Module 7 pt.1: Sleep and Rest Flashcards

1
Q

what is sleep

A

Behavioural state (required)

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2
Q

What 3 processes control sleep

A

Ultra Radian, Homeostatic and circadian

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3
Q

What is the ultra radian process

A

Occurs within the sleep stages.

Alternation of REM and NREM sleep.

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4
Q

What is the homeostatic process

A
  • Process (s)

- Is dependent on the sleep and wake cycle

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5
Q

What is the circadian process

A
  • Process (c)

- Functions to maintain a level of wakefulness

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6
Q

How do process S and C work together

A

They regulate the timing and organization of sleep and wake

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7
Q

What effects the circadian rhythm

A
  • Light
  • Temp
  • Social activities
  • work routines
  • Everyone has a different biological clock & times when they personally function best
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8
Q

Severe illnesses are often indicated by extreme reversal of sleep. What are some symptoms of poor quality of sleep?

A

Decreased appetite, weight loss, anxiety, restlessness, irritability, and impaired judgement

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9
Q

What part fo the brain regulates sleep?

A

The CNS:

  • Hypothalamus is the sleep centre and promotes wakefulness,
  • The reticular activating system helps to maintain alertness and awarenesss
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10
Q

What does a electroencephalogram measure:

A

Electrical activity in the cerebral cortex

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11
Q

What does a electrooculogram measure:

A

eye movements

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12
Q

How many sleep cycles do you go through in a night

A

4-5

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13
Q

In what order does the body cycle through the sleep cycles

A

Pre-sleep -> NREM 1 -> NREM 2-> NREM 3 -> NREM 2-> REM-> and Back to NREM 2

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14
Q

What is the first NREM stage of sleep about

A

it’s the lightest level, lasts a few minutes and is easy to wakeup from

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15
Q

What is the 2nd NREM stage of sleep about

A

it is when you are relaxed but muscles are still toned, this is the greatest proportion of sleep

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16
Q

What is the 3rd NREM sleep stage about

A

deepest, difficult to wakeup from, low vitals

17
Q

What is the 4th stage (REM SLEEP) about

A

shallow, irregular breaths, no muscle tone, 25% of sleep, high brain activity and vivid dreams

18
Q

What are the 3 main functions of sleep

A
  • Physiological and psychological restoration (vitals drop)
  • Brain tissue and cognitive restoration
  • Important for immune function renal function, regulation of temp, metabolism of glucose and hormone secretion
  • Psychological and social functioning: Irritability and anxiety
19
Q

What are the causes of sleep deprivation

A

1) Environmental causes

2) Emotional factors

20
Q

Explain the environmental causes of sleep deprivation

A

noise, uncomfy, bright light, pain, invasive equipment

21
Q

Explain the emotional factors causing sleep deprivation

A

stress, worry, lack of control, lack of privacy

22
Q

What are some physiological sleep deprivation symptoms

A
Ptosis (Blurred vision) 
Clumsiness
Decreased Reflexes
Slow Response 
Decreased judgement
lack of visual alertness
cardiac arrhythmias 
increased eating or weight loss
23
Q

What are some psychological symptoms of sleep deprivation

A
Distracted
Confused
Forgetful
Sensative
irritable
poor concentration
decreased motivation 
hyperactivity
24
Q

What is the normal sleep requirement of a neonatal

A

16hrs a day for the first couple weeks
influenced more by hunger and not light or dark
12-14 hrs before they’re toddlers
at 9 months should be able to sleep at night

25
What is the normal sleep requirement of a toddler
12-14 hrs with naps
26
What is the normal sleep requirement of a preschooler
13hrs (20%rem) by age 5 barely any daytime naps
27
What is the normal sleep requirement for a school age child
9-10hrs. Lack of sleep causes behavioural issues and depression
28
What is normal sleep requirement for Adolescence
They may have sleep debt and sleep longer on the weekends
29
What is the normal sleep requirement for young adults
6-8.5hrs (20%) REM. Pregnant women need more sleep.
30
What is the normal sleep requirement for an older adult
50% have sleep difficulty
31
What is the normal sleep requirement for middle aged adults
Many has insomnia and the total amount of sleeping decreases
32
What are the factors effecting sleep
1) Drugs and substances 2) Lifestyle (shift work, changing mealtimes) 3) Unusual sleep patterns 4) Emotional stress 5) Environment 6) Exercise and fatigue 7) Food and caloric intake
33
What are the best sources for a sleep assessment
Always primary, but secondary ( a bed partner or parent) can be helpful too
34
Things to ask for a sleep history (a lot)
- Usual bedtime - bedtime rituals - that time they get up - nature of sleep - changes - symptoms - medication - diet - caffeine, Alcohol - life events * A description of sleeping problem * Any unusual sleep patterns * Physical and psychological illness (chronic) * Current life events * Bedroom environment * If they have any behaviours of sleep deprivation * Patient expectations
35
Safe sleep for babies
- 6 Months in their own Crib - No sleep in carrier or car seat - No stuffies - Co-sleeping is not the best
36
Sleep rest assessment: what kind of subjective and objective things would you note
- Sleep history (Time in bed, hrs per night, do you wakeup? rituals) - Quality (do u feel rested?) - Life events and stress - ailments and disease - Medications - what they do for rest Objective: -Bags under eyes or yawning or wandering eyes