Chapters 20-23 Flashcards
(80 cards)
A lack of ____ and ____ results in:
- decreased ability to handle pain
- increased risk for illness
- prolonged healing process
- impaired coping skills
- impaired cognitive function
- increased fatigue
rest and sleep
Allows body and brain to relax and recover -re-energizes brain cells -strengthens the immune system -heals and repairs tissue Characterized by -slowed heart rate and respiration -closed eyes -relaxed muscles
normal sleep
- four stages
- each stage lasts 5 to 15 minutes
Nonrapid eye movement (NREM)
- increased brain activity
- breathing, heart rate, and eye movement increased
Rapid eye movement (REM)
On average there are 4 to 5 _____ per night
sleep cycles
Newborns average _____ hours
-as a child needs gradually decrease
20
Adults require _____ to _____ hours
-older adults have a difficulty acquiring uninterrupted sleep and often find napping helpful
7 to 8
- environment
- pain
- chronic health conditions
- emotional concerns
- sleep disorders
Factors affecting _____
sleep
- elderly take longer to fall asleep
- awake more frequently
- more sensitive to noise around them
- may need regular daytime naps
Concerns for _______
long-term care
____ health conditions can impact sleep
- frequent urination
- restless leg syndrome
- some meds adverse effects
chronic
Lack of ____ may contribute to
- increase risk of anxiety, delirium, and depression
- increase risk of falls due to fatigue
sleep
Difficulty falling or staying asleep Care includes: -report any complaints -be aware of increased risk for falls -provide an environment that promotes sleep
insomnia
Breathing is interrupted resulting in interrupted sleep
Care includes:
-support the client in managing weight and avoiding alcohol and smoking
-assist client with using and caring for CPAP machine
sleep apnea
Sharp, sudden pain resulting from injury
-lessens as body heals
acute pain
Last longer than generally expected
-interferes with the ability to rest, relax, and sleep
chronic pain
Point at which a person becomes aware of pain
pain threshold
Level of pain when a person seeks help to manage it
pain tolerate
- location: is it in one place or does it radiate?
- characteristics: does it burn, ache, throb, stab, etc?
- intensity: use a pain scale
- circumstances: what makes the pain worse or better?
Are questions regarding _____
pain
Reporting the clients pain to the _____ is important because doing so helps:
- assess whats causing the problem
- determine the appropriate treatment
nurse
Pain that is felt before the next dose of pain meds is due
- this should be reported immediately
- report any concerns the client may have about possible addiction to the meds or side effects
breakthrough pain
____ may be effective in relieving pain by:
- exercise: especially musculoskeletal injuries
- ultrasound therapy: increases circulation and relaxes muscles
- transcutaneous electrical nerve stimulation (TENS): affects nerves to reduce pain
physical therapy
_____ responds well to heat and cold application
-Can be dangerous and must be applied cautiously
musculoskeletal pain
____ and ____ clients at greatest risk for injury from heat and cold application:
Other clients at risk include those with:
-fair skin
-impaired sensations
-impaired consciousness
children and older
- relaxes muscles, increases blood flow, and eases pain
- spreads healing and reduces swelling
- can be either moist and dry
- check site every 5 minutes, remove after 20 min
- immediately report red or pale skin, stinging, burning, or pain
heat application