T3: Sleep and Rest (CH. 12) Flashcards
Retreat from activity is necessary to stimulate and renew ____.
reserves
___ mirror’s one’s state of health and well-being.
Sleep
Sleep affects ___ and __ __.
health and well being
___ ___ is common in older adults.
phase advance
More time in what’s stages of sleep?
1 and 2
Less time in what stages?
3 and 4
Reductions in __ and __ begin after midlife.
REM and NREM
Less ___ sleep, and a delay in the __ of sleep.
sound
onset
There are more shifts into stage ___ sleep.
1
difficulty falling or staying asleep or prematurely waking.
Insomnia
A change in environment, stress, illness, or anxiety can cause this.
Transient Insomnia
Physical or mental illness, environmental factors, substance abuse, and/or medications can cause this.
Chronic Insomnia (3+ weeks)
How long is chronic insomnia classified as?
3+ weeks
jerking legs during sleep
restless leg syndrome
what is nocturnal myoclonus?
five leg jerks or movements per hour during sleep
Nocturnal myoclonus is associated with what 2 things?
the use of trycylic antidepressants and renal failure
neurological condition of uncontrollable urge to move the legs.
restless legs syndrome
restless legs syndrome is associated with ??
iron deficiency anemia, uremia, PD, rheumatoid arthritis, diabetes, or neurological lesions
five episodes of cessation of breathing, lasting 10 seconds
sleep apnea
sleep apnea can cause a disorder in CNS that affects the ___. (central sleep apnea)
diaphragm
___ position for sleep should be AVOIDED!
Supine
4 things in an assessment for sleep?
- time spent in sleep, naps, and quality
- med review
- bedtime routines
- presence of sleep disturbances
What med should be used cautiously as a sleep aid with an older adult related to high risk of anticholinergic side effects?
BENADRYL (Diphenhydramine)
What are some interventions for stress management?
- respond to stress in a healthy manner
- manage lifestyle
- pray
- relax
___ interferes with normal sleep patterns.
Pain
________ is essential to controlling pain.
Identifying the cause of pain
The nurse can access for sleep disturbances in the older adult by using a self-rated tool such as the ____.
Pittsburgh Sleep Quality Index
