Sleep part 3

Question 1

How is sleep different for older adults?

Answer 1

• 7-8 hours is adequate
• sleep less sound
• stage IV of NREM is absent or decreased
• REM is shortened
• difficulty falling asleep
• meds and psychological factors effect sleep

Question 2

What medical conditions effect sleep?

Answer 2

Anxiety, depression, GI symptoms, diabetes, HTN
increase rates of stroke and substance abuse
-obesity

Question 3

Who needs more time to fall asleep?

Answer 3

older adults

Question 4

What specific meds can cause issues with sleep?

Answer 4

Amphetamines, diuretics, antiparkinsonian, antihypertensive….

Question 5

Who is at risk for insomnia?

Answer 5

• greater than 60 years old
• women
• hx of depression
• people who have disruptions in circadian rhythm

Question 6

If a pt has insomnia what should be tried first?

Answer 6

• non pharm: avoid alcohol, caffeine

- CBT: relaxation and sleep hygiene (working with therapist)

Question 7

Sleep hygiene tips:

Answer 7

Restricting caffeine, nicotine, and alcohol intake
Avoid stimulating activities after 5 pm– mental and physical
Avoiding daytime naps
a light carbohydrate/protein snack before bedtime
Avoiding high fluid intake in the evening
Sleeping in a cool, dark room
Eliminating use of a bedroom clock
Taking a warm bath before bedtime
Trying to keep the sleep environment as quiet and stress-free as possible

Question 8

throat muscles intermittently relax during sleep, block the airway, causing breathing to temporarily stop

Answer 8

apnea

Question 9

What is sleep apnea accompanied by?

Answer 9

Health disorders: hypertension, coronary artery disease, atrial fibrillation, congestive heart failure, stroke, diabetes, cognitive dysfunction or mood disorder

Question 10

What are the risk factors for OSA?

Answer 10

Age
Excess weight
Large neck size
Male
Family history
Increases cardiovascular and pulmonary disease
Decreased quality of life
Increased mortality