sleep Flashcards
sleep is vital for
cognitive, psychosocial, and physiological function
what type of sleep has three stages that you spend the most time in?
NREM
what does RAS mean
reticular activating system
in what stage of sleep is RAS inhibited?
NREM
what regions of the brain are active during REM
learning, thinking and organizing
what is being released in NREM?
growth hormones and restoration of energy
when do you go to sleep? when do you wake up? do you take naps? problems staying awake during the day? any problems with sleep? snoring? prescribed, o/c or herbal meds for sleep?
questions to ask for sleep history
when should you not assess a sleep history?
on the critical ill
what questions should be considered for long term care?
room temp, lighting and bedtime routine
why is health history used for sleep?
to rule out mental or psychosocial problems that may be affected to sleep
enlarged and reddened soft palate and uvula, enlarged tonsils and adnoids, deviated septum and large neck are all signs of what?
sleep apnea
what does the EEG test
brain waves
what does the EMG test
jaw and the structure
what does the EOG test
eye movement
what does a sleep diary consist of
bedtime process
meds and caffeine
remaining awake/staying asleep problems
illness environment lifestyle emotional stress stim and alcohol diet smoking motivation medications are all factors of...
sleep
what are some factors of environment and sleep?
noise temp ventilation light comfort bed partner unfamiliarity
inability to fall asleep inability to stay asleep waking up frequently difficulty returning to sleep waking up too early in the AM unrefreshing sleep daytime sleepiness difficulty concentrating irritability acute, chronic and intermittent
insomnia
sufficient sleep with daytime sleepiness
caused by CNS damage and kidney, liver metabolic disorders such as diabetes and hyperthyroidism
hypersomnia
excessive daily sleepiness
due to the lack of hypocretin
sleep attacks
reg sleep begins with REM
narcolepsy
what are parasomnias?
bruxism
enuresis
periodic limb movement
sleep walking and talking
what is bruxism
teeth grinding
what is enuresis
bed wetting
what are some changes in sleep of the older adult?
earlier bed time and wake time more disturbed sleep harder time falling asleep diminished REM flattened circadian sundown syndrom
