How many sleep stages are there?
What sleep stage does REM occur?
What sleep stage does sleep walking occur in?
Which sleep stage is the deepest sleep?
What normal changes happen to the stage 1 duration of the sleep cycle in older adults?
It increases making it harder to fall asleep
What normal changes happen to the total sleep period and total sleep time in the older adult?
The total sleep period increased but totat sleep time stays the same or even decreases
What normal change to sleep efficiency occurs in older adults?
What causes easier arousal from sleep in older adults?
A longer stage 1 duration means they are sending less time in deep sleep
What are the 4 main common sleep disruptions in older adults?
- Sleep Apnea
- Restless Leg syndrome
How does pain disrupt sleep?
Takes longer to fall asleep and cause frequent awakenings
What is Sleep apnea?
Greater than 10 second snoring with spnea up to 30X an hours
How does sleep apnea increase CVA risk?
It reduces cerebral blood flow (CBF), oxygen and regulation of CBF
What are the 5 main signs and symptoms of sleep disturbances?
- Decreased memory
- Increased napping
- Morning Headaches
What are the six assessments a nurse should make for sleep?
- What is normal at home (Try to replecate it)
- Sleep hygiene
- Dies, intake
- Epworth Sleepiness scale
- Pittsburgh sleep quality index
What are 3 non-pharmaceutical interventions for sleep?
- Noise and light reduction
What are the four main substances used as sleep medication? What is the common risk?
- Temazepam (resteril)
- Zolpidem (Ambian)
They all increase risk of falls