Maegan's Test #5 - Sleep/Exercise Flashcards
How often do you turn a client who is immobile?
Every 2 hours
If a client is immobile what type of exercise would you suggest to prevent osteoporosis?
Weight Bearing Exercises
What is the definition of sleep?
An altered state of consciousness
What are some S-System Specific Assessment’s for Sleep?
5 of them
Usual routine vs. interruptions in sleep/wake cycle
LOC
Naps
Fatigue
Insomnia
What are some S-System Specific Assessments of Sleep Deprivation?
5 of them
Decreased Attention Span
Irritability
Slowed Reactions
Sensitivity to Pain
Impaired ability to perform ADL’s
What are some S-System Specific Assessments for CONTINUED sleep deprivation?
5 of them
Impaired Cognitive Function
Decreased Emotional Control
Hand Tremors
Difficulty Speaking
Develops Suspicion and Confusion
What is the average time that the average adult needs to sleep each night?
7-9 Hours
What are some S-System Specific Assessments of items that would effect their Sleep?
(What are 4 things people do in their sleep)
Sleep Walking
Enuresis
Sleep Apnea
Narcolepsy
What are some herbs used to help with sleep?
Valerian
Lavendar
Kava
(Increases effects of sedatives, may cause liver failure
(Nature’s valium - Don’t take with other sedatives)
What are some S-System Specific Assessments you would ask the client?
Anxiety Level
How many hours do they actually sleep each night?
What kind of med/sleep meds are they on?
(It hinders sleep - “What are they stressed about?)
What are some items you look at when E-Evaluating Pharmacolgy for Hypnotics?
Side Effects
Client Teaching
What are some things to look at when E-Evaluating Pharmacology for Sleep?
Are they getting adequate sleep after taking sedatives/hypnotics
How alert is the pt the next day
Are they sleeping during the day
What are some common sleep meds?
Zolpidem - Ambien
Zaleplon - Sonata
Ramelteon - Rozerem
Eszopiclone - Lunesta
What can you do to Y-Cover your Assets when charting about client and sleeping?
DO NOT CHART CLIENT SLEEPING
Ex Note: Client resting w/eyes closed, resp 18 even and unlabored
What are some S-System Specific Assessments for Exercise?
** USE OF ASSISTIVE DEVICES **
Activity Level vs usual activity level
Injuries affecting activity Level
(Sprains, strains, fractures)
Use of assistive devices
Paralysis
Pressure Ulcers
Posture/Alignment/Balance
Pressure Ulcers
Labs
Pain Level
What is our F-First priority when it comes to exercise?
SAFETY
When E-Evaluating Pharmacology NSAID’s for Exercise what are some teachings?
Take with food
Teach about GI Bleeding
Monitor for toxicity
Stop5-7 days before surgery
No more than 800mg Ibuprofen/Day
No more than 1000mg Aleve/Day
What are some common NSAID’s used for Exercise?
Ibuprofen - Motrin/Advil
Oxaprozin - Daypro
Aspirin - Ecotrin, ASA
Flurbiprofen - Ansaid
Ketoprofen - Orudis
