Caring: Older Adults: Sleep

Question 1

Developmental tasks of older adults

Answer 1

Retirement, declined health/ physical strength, death of spouse/friends
In need of coping

Question 2

What are some risks older adults face in the healthcare setting?

Answer 2

Delirium, dehydration, malnutrition, health care associated infections, urinary incontinence, falls

Question 3

Reality orientation

Answer 3

Bringing them back down to reality

Question 4

Validation therapy

Answer 4

They are in their own world, you acknowledge them and dont argue

Question 5

What did Madeleine Leininger study?

Answer 5

Transcultural perspectives

Ethnicity and culture

Question 6

What is Jean Watsons theory?

Answer 6

Promotes healing and wholeness

Places “care” before “cure”

Question 7

Obstructive sleep apnea

Answer 7

Most common
Issue with facial structure
Interferes with deep sleep

Question 8

Sleep apnea

Answer 8

Lack of airflow for 10 seconds or longer during sleep

Question 9

Central sleep apnea

Answer 9

Issue with neurons in the brain

Question 10

Mixed sleep apnea

Answer 10

Mix of the two

Question 11

How is sleep apnea treated?

Answer 11

CPAP machine (forces oxygen into the airway)
Sleep hygeine

Question 12

What areas of the brain controls sleep?

Answer 12

Hypothalamus

Question 13

What are elements of effective therapeutic communication?

Answer 13

Active listening, empathy, therapeutic touch, caring, no judgement, establishing boundaries, promoting decision making, trust.
“Nurse to patient relationship”

Question 14

What are some barriers to effective communication?

Answer 14

Our ability to listen, language, sensory impairment, culture and perception

Question 15

What are the functions of sleep?

Answer 15

• Brain and body function
• Healing properties
• Restoration

Question 16

How do sleep patterns change as a person ages?

Answer 16

As people age they do not reach REM or deep sleeps such as stage 3 & 4

Question 17

What are factors that affect sleep?

Answer 17

Lifestyle
Emotional stress
Exercise/fatigue
Food/calorie intake

Question 18

Insomnia

Answer 18

Chronic difficulty falling asleep
Frequent awakening from sleep
Nonrestorative sleep

Question 19

Hypersomnolence

Answer 19

Sleep walking

Question 20

What role does Serotonin play in sleep?

Answer 20

Serotonin triggers pinal gland and releases melatonin

Question 21

What is Circardian rhythm

Answer 21

Regardless of time cues, body will automatically be on schedule

Question 22

What risk does history of insufficient sleep have?

Answer 22

Risk for diabetes

Question 23

Which stage is the most time spent in?

Answer 23

Stage II

Question 24

REM sleep

Answer 24

Where dreams occur

Rapid eye movements

Question 25

What does lack of sleep increase the risk of?

Answer 25

Hypertension, diabetes, depression, and obesity

Question 26

Symptoms of sleep disturbances

Answer 26

pain, dyspnea, nausea

Question 27

What are hospital patients at risk for?

Answer 27

Decreased sleep because of disturbed circadian rhythm

Question 28

What should be avoided during therapeutic communication?

Answer 28

Long pauses

Question 29

Communication should be…

Answer 29

Goal directed

Question 30

Pre-orientation phase

Answer 30

Gather info before meeting with patient

Question 31

Orientation phase

Answer 31

Start establishing goals

Nurse to patient relationship established

Question 32

Working phase

Answer 32

Continue monitoring
Include family in care
Problem solving

Question 33

Termination phase

Answer 33

Let them know future goal moving forward

Question 34

What are channels?

Answer 34

How message is percieved

Question 35

Never ask…

Answer 35

Why