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Sleep and Rest

Sleep and Rest NU112

Sleep - Naturally recurring state of rest accompanied by altered conscious and relative inactivity
Rest - Decreased state of activity resulting in feelings of refreshment.
Normal Sleep Cycle - Wakefulness -> NREM stage I --> NREM stage II ---> NREM stage III ----> NREM stage IV ---> NREM stage III --> NREM stage II -> REM --> NREM stage II
NREM - non rapid eye movement - Usually dream stage - decrease in pulse, respiration, BP,temp, metabolic rate - 75% of total sleep - 4 Stages
NREM Stage I - 5% of sleep time
NREM Stage II - 50% of sleep time
NREM Stage III & IV - 10% of sleep time - Deep Sleep or Delta Sleep
REM - Rapid Eye Movement - 20 - 25% - Difficult to arouse - Vivid Dreams - increased pulse, respiration,BP,temp, metabolic rate - decreased muscle tone and deep tendon reflexes - Essential to mental and emotional health
REM Rebound - decrease will result in increased on future nights allowing for consistency.
Circadian Rhythm - Biologic clock
Sleep Cycle - 4-5 cycles nightly, lasts 90 - 100 minutes, cycles lengthen towards morning
Sleep Requirements and Patterns - 8 hours accepted standard - infant - 14 - 20 hours - Children - 10 - 14 hours - Adult - 7 - 9 hours
fatigue - is normal, protective, warning - Chronic is abnormal, can result in illness
Adults and Sleep - take longer to fall asleep - wake earlier and more frequent - less able to cope with change - naps reduce quality of sleep -
Infants and Sleep - SIDS - supine decrease mortalitiy by 50% - 72% of nurses agreed but only 30% educated
Motivation and Sleep - Party or Lecture
Culture and Sleep - Ritual - place - position - pattern
Dietary and Sleep - Protein - causes alertness - carbs - promotes calm and relaxation - alcohol - small amounts promote large amounts limit REM and NREM - caffeine and nicotine - should be avoided
Melatonin and Sleep - released to decrease wakefulness and promotes sleep, increases REM and NREM
Work Shift and Sleep - causes sleep loss - anxiety, loneliness
Exercise and Sleep - no less than 2 hours before bead or it will hinder sleep
Stress and Sleep - anxiety decrease REM
Chronotherapuetics - Strategic use of medications admin. - anti-hypertensives peak in early am - chemo less toxic at certain times
Dyssomnias - Insomnia - hypesrsomnia - narcolepsy - Sleep apnea - Restless leg Syndrome - Sleep deprivation
Insomnia - Excessive Sleepiness - most common 12 - 25% - difficult to treat - hard time falling asleep, inter. sleep, early waking,
Hypersomnia - excessive sleep - usually daytime during work -
Narcolepsy - uncontrollable desire to sleep during standing, driving, swimming, conversations. - Difficult to wake - neurologic disorder with sleep attacks -
Sleep apnea - Absence of breathing or diminished breathing efforts - breathing may cease for 10 - 20 unto 2 min - excessive daytime sleepiness is a symptom - common in mid. aged man with short necks and are obese
Restless Leg Syndrome - cant lay still - unpleasant creeping or tingling sensation - 25% have iron deficiency
Sleep Deprivation - decrease in amount quality, and consistency - decrease in REM or NREM
Parasomnias - patterns of waking behavior during sleep such as somnambulism, night terrors, enuresis, sleep related eating disorders, - usually outgrown
Created by: saraken2007