LP7: Sleep/Rest/Mobility Alterations Flashcards
What are interventions for Impaired Physical Mobility?
-Treat pain before the activity
-PT referral
-Obtain assistive devices
What type of client education can be given to pt using a cane?
-Hold the cane with the hand on the stronger side of the body to provide max support.
Wheelchair Safety
-Put WC on the client’s stronger side
-Lock WC
-Raise the footplate when transfessing
What are some assessments of self-care (ADL’s)?
-Feeding
-Bathing
-Dressing
-Toileting
-Instrumental (Able to use kitchen supplies, washer, dryer, etc. safely)
What are some related factors to impaired mobility?
-Fatigue
-Decreased visual and motor ability, muscle weakness
-Pain
-Confusion
-External devices (Casts, braces, IV equipment)
What are some Adverse Effects of Immobility?
-Decreased myocardial performance
-Venous stasis; thrombus formation
-Dependent edema (sitting for too long)
What is Orthostatic (postural) Hypotension?
When a person changes from a horizontal to a vertical position, blood pools in the lower extremities and BP drops
What is the Increased use of the Valsalva Maneuver?
Holding the breath and straining against a closed glottis
Can result in cardiac arrhythmias
What is Disuse Syndrome?
Susceptible to deterioration of body systems as the result of prescribed of prescribed or unavoidable musculoskeletal inactivity, which may compromise health
What is Circadian Rhythms?
About 24hr rhythmic biologic clocks in our body
What are the Stages of Sleep?
-NREM (Non-Rapid Eye Movement) = Restful; most of the sleep
-REM (Rapid Eye Movement) = Highly active
What are the Cycles of Sleep?
-Wake
-NREM 1 (very light)
-NREM 2 (light)
-NREM 3 (deep)
-NREM 2
-REM
How long does a Sleep Cycle last?
1.5 hrs in adults
(4-6 cycles of sleep per 7-8hrs)
What are the functions of sleep?
-Restorative
-Necessary for protein synthesis
-Promotes psychological well-being
What factors affect sleep?
-Illness
-Environment
-Fatigue
-Lifestyle
-Emotional stress
How does Hyperthyroidism affect sleep?
Promotes difficulty to fall asleep. (Always active)
How does Hypothyroidism affect sleep?
It decreases stage 4 sleep
What is Insomnia?
Inability to fall asleep or remain asleep
What is Hypersomnia?
Can be caused by medical conditions
What is Narcolepsy?
Lack of chemicals in CNS
What is Sleep Apnea?
Short breathing pauses during sleep
What is Insufficient Sleep?
Less sleep than needed
What is Parasomnia?
Behavior that may interfere with sleep
What are examples of Parasomnia?
*Nightmares (REM)
*Nocturnal enuresis
*Sleepwalking (Stage 3)
*Night terrors (Stage 3)
*Periodic limb movements (PLMS) disorder
