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Psychosocial > Chapter 14 > Flashcards

Chapter 14 Flashcards

1
Q

What is the diagnostic criteria for insomnia?

A

dissatisfaction with quality or amount of sleep

  • difficulty falling asleep-
  • difficulty maintaining sleep (frequent waking up)
  • early morning waking
  • in spite of adequate opportunities for sleep
  • distress or dysfuction
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2
Q

How often does insomnia need to occur?

A

3 nights a week for 3 months

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3
Q

What are the comorbidities for insomnia?

A

Alvina Does Toss and turn

anxiety, depression, trauma related disorders

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4
Q

What is the diagnostic criteria for narcolepsy?

A
  • repeated intense need to sleep, falling asleep or napping w/n the same day
  • at least one of cataplexy a few times a month
  • hypocretin deficiency- regulate sleep and energy
  • rapid eye movement (REM) sleep less than 15 mins
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5
Q

How often does narcolepsy need to occur?

A

3x per week for 3 months

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6
Q

What is cataplexy?

A
  • brief episodes of sudden loss of muscle tone triggered by sudden, strong emotions (laughing, fear, anger etc)
  • spontaneous grimaces or global hypotonia
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7
Q

What is the diagnostic criteria for obstructive sleep apnea?

A
  • polysomnography of at least 5 obstructive apneas or hypoapneas per hour of sleep with snoring, pauses of breathing or daytime fatigue
  • or 15 episodes of apnea or hypoapnea per hour of sleep with no other symptoms
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8
Q

What is the etiology for obstructive sleep apnea?

A
  • facial structure and amount of upper airway soft tissues

- overweight or obesity

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9
Q

What is the diagnostic criteria for circadian rhythm disorder?

A
  • sleep disruption due to alteration of circadian system or a mismatch b/n the person’s rhythm and the requirements of social or work environment
  • excessive sleepiness, insomnia or both
  • distress or dysfunction
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10
Q

What is the etiology of circadian rhythm disorder?

A
  • degeneration or decreased neuronal activity of suprachiasmatic nucleus neurons (melatonin)
  • decreased responsiveness of body internal clock to signals like sunlight and activity
  • decreased exposure to bright light and structured social and physical activity during the day
  • occur from shift work or jet lag
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11
Q

What is the 1st stage of the sleep cycle?

A
  • entering sleep
  • light
  • 1-7 mins
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12
Q

What is the 2nd stage of the sleep cycle?

A
  • light sleep
  • heartbeat and breathing starts to slow down
  • muscles start to relax
  • 10-60 mins
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13
Q

What is the 3rd stage of the sleep cycle?

A
  • deep sleep
  • more slow and relaxed
  • 20-40mins
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14
Q

What is the 4th stage of the sleep cycle?

A
  • REM- increase brain activity, heart rate and BP
  • dreams
  • muscle paralyzed
  • 10-60 mins
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15
Q

What is nightmare disorder?

A

frequent troubling dreams that are well remembered

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16
Q

what is non-rapid eye movement sleep arousal disorder?

A

sleep walking and sleep terrors

17
Q

what is rapid eye movement sleep arousal disorder?

A

repeated periods of arousal during sleep with vocalization and/ or complex motor behaviors occurring during REM

18
Q

what is restless leg syndrome?

A

frequent urge to move the legs, uncomfortable or unpleasant sensations during REM sleep

19
Q

What are the implications for function for sleep disorders?

A
  • performance may be affected in work, leisure, play, education, social participation due to daytime fatigue or excessive sleepiness
  • cognitive skills: executive function, concentration, attention, emotional regulation
  • self esteem and confidence
20
Q

What are treatments for sleep disorders?

A
  • focus on SLEEP HYGIENE
  • short or long term use of meds
  • CPAP for obstructive apnea
  • surgical options for obstructive apnea
21
Q

What are the OT implications for the sleep disorders?

A

SLEEP HYGIENE

  • bedtime routine
  • using bed for sex and sleep only
  • avoid naps
  • no exercise near bed
  • room and temp is comfy
  • minimize liquids at night
  • meditation
  • body positioning for comfort
  • sun exposure
22
Q

In the AOTA fact sheet what was the role in OT sleep disorders for children with Autism?

A

cognitive or behavioral therapy interventions or strategies to address sensory avoiding or sensory seeking behaviors

Psychosocial (9 decks)

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