N336 Sleep student

N336 Sleep student - Jacqueline Tulley, RN, MSN,ACNP Sleep:...

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Unformatted text preview: Jacqueline Tulley, RN, MSN,ACNP Sleep: ◦ Cyclical states/altered consciousness ◦ Decreased motor activity and perception ◦ Selective response to external stimuli Rest: ◦ Mild to no activity ◦ Relaxation ◦ Leads to feeling refreshed Circadian rhythms Circadian Sleep regulation Cyclical rhythms Biological clock Regulated by a sequence Regulated of physiological states integrated by CNS activity activity Stages of sleep Sleep cycle Stages 1, 2, 3, 4, and Stages REM REM Once asleep a person Once passes through 4 to 5 sleep cycles sleep Increases mental performance Restores energy Improves ability to cope Strengthens the immune system Purpose of sleep ◦ Remains unclear ◦ Physiological and psychological restoration ◦ Maintenance of biological functions Dreams ◦ Occur in NREM and REM sleep ◦ Important for learning, memory, and adaptation to stress Cardiac, respiratory, pain, RLS Sleep disorders: ◦ Insomnia ◦ Sleep apnea ◦ Restless leg syndrome (RLS) ◦ Narcolepsy ◦ Sleep deprivation ◦ Parasomnias Somnambulism Sleeptalking Night terrors Nightmares Enuresis Bruxism Neonates Neonates Infants 16 hours a day 8 to 10 hours at night for a to total of 15 hours per day total Toddlers Preschoolers Total 12 hours a day plus a Total nap nap 12 hours a night School Age Adolescents 9 to 10 hours 7 ½ hours Young Adults Middle and Older Adults 6 to 8 ½ hours Total number of hours Total declines declines Physical illness Physical Drugs and substances Cardiac, respiratory, skeletal, Cardiac, chronic illness, GI, nausea chronic Hypnotics, diuretics, Hypnotics, antidepressants, alcohol, caffeine, narcotics, beta-blockers, anticonvulsants Lifestyle Lifestyle Work schedule, social Work activities, routines activities, Usual sleep pattern Emotional stress Environment Worries, physical health, death, Worries, losses losses Noise, routines Exercise and fatigue Food and calorie intake Moderate exercise and fatigue Moderate causes a restful sleep causes Time of day, caffeine, nicotine, Time alcohol alcohol May be disrupted by social activity May or work schedule or Cluster/ schedule nursing care to avoid interrupting sleep Create comfortable and restful environment Promote rest and relaxation Support bedtime routines/rituals Offer foods that support sleep Maintain safety of the client Teach about sleep hygiene Administer/complete client teaching about sleep­ inducing meds Assessment Diagnosis ◦ Sleep deprivation; sleep pattern disturbance Planning Implementation Evaluation 1. During rounds on the night shift, you note that a client stops breathing for 1 to 2 minutes several times during the shift. This condition is known as: A. Cataplexy B. Insomnia C. Narcolepsy D. Sleep apnea 2. A 4­year­old pediatric client resists going to sleep. In order to assist this client, the best action to take would be: A. Adding a daytime nap B. Allowing the child to sleep longer in the morning C. Maintaining the child’s home sleep routine D. Offering the child a bedtime snack 3. A client suffers from sleep pattern disturbance. To promote adequate sleep, the most important nursing intervention is: A. Administering a sleep aid B. Synchronizing the medication, treatment, and vital signs schedule C. Encouraging the client to exercise immediately before sleep D. Discussing with the client the benefits of beginning a long­term night time medication regimen ...
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This note was uploaded on 05/30/2011 for the course NUR 336 taught by Professor Patriciakelly during the Spring '11 term at St. Xavier.

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