Caring: Older Adults: Sleep Flashcards
Developmental tasks of older adults
Retirement, declined health/ physical strength, death of spouse/friends
In need of coping
What are some risks older adults face in the healthcare setting?
Delirium, dehydration, malnutrition, health care associated infections, urinary incontinence, falls
Reality orientation
Bringing them back down to reality
Validation therapy
They are in their own world, you acknowledge them and dont argue
What did Madeleine Leininger study?
Transcultural perspectives
Ethnicity and culture
What is Jean Watsons theory?
Promotes healing and wholeness
Places “care” before “cure”
Obstructive sleep apnea
Most common
Issue with facial structure
Interferes with deep sleep
Sleep apnea
Lack of airflow for 10 seconds or longer during sleep
Central sleep apnea
Issue with neurons in the brain
Mixed sleep apnea
Mix of the two
How is sleep apnea treated?
CPAP machine (forces oxygen into the airway) Sleep hygeine
What areas of the brain controls sleep?
Hypothalamus
What are elements of effective therapeutic communication?
Active listening, empathy, therapeutic touch, caring, no judgement, establishing boundaries, promoting decision making, trust.
“Nurse to patient relationship”
What are some barriers to effective communication?
Our ability to listen, language, sensory impairment, culture and perception
What are the functions of sleep?
- Brain and body function
- Healing properties
- Restoration
How do sleep patterns change as a person ages?
As people age they do not reach REM or deep sleeps such as stage 3 & 4
What are factors that affect sleep?
Lifestyle
Emotional stress
Exercise/fatigue
Food/calorie intake
Insomnia
Chronic difficulty falling asleep
Frequent awakening from sleep
Nonrestorative sleep
Hypersomnolence
Sleep walking
What role does Serotonin play in sleep?
Serotonin triggers pinal gland and releases melatonin
What is Circardian rhythm
Regardless of time cues, body will automatically be on schedule
What risk does history of insufficient sleep have?
Risk for diabetes
Which stage is the most time spent in?
Stage II
REM sleep
Where dreams occur
Rapid eye movements
What does lack of sleep increase the risk of?
Hypertension, diabetes, depression, and obesity
Symptoms of sleep disturbances
pain, dyspnea, nausea
What are hospital patients at risk for?
Decreased sleep because of disturbed circadian rhythm
What should be avoided during therapeutic communication?
Long pauses
Communication should be…
Goal directed
Pre-orientation phase
Gather info before meeting with patient
Orientation phase
Start establishing goals
Nurse to patient relationship established
Working phase
Continue monitoring
Include family in care
Problem solving
Termination phase
Let them know future goal moving forward
What are channels?
How message is percieved
Never ask…
Why
