Fatigue Flashcards
give examples of acute and chronic fatigue
- acute: 1 very long work day, travelers jetlag, events you have no control over
- chronic: rotating hours of work, permanent night work, consistent irregular work hours, compressed work weeks, extended overtime
List types of work that are susceptible to fatigue
- 24/7 operations: truckers, manufacturers, service industry
- Professional service industry: doctors, nurses, airlines, police…
How can we measure fatigue
- Qualitative or quantitative work
- perceptions; interviews
- questionnaires; Epworth sleepiness scale
- fatigue risk index
- EEG
- flicker fusion tests
- psychomotor tests
- mental tests
List physical and emotional symptoms of fatigue
- Physical: Drowsiness, yawning, sore eyes, blurred vision, language impairment, slowed reflexes, microsleeps, automatic behavior
- Emotional: bored, restless, depressed, giddy, grouchy, impatient
Describe cognitive symptoms of fatigue
- poor concentration
- inability to remember recent things
- Failure to respond to changes in surroundings
- less alertness
- poor logic/judgement
- reduced decision making, innovation
- decreased motivation
How does fatigue impact the organization
- increased absenteeism, increased turnover, decreased productivity, increased accidents, decreased social interactions, increased abusive behavior, decreased decision making, decreased engagement, increased liability
How does fatigue affect society
- increased motor vehicle accidents, stress related incidents, impact family relationships, community engagement, increased health related impacts
What individual factors cause fatigue
- Sleep debt, long hours of activity, time of day/circadian rhythms
Why do we need sleep
- Restoration, growth, immune function, hormone release, unconscious thought processes, memory
Describe the stages of non-REM sleep
- 1: 10-15 min, transition btwn awake and light sleep
- 2: “clinical sleep”: BP/HR drop
3/4: restorative sleep, body and mind repair
differentiate cumulative and acute sleep debt
- cumulative: More than 8 hours accumulation
- acute: less than 8 hours in the last 24 hrs
What qualifies as long hours of work
- more than 41 hours/week
- more than 8 hours a day
How long hours of work affect our health
- increased risk of smoking
- increased risk of higher BMI (men)
- unhealthy weight gain
- increased alcohol consumption
- increased mental health disorders
How long hours of work affect our performance
- difficulty concentrating, weakness/dizziness, increased errors
differentiate over arousal errors and under arousal errors
- over: Errors of commission/over correction
- under: errors of omission
What is the purpose of circadian rhythms
- endogenous clock for: body temp, metabolism, HR, BP, respiration, hormonal secretion, urine flow…
- mismatch in circadian rhythm and behavior can lead to decreased performance, poor health, reduced sleep
Describe the purpose of melatonin and what inhibits its release
- regulates sleep wake cycle, anticancer hormone; prevents angiogenesis
- light inhibits its release, particularly blue light
Define shift work
- covers a broad spectrum of systems dividing 24 hrs into time spans
define double day shift
- 2 8 hour shifts