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Nursing care with sleep

Describe the physiology of sleep Cyclical physiological process that alternates with longer periods of wakefulness; influences and regulates physiological functions and behavioral responses; circadian rhythm
How many phases are there in normal sleep? 2
What are the two phases of normal sleep NREM & REM
Describe the first two stages of NREM sleep Stage 1: light sleep, lasts few minutes, easily aroused Stage 2: Period of sound sleep, body functions start to slow, easily aroused, muscles start to relax, lasts 10-20 minutes
Describe last two stages of NREM sleep Stage 3: Start of deep sleep, muscles relaxed, difficult to arouse, lasts 15-30 minutes; Stage 4: Deepest stage of sleep, difficult arouse, sleepwalking lasts 15-30 minutes
Describe REM sleep Vivid dreams occur, rapid eye movement, difficult to arouse, lasts 20 minutes
What are the functions of sleep? Restoration of biological processes, body grows and repairs itself, protein synthesis and cell division for tissue renewal, conserves energy
What are factors influencing sleep lifestyle, drugs/substances, environment, exercise, fatigue, food and calorie intake, emotional stress, usual sleep patterns
Distinguis sleep requirements throughout the lifespan Infants: 16-18 hrs- spend 50% REM sleep; Children: 11-12 hrs; Adolescents- 10 hrs but usually only get 6-7 hrs; Adults: 6-9 hrs-sleep disorders may develop here; Older adults: 4-6 hrs, nap during day
What are characteristics of sleep apnea lack of airflow through nose and mouth for periods of 10 seconds or longer during sleep; 3 types: central, obstructive, mixed; most common: obstructive, Risk factors: obesity & hypertension
What are characteristics of insomnia Chronic issue; frequent awakenings at night; most common sleep related complaint; excessive daytime sleepiness, insignificant sleep quality & quantity; occurs most commonly in women; transient insomnia- situational stresses, acute insomnia 2 wks/less
What are characteristics of restless leg syndrome More common in women/ older people/ iron deficiency anemia, reoccurring rhythmical movement of legs, itching sensation deep in muscles only relieved with leg movement, prevents relaxation and subsequent sleep, CNS disorder
What are some nursing diagnosis appropriate for patients with sleep alterations anxiety, ineffective breathing pattern, acute confusion, compromised family coping, ineffective coping, insomnia, fatigue, sleep deprivation, readiness for enhanced sleep
Describe health promotion measures for sleep and rest exercise, heathy lifestyle, good diet, comfortable environment, safety, bedtime routine, refrain caffeine before bed, refrain use of drugs/alcohol
Created by: amandamarie194