Ch 12: Sleep and Rest Flashcards
age related in sleep
insomnia
daytime sleepiness
napping
changes in circadian sleep cycles
Fall asleep earlier and awaken earlier (phase advance); quantity doesn’t change but schedule does
Adjusting schedule can help
changes is sleep changes
More time in Stage I & II
Less time in deeper stages III and IV
changes in sleep efficiency and quality
Delay in the onset of sleep
Easily awakened by noise and lighting
environmental factors
assess sleep using this self-rating tool
Pittsburg Sleep Quality Index
what is insomnia
Difficulty falling/staying asleep and premature waking
Can be a symptom of something else
five leg jerks/hour during sleep
nocturnal myoclonus
uncontrollable urge to move the legs
restless leg syndrome
what is sleep apnea
Five episodes of cessation of breathing, lasting 10 seconds, per hour of sleep with daytime drowsiness
Avoid supine position
medical conditions affecting sleep
nocturia
pain
incontinence
orthopnea
muscle cramps
tremors
drugs affecting sleep
caffeine
alcohol
benzos
beta blockers
antidepressants
thyroid preps
steroids
theophylline
ways to promote rest and sleep
sleep history
pharm measures
non pharm measures
pharm measures for promoting sleep and rest
Sedatives with CAUTION
Sleeping meds may reverse normal sleep rhythm
Avoid Benadryl _ severe anticholinergic effects in elderly
nonpharm measures for promoting rest and sleep
Activity and stimulation during the day
Pace activities throughout the day
Eliminate electronics before bedtime
Warm bath, back rub, comfortable position, preferred room temp., warm blankets
Decrease environmental noise
Protein and carb snack
Melatonin, valerian, root tea 45 minutes before bed
Stress & pain management
Complementary and alternative measures
Control pain
