NUR 116 - Comfort, Rest, Sleep - Week 5 Flashcards
What are the sleep stages?
Stage 1- non rapid eye movement
- Lightest stage of sleep
Stage 2- non rapid eye movement
- Approx. 50% of total sleep cycle
Stage 3- non rapid eye movement
- Deepest sleep
- Immune system strengthens, muscle & bones repair
- Less Stage 3 as client ages
Stage 4- rapid eye movement
- Dreaming stage
- Skeletal Muscles remain atonic (loss of muscle tone)
Physiology of Sleep: What’s the Circadian rhythm?
An internal process that controls the sleep-wake cycle, repeats about every 24 hours
- Regulates biological clock: sleepy at night, awake in the morning
Physiology of Sleep: What’s “Sleep-Wake Homeostasis”?
Physiology of Sleep: Short and Long-Term Memory
Thalamus transfers information to cerebral cortex, which turn short-term memory into long-term memory
- Occurs during REM sleep
Physiology of Sleep: function of Melatonin
Melatonin helps body prepare for sleep
- Produced by pineal glands
What is the importance of sleep?
necessary for developing and maintaining new pathways for learning and memorization
List some sleep disorders
Insomnia - Inability to sleep despite opportunity to sleep
Central Sleep Apnea - Reduction in brain signals to respiratory muscles
- Occurs with a sedative
Obstructive Sleep Apnea - Recurring upper airway collapse/obstruction while sleeping
- CPAP
Narcolepsy - Sudden sleepiness or periods of sleep
Hypersomnia - Excessive daytime fatigue, without refreshment after sleep
Restless Leg Syndrome - Uncontrollable urge to move legs
Pharmacologic Interventions for sleep
GABA Agonists (Benzodiazepines)
Nonbenzodiazepine Hypnotics
Melatonin
Antidepressants
Antihistamines
Nonpharmacologic interventions for sleep
Acupuncture
Thermotherapy
Massage
Meditation
Mindfulness
Music Therapy
Define comfort
Easement from the pain of suffering from negativity, emotional and physical distress
Nursing interventions to promote a client’s emotional and physical comfort:
