Sleep, Rest & Fatigue Flashcards
Define sleep
A basic necessity of life that involves a shift in neurologic activity for restorative purposes
Define fatigue
Physical and/or mental exhaustion
What are the 3 types of sleep?
- Restorative sleep
- Intermittent poor sleep
- Chronic poor sleep (disorder)
Intermittent sleep is caused by ____ factors and sleep is recovered when the factors are ____
transient, corrected
Sleep disorder is the inability to (3):
- Fall asleep
- Stay asleep
- Go back to sleep
The accumulation of extended time not sleeping is called:
Sleep deficit/debt
Exhaustion impairs ____ status
functional
What are the 4 stages of the sleep cycle?
- NREM 1
- NREM 2
- NREM 3
- REM
During NREM 1 the person is unresponsive and ____ aroused by sensory stimuli
easily
Which stage of the sleep cycle is the period of “sound sleep”?
NREM 2
Which stage of the sleep cycle is the period of deepest sleep?
NREM 3
During NREM 2, muscle tone is ____ whereas in NREM 3, muscle tone is ____
present, absent
Describe 4 attributes a person will experience in REM
- Rapid eye movements
- Shallow + irregular RR
- Changes in HR + BP
- Vivid dreams
1 sleep cycle lasts __-__ minutes
90, 120
What are 8 functions of sleep?
- Tissue regeneration
- Bone + muscle development
- Preservation of cardiac function
- Immune enhancement
- Regulation of metabolism
- Regulation of hormones (appetite + fat)
- Regulation of hormones (fertility)
- Controls stress functioning
What is the function of dreams?
Learning, memory and adaptation to stress
What are 3 classifications of fatigue
- Physiological
- Secondary
- Unknown etiology
Physiological fatigue is caused by the imbalance of ____, ____, ____ and ____
Imbalance of exercise, activities, sleep + diet
Physiological fatigue signals a need for ____
rest
Secondary fatigue is caused by an underlying:
Medical condition or treatment
Secondary fatigue is resolved when:
Underlying medical condition is treated
What are some symptoms of caregiver burnout?
- Withdrawal
- Loss of interests
- Hopelessness
- Changes in appetite
- Changes in sleep patterns
The older we get, the ____ sleep we need to keep us alert, healthy and productive
less
What are some physiological consequences of sleep deprivation
- Hypertension
- Heart disease + failure
- Obesity
- CVA
- Developmental disorders
- Reproductive disorders
- Increased mortality
What are 7 factors that affect sleep?
- Drugs
- Lifestyle
- Emotional stress
- Environment
- Exercise + fatigue
- Nutrition
- Physical illness
What are the 2 types of sleep disorders?
- Primary
- Secondary
What are some S&S of primary sleep disorder?
- Hypersomnolence
- Insomnia
- Sleep apnea
- Narcolepsy
- Parasomnias
- Sleep deprivation
What are some assessments for the physical exam should you do?
- General survey
- Palpation (lymph + thyroid)
- Auscultation (heart + lungs)
- Weight
What are 3 screening tools?
- Epworth sleepiness scale
- Sleep study (polysomnogram)
- Sleep journal
What are some examples of nursing diagnoses related to sleep?
- Anxiety
- Ineffective breathing pattern
- Compromised family coping
- Ineffective coping
- Ineffective health maintenance
- Fatigue
- Insomnia
- Sleep deprivation
What are some primary preventions to promote restorative sleep?
- Sleep hygiene
- Environment
- Review healthy behaviours
- Consistent bedtime + wake time
- Diet
- Exercise
- Stress reduction
What is a secondary prevention to promote restorative sleep?
Screening for sleep apnea
