motivation  Medication
  • 15.  Parasomnias – behavior that may interfere with sleep or that occurs during sleep. Types  Arousal disorders  Sleepwake transition disorder  Parasomnias associated with REM sleep  Others
  • 16.  Primary sleep disorders – are those in which the person’s sleep problem is the main disorder. Types  Insomnia  Hypersomnia  Norcolepsy  Sleep apnea  Sleep deprivation
  • 17.
  • 18.  EEG  EMG  ECG  Spo2  Physical examination  Sleep diary