Supporting The Occupation Of Sleep In Families Flashcards
Sleep health: a holistic approach to sleep
- young children spend most of their day in sleep: a primary occupation of childhood
- 20-40% of children have irregular sleep
- irregulars sleep patterns impact the entire family
- children’s sleep has decreased by 70 minutes per day over the last century (long term impact is unknown)
- babies spend most of thei time asleep
- how do we make the best of it?
- if not, why? How are the families coping?
OTPF framework: - rest
- sleep prep
- sleep participation
Sleep safety for newborns
- Safe to Sleep Campaign (National Institute for Health)
- goal = reduce Sudden Infant Death Syndrome (SIDS)
- SIDS = unexplained death of an infant younger than one
- leading cause of death for children age 1 month to 12 months
Risk for SIDS
- sleep on stomach (need to sleep on the back)
- sleep on soft surface
- sleep with soft of loose bedding
- getting hot during sleep
- exposure to cigarette smoke
- sleep in bed with parents or other children (co-sleeping)
Recommendations from NIH
Sleep on the back:
- naps
- overnight
- not plac baby in swaddle if they can roll because they cannot roll back and are facing down and can suffocate
Bed:
- firm, flat surface, fitted sheet only on a mattress, no blankets, stuffed animal
Shared room, not bed:
- keep baby close to bed but on a separate surface
Protective factors for SIDS
- pacifier (do not attach it to the child)
- breastfeeding
- tummy time (sleeping on the back causes weakness in the neck, back etc, so tummy time is important)
- regular health check-ups, vaccines
- smoke and drug-free household
Sleep latency
The amount of time it takes to fall asleep
Sleep efficiency
% of time a person spends sleeping compared with time in bed
Sleep duration
How long
Sleep disturbances
The amount of time one wakes
Daytime sleepiness/dysfunction
How does that person look during the day
Important factors for sleep
- need to think about and be intentional about sleep
- consistent bedtime routine
- sleep hygiene: 3-4 quality activities each night (can’t go from activities right to bed; should do calming activities like taking a shower, brushing teeth, put the phone down, read)
- sleep schedule: same bedtime each night, affects lifespan, longterm health
Promoting sleep prep
- books
- warm bath
- health foods
- daytime exercise
- physical environment free of clutter
- pause electronics (2 hours before sleep)
- sunlight (when first wake up for 90 sec is linked to improved circadian rhythm)
- timing of dinner
- mother perceived work flexibility: less flexible perceived work, decreased sleep patterns (mothers who feel like their work is less flexible may impact the kids’ sleep schedule
Diagnosis associated with sleep difficulties
- anxiety
- ADHD
- autism: difficulty falling asleep, frequent awakenings, early morning waking, bedtime resistance, daytime sleepiness
Sleep assessments
- via parent report and interview
- work to understand the family’s reasons for sleep routines
- attached: Child’s Sleep Habits Questionnaire (CSHQ)
Other Assessments: - Adolescent Sleep Hygiene Scale
- Health Behavior in School Aged Children
- Meijer Child Self Report
- Life Rythyms and Sleep Habits
- Sleep Self Report
- Sleep-Waking Questionnaire
Mindfulness exercises (specific sleep intervention)
- for those with SPD and anxiety
- safety: dream catchers and worry shell meditation (create recording)
- relaxation: yoga, stretching
- culture: prayer/gratitude
