Sleep + Rest Flashcards
(97 cards)
1
Q
Period of rest for the mind
and body
A
Sleep
2
Q
Alterations in consciousness
A
Sleep
3
Q
Relative inactivity
A
Sleep
4
Q
State of well-being
A
Rest
5
Q
Relaxation without emotional stress
A
Rest
6
Q
Associated with decreased activity
A
Rest
7
Q
Active complex rhythmic state with progression of repeated cycles
A
Sleep
8
Q
Circadian rhythm is associated with what?
A
Sleep
9
Q
Sleep-Wake Cycle; 24-Hour Biological Sleep Clock
A
Circadian Rhythm
10
Q
What does sleep deprivation lead to?
A
Hallucination, altered thought processes, changes in mood and mentality.
11
Q
What is a sleep deprived person’s tolerance to pain and stress going to be?
A
low tolerance
12
Q
Stage 1 of Sleep
A
Transitional Stage
13
Q
Right before you fall asleep, relaxed but can still be easily woken.
A
Transitional Stage
14
Q
What happens to muscles in stage 1 of NREM sleep?
A
Muscle jerks
15
Q
How long does tran last for?
A
75% of sleep is stages 1-4 of NREM
16
Q
Stage 2 of NREM
A
Falls into stage of sleep
17
Q
Stage 3 accounts for roughly _____ % of individuals sleep
A
10%
18
Q
Stage 4 of NREM
A
Greatest depth of sleep
Physiologic changes within the body
19
Q
Stage 3 of NREM
A
Increased Depth
20
Q
Stage 4 of NREM accounts for ______ % of NREM
A
10%
21
Q
During REM, eyes…
A
dart back and forth
22
Q
During REM, _______ muscles twitch. (face)
A
small
23
Q
REM counts for ______ - ______ % of sleep
A
20-25%
24
Q
Irregular respirations,
with some apnea; Rapid or irregular pulse
A
REM Sleep
25
Increased gastric
secretions; Increased metabolism
and body temperature
REM Sleep
26
REM Rebound
When you can catch up on deep sleep
27
Active EEG tracings
REM Sleep
28
REM enters from stage II NREM and reenters NREM at stage _____.
2
29
How many cycles do we go through each night?
4-5 cycles
30
Each sleep cycle lasts for about _____ - _____ minutes.
90-100
31
External factors influencing circadian rhythm
Alcohol, children, outside noises, anything outside of the body.
32
Internal factors affecting circadian rhythm
Hormones, anxiety, stress, emotional tension.
33
Biologic clock is completed every....
24 hrs
34
Circadian Rhythm affects...
heart rate, blood pressure, body temperature,
| hormones, metabolism, and performance and mood
35
Making the adaptations to the circadian rhythm to fit lifestyle changes (working nights)
Circadian Synchronization
36
Sleep-wake cycle follow internal clock within the...
Hypothalamus
37
High Physiologic + Psychological rhythm indicates...
awake
38
Low Physiologic + psychological rhythm indicates...
sleep
39
Sleep ________ as we age.
decreases
40
Factors affecting sleep?
Age, Motivation, Culture, Environment, Illness, Exercise, Stress, Alcohol, Nicotine/caffeine, Diet, Lifestyle, Medications.
41
Average amount of sleep toddlers get?
12 hours
42
School age sleep average?
10-12
43
Adolescent age sleep average?
Recommended 8 hrs, but puberty and social pressures may affect that.
44
Adult sleep average?
Recommended 8 hours, but affected by work, family, social pressures and responsibilities.
45
Older adult sleep average?
5-7 hours; impacted by need to go to the bathroom and physiologic changes. Longer to fall asleep, not as well quality REM sleep
46
Motivation for sleep can go either way. How does motivation affect sleep?
Positive or negative.
If not motivated in life, may oversleep.
If very motivated in life, may undersleep (have to get things finished).
47
How does culture affect sleep?
Naps, Sleep times, Work culture, bedtime rituals (pray, read bible), sleeping position/places of sleep.
48
How does illness affect sleep?
If you're in pain, you may not be able to sleep.
