Module 26 sleep Flashcards
what is sleep
rapidly reversible state of reduced responsiveness, motor activity, and metabolism
- dynamic and regulated set of behavioral and physiological states and vital to health and well-being
benefits of sleep
restorative for brain metabolism memory consolidation and learning physical health performance and safety emotional well being severs glymphatic function by removing toxic by-products
Stage 1 of sleep
mixture of alpha and theta brain waves
stage 2 of sleep
sleep spindles
K complexes
theta brain waves
beginnings of delta waves
Stage 3 of sleep
mixture of theta and delta brain waves
- slower delta
Stage 4 of sleep
delta brain waves
REM
fast, active brain waves accompanied by rapid eye movements
sleep changes with age
- less efficient and more fragmented with age
- less deep sleep
- more difficulty maintaining sleep due to awakenings
- elderly experience higher prevalence of sleep disorder
- meds make disrupt sleep
consequences of sleep deprivation
- shortened life span
- inc. risk of CV dis and GI complications
- irritability, depression
- dec. work performance
- social problems
- difficulty learning
obtaining sleep hx
hours of routine sleep in 24 hour period difficulty falling asleep food or beverages before sleep evidence of sleep apnea nocturnal wakenings work schedule that alters sleep wake patterns
family sleep hx
narcolepsy with cataplexy parasomnias sleep apnea restless leg syndrome periodic limb movements circadian rhythm disorders
Social sleep hx
alcohol, smoking, drug use
lack of exercise
work hx
social or financial problems
Daytime sleepiness scale
epworth sleep scale
OSA
periodic, partial, or complete obstruction in the upper airway during sleep
- snoring with apneic pauses
- repetitive arousal from sleep occurs to restore airway patency resulting in daytime hypersomnolence
determine sleep apnea STOP
S: snore loudly
T: feel tired, fatigued, or sleepy during day
O: anyone observed you not breathing during sleep
P: treated for high blood pressure
mild insomnia
almost nightly complaint of nonrestorative sleep
assoc. with little or no impairment of social or occupational functioning
moderate insomia
nightly complaints of disturbed sleep
mild to moderate impairment of social or occupational function
severe insomnia
nightly complaints of disturbed sleep
severe daytime dysfunction
acute insomnia
resolves with the management of inciting factors - better sleep schedule Adjustment sleep disorder - increased stress - unfamiliar sleep enviro Jet lag
Chronic Insomnia
Primary or intrinsic
Secondary or extrinsic
narcolepsy
Neuro disorder
daytime sleepiness
irresistible attacks of sleep occur almost daily
cataplexy
sudden loss of muscle tone
- assoc. with intense emotion and the sudden onset of REM sleep
- assoc. with narcolepsy
restless leg syndrome
urge to move legs, usually accompanied by unpleasant sensation
