Sleep Flashcards
What is the stage 1 sleep phase?
Falling asleep
lightest sleep
Only lasts a few minutes
What is the stage 2 sleep phage?
Heart rate slows
Body temperature drops
- Non-REM
- Relaxation begins
What is the stage 3 sleep phase? 5
Deepest sleep
- Non-REM
- Muscles, and tissue repair
- Immune system strengthens
- Vital sings are lower than waking hours
Rapid eye movement
The body is paralyzed and dreams begin
What is the stage 4 sleep phase? 4
Dreams begin
- REM sleep
- Body is paralyzed
- BP, HR and RP are increased/rapid fluctuation
- Very difficult to wake up
Sleep disorders 5
Insomnia
Apnea
Polysomnography
Narcolepsy
Hypersomnia
Sensory overload
In the hospital setting, the client’s sleep is interrupted multiple times due to the need for complex interactions and procedures.
Insomnia? 3
- Difficulty falling asleep or staying asleep
- Frequent awakenings
- Feeling tired when waking
Can affect physical, mental, emotion
Sleep apnea? 2types
Lack of airflow through the nose or mouth for 10 seconds
to 1-2 minutes
Obstructive apnea(OSA) the most common
-Obesity, HTN, smoking, age, heart failure
Central apnea(CSA) impairment of brainstem
-Brainstem injury, stroke, obesity
Narcolepsy? 4
- Sudden sleepiness
- Sudden periods of sleep
- Difficulty staying awake
- Overwhelming wave of sleepiness at an inappropriate time
They can go into REM sleep within 15 minutes
Hypersomnia?
Excessive daytime fatigue without improvement after more sleep
Associated poor memory,depression.
Function of sleep 3
- Memory Consolidation/ Brain development
- Preparation for wakefulness
- Restores biological processes/repair and renewal
What are some BAD habits for sleep? 6
- Caffeine
- Stress
- Heavy food
- Heavy training at night time
- Alcohol
- Blue light/devices
What are GOOD habits for sleep? 5
- Maintain sleep routine( get up at the same time)
- Excise in the daytime
- Cool and darkroom
- Relaxing bath
- Comfortable sleep aids
Sleep pattern history, routine, has it changed?
Why does it important to ask?
Effect on patient functioning and quality of life.
Why does it important to assess?
Emotional and mental status
How is it related to sleep disorders?
-A lack of sleep leads to moody, emotional, grouchy
Depression, and anxiety (Chronic)
Good sleep cause increased mental perfomance
Sleep hygiene assessment 6
- Consider medication use
- Loss of routine
- Emotional and mental stress
- Environmental stimulation
- Timing of exercise
- Diet and substance use
Consider medication use
Why is it important related to sleep?
-Sleep aid medication maybe don’t help pt sleep
Or maybe too early to take or too late to take
Environment stimulation
How is it affect healthy sleep?
Timing of exercise
How is it affect healthy sleep?
a) Polysomnogram?
b )Actigraphy?
a) Measures eye movement(EOG)
Muscle tone changes(EMG)
Neuroglial electrical activity(EEG)
b) Measures sleep time(EOG)
Efficiency
Number and duration of awakenings
Levels of activity and rest for prolonged periods of time
What is the nursing diagnoses of sleep disorders? 4
- Impaired sleep
- Fatigue
- Impaired alertness
- Sleep deprivation
how does sleep distraction affect patient?
How does sleep distraction affect the health care workers?
Too long or repeated shifts reduce the opportunity for sleep
Shorten recovery time in the healthcare workers
- Can result in cognitive impairment
- Impair performance/decision making, memory planning
- Lead accidents both in and off the job
Central sleep apnea causes what? 5
- Opioid overdoes
- Congestive heart failure
- Reduction of the brain’s transmission
- Brainstorm injury
- Stroke