Evaluation of Sleep, Rest and Leisure Flashcards by Krista Abbygaile Nulud

A natural periodic state of rest for the mind and body,
in which the eyes usually close and consciousness is
completely or partially lost, so that there is a decrease
in bodily movement and responsiveness to external
stimuli

Sleep

How well did you know this?

Not at all

Perfectly

Quiet and effortless actions that interrupt physical

and mental activity, resulting in a relaxed state

Rest

How well did you know this?

Not at all

Perfectly

Main occupations are subdivided into 3 major categories:

Pleasureable (play, leisure)
Productive (work)
Restorative (sleep, self-care, quiet activities)

How well did you know this?

Not at all

Perfectly

Among the three, the ___ category is the least

recognized among all occupations

Restorative

How well did you know this?

Not at all

Perfectly

Continuous recording of specific physiologic variables

during sleep

Polysomnograph (PSG)

How well did you know this?

Not at all

Perfectly

measures brain waves

Electroencephalogram (EEG)

How well did you know this?

Not at all

Perfectly

measures muscle activity

electromyogram (EMG)

How well did you know this?

Not at all

Perfectly

measures eye movements

electrooculogram (EOG)

How well did you know this?

Not at all

Perfectly

The diagram which is based on the info. collected

from the EMG

hypnogram

How well did you know this?

Not at all

Perfectly

the time needed to fall asleep

sleep latency

How well did you know this?

Not at all

Perfectly

Stage of sleep where dreaming occurs

Rapid Eye Movement sleep / REM

How well did you know this?

Not at all

Perfectly

light sleep

NREM 1

How well did you know this?

Not at all

Perfectly

deep sleep

NREM 3

How well did you know this?

Not at all

Perfectly

T/F: infants and children have higher

proportions of REM sleep than adults

TRUE

How well did you know this?

Not at all

Perfectly

What stage of sleep:

1-7 mins, transitional wakefulness to sleep onset or to REM sleep

NREM Stage 1

How well did you know this?

Not at all

Perfectly

What stage of sleep:

10-25 mins, eyes dont move much, slower breathing and heart rate, first stage of established sleep

NREM Stage 2

How well did you know this?

Not at all

Perfectly

What stage of sleep:

few mins, slow EEG wave activity for >20% and <50% of the time

NREM Stage 3

How well did you know this?

Not at all

Perfectly

What stage of sleep:

20-40 mins in the first cycle, slow EEG wave activity >50% of the time

NREM Stage 4

How well did you know this?

Not at all

Perfectly

What stage of sleep:

1-5 mins in the first cycle, irregular and increased body temp, BP, HR and RR

REM

How well did you know this?

Not at all

Perfectly

In adolescence, the normal amount of time for sleep is?

9 to 9.25 hours of sleep a night

How well did you know this?

Not at all

Perfectly

T/F: In adulthood (20 to 60), there is increased sleep efficiency, increased time in the restorative deep sleep, and easier arousal during the deep sleep phase

FALSE

How well did you know this?

Not at all

Perfectly

hallmark of aging

an increased time spent in stage 1 of NREM sleep and a decreased percentage of time in stages 3 & 4

How well did you know this?

Not at all

Perfectly

sleep needs of adults

7-9 hrs

How well did you know this?

Not at all

Perfectly

sleep needs of teens

8.5-9.25 hrs

How well did you know this?

Not at all

Perfectly

sleep needs of school aged children

10-11 hrs

sleep needs of preschoolers

11-13 hrs

sleep needs of toddlers

12-14 hrs

sleep needs of infants

9-12 hrs w naps 1-4x a day

sleep needs of newborns

10.5-18 hrs

T/F: persons with the most limited number of sleep also have the highest rate of obesity and diabetes

TRUE

a sleep state that is characterized by the | tendency to fall asleep

sleepiness

- Exhaustion that occurs after exertion - Awareness of a decreased capacity for physical and/or mental activity due to an imbalance of ability, utilization, and/or restoration of resources needed to perform activity.