Medications for illness may make you oversleep, or they may prevent you from sleeping (diuretics will cause increased urination throughout the night).
49
If someone is ill, how does their sleeping pattern change?
The need more sleep for healing.
50
Exercise can help promote sleep, but only if it is ______ hours or more before bed.
3
51
Stress impacts sleep by...
preventing an individual from sleeping due to worry.
52
Alcohol affects sleep by...
not providing quality/quantity of sleep.
53
Should not drink alcohol within ____ hours before bed.
6
54
Nicotine and caffeine affect sleep by...
Keeping you awake; stimulant.
55
Best foods to eat before bed?
Small snack of protein + carbs.
56
Sleeping medications are used as...
short-term meds to help them sleep.
57
Antihistamines may cause...
drowsiness
58
Environment in hospital may include...
Lights, bed, noise, roommate, procedures.
59
Sleep disorder characterized by insomnia or excessive sleepiness
Dyssomnia
60
Patterns of waking behaviors that appear during sleep
Parasomnia
| sleep walking, talking, etc.
61
Decrease in amount, consistency, or quality of
| sleep (quality + quantity)
Sleep Deprivation
62
Difficulty falling asleep, intermittent sleep, or early waking from sleep
Insomnia
63
Most common sleep disorder?
Insomnia
64
Who is most effected by insomnia?
Women, Older individuals.
65
What are some clinical manifestations of insomnia?
Mood changes, problems concentrating.
66
Treatments for insomnia?
Medications (short term), meditation, acupuncture, guided imagery.
67
Too much sleep, especially
| during the day
Hypersomnia
68
Causes of hypersomnia?
Depression, puberty, stress.
69
What are the clinical
manifestations of
hypersomnia?
Irritability, decreased concentration, mood changes
70
What is treatment for
| hypersomnia?
Identify problem, treat it.
71
Uncontrollable desire to sleep; Sleep attack during the day.
Narcolepsy
72
Narcolepsy is a ________ disorder.
neurological
73
How can narcolepsy be treated?
Medication, stimulants.
74
Stop breathing between snoring internals from 10 seconds to
| 2 minutes; serious problem.
Sleep Apnea
75
When something (tongue, tonsils, soft pallet) obstructs airway during sleep.
Obstructive sleep apnea
76
Clinical manifestations of sleep apnea?
Snoring, gasping for air.
77
Treatment of sleep apnea?
Find cause, treat, CPAP Machine.
78
A disorder in which your breathing repeatedly stops and starts during sleep; Occurs because your brain doesn't send proper signals to the muscles that control your breathing
Central Sleep Apnea
79
Inability to lie still, feeling of tingling in legs.
Restless Leg Syndrome
80
Clinical manifestations of RLS?
Tingling of legs, lack of sleep,
81
Treatment of RLS?
Exercise to tire out legs, herbal remedies, mild analgesics, avoid stimulants.
82
Waking activities or behaviors that occur
| during sleep
Parasomnia
83
Somnambulism
Sleep walking
84
Sleep talking is a ...
Parasomnia
85
Night terrors are a...
Parasomnia
86
Bruxism
grinding of teeth
87
When someone is having a night terror, never ________ them.
Wake
88
Enuresis
wetting the bed, having to urinate in the middle of the night.
89
Sleep related eating disorders...
Wake up to eat, go back to bed, not even realizing it.
90
Assessing sleep...
Usual sleep/wake pattern.
- Time of sleep and wakefulness
- Hours of uninterrupted sleep
- Quality of sleep
- Naps
91
Assessing naps
Need for nap
Length of nap
Frequency of nap
92
When is a nap the most successful?
late morning/mid-afternoon
93
Sleep Affect on daily functioning
- Ability to perform ADL
| - Functionality throughout the day
94
Sleep aids...
- Preparations for sleep
- Sleep rituals
- Environment
95
Sleep disturbances...
Medications, illness, environment, etc.
96
Subjective sleep assessment
“I’m so tired.”
“I’m exhausted.”
“My eyes burn.”
“I haven’t slept in days.”
97
Objective sleep assessment
Yawning, eyes glazed, rubbing eyes, slow speech,
| irritable, lethargic