Fatigue

Impaired neurologic state that can lead to | lethargy or coma

somnolence`

Most at risk for inadequate sleep:

Young people, especially males under 26 Shift workers and people with long work hours Commercial drivers, especially long-haul drivers People with undiagnosed or untreated disorders Business travelers who drive many hours or are jetlagged

5 Realms of Concern in sleep:

1. Common medical condition and psychiatric disorders 2. Health habits and behaviors 3. Stress and occupational balance 4. Sleep environment 5. Sleep disorder

4 Factors that affect sleep:

exercise, caffeine, tobacco, alcohol

component of sleep hygiene

sleep environment

Repeated problems of sleep initiation, duration, consolidation, or quality that occur despite adequate time and opportunity for sleep and result in some form of daytime impairment; MC

Insomnia

what classification of insomnia: usual cause of insomnia is physiologic

primary

what classification of insomnia: comorbid; related to pain, depression, PTSD, and other medical conditions that should be identified and addressed in treatment planning

secondary

- Caused by partial or complete blockage of airway passages during sleep - loud snoring and gasping for breath

Obstructive Sleep Apnea (OSA)

Index for OSA severity

Apnea/hypopnea index | AHI

Sleep disorder in which there is an urge to move the legs in order to stop unpleasant leg sensations that may be described as “crawling or “tingling.

Restless Leg Syndrome (RLS)

4 Criteria for diagnosing RLS (“URGE”)

1. Irresistible urge to move the legs due to a creepy crawl sensation. 2. Irresistible urge to move the legs (unpleasant leg sensations) 3. Improvement of symptoms with moving legs 4. Nighttime worsening of symptoms

Periodic episodes of repetitive and stereotyped movements of the limbs, which the client cannot control, during sleep (creepy crawls not present)

Periodic Limb Movement Disorder (PLMD)

- Non-sleep behaviors that intrude during sleep | - Sleepwalking and sleep-eating episodes

Parasomnias

T/F: Sleepwalking = NREM sleep behavior disorder

FALSE

tooth grinding

bruxism

In healthy REM sleep, there is normal muscle paralysis, or what we call ___

atonia

Excessive uncontrollable daytime sleepiness even | after adequate sleep at night

Narcolepsy

sudden loss of muscle functions ranging | from muscle weakness to full collapse

Cataplexy

frightening images during the transition to sleep

Hypnagogic hallucinations

a wristband mounted accelerometer system that records period of motion during sleep and indicates sleep latency, arousal, and time of awakening

Actigraphy

A non-obligatory activity that is intrinsically motivated and engaged in during discretionary time, that is, time not committed to obligatory occupations such as work, self-care, or sleep

Leisure

Important under leisure and important for the connection between pt and cx

Humor

4 Key Areas why Humor is important:

1. Building relationships, 2. Helping clients cope with adversity, 3. Promoting clients’ physical health 4. Facilitating compliance with treatment

AT & T principle

use of humor in an appropriate, timely, and tasteful manner

Precautions/Risk Factors for Laughter

``` Seizures Cataleptic/narcoleptic attack Recent abdominal surgery Upper body fracture Acute asthma Pre existing arterial hypertension ```

For what age group does this fall under: Social and family group activities, sports, exercise, travel, computer games, surfing, and social networking on the internet hobbies and crafts, outdoor activities, dancing, dating, and sex. Healthy and active leisure

Young Adulthood (20-40)

For what age group does this fall under: Enjoys developing the skills and talents of younger people (e.g., serving as a sports coach or work mentor). More on mentoring/teaching

Middle Adulthood (40-65 years)

``` For what age group does this fall under: “Use it or lose it" principle Decrease for time in work, so leisure occupation comes into full bloom For maintenance ```

Late Adulthood (65 years and Older)

If activity levels are not maintained, strength, | coordination, and skills may deteriorate rapidly

Use it or lose it principle

the major | determinants of play and leisure participation

Activity interest/preferences

examine what clients do, with | whom, and how often

Activity choices

- state of mind with which these activities are approached (level of playfulness) - Affective experience of engagement in leisure participation

Subjective experience

may be physiological, educational, social, psychological, aesthetic, and spiritual meaning

personal meaning

overall feelings and perceptions related to experience, whether it may be positive or negative perception

Satisfaction with experience

Highest possible score for each component in Leisure Motivation Scale

In Leisure Interest Assessment, each letter is associated with a domain/category regarding activities. What does the letter “B” correspond to?

mind body

In the Insomnia Severity Index, what is the category/implications of the score range 15-21?

Clinical insomnia - moderate severity

T/F: One of the physical benefits of leisure activities is improvement of adaptive and coping skills

TRUE

T/F: In Athens Sleep Questionnaire, a total score of 5 indicates insomnia.

FALSE

In Leisure Interest Assessment, each letter is associated with a domain/category regarding activities. What does the letter “E” correspond to?

Social Outings

In Leisure motivation scale, this measure pertains to the extent to which individuals engage in leisure as a way to escape and get away from overstimulating life situations

Stimulus Avoidance

In Leisure motivation scale, this measure pertains to the extent to which individuals are motivated to engage in leisure activities which involve substantial mental activities such as learning, discovering, creating or imagining

Intellectual