Test 4--Chapter 27 Comfort, Rest, and Sleep Flashcards
_______ and ______ increase the need for rest and sleep
Illness and injury increase the need for rest and sleep
Pain or discomfort definition
to ache, hurt, or be sore.
Comfort and discomfort are _________
Comfort and discomfort are subjective
Pain is a ________ from the body
Pain is a warning from the body
Acute pain
is felt suddenly from injury, disease, trauma, or surgery.
It usually lasts less than 6 months
Chronic pain
lasts longer than 6 months
Radiating pain
felt at the site of tissue damage and in nearby areas
Phantom pain
is felt in a body part that is no longer there.
Factors affecting pain
- Past ________
- Pain can cause ______
- ________ increases how much pain the person feels.
- Rest and ______
- __________: the more a person thinks about the pain, the worse it seems.
- ________ and ______ duties affect pain responses.
Factors affecting pain
- Past experience
- Pain can cause anxiety.
- Anxiety increases how much pain the person feels.
- Rest and sleep
- Attention: the more a person thinks about the pain, the worse it seems.
- Personal and family duties affect pain responses.
Persons with _______ may not be able to tell you about their pain.
Persons with dementia may not be able to tell you about their pain.
The nurse needs this information to assess the person’s pain:
- _______ and any _______
- Onset and duration
- Intensity: rate from 0 to 10
- Description
- Factors causing pain (precipitating factors)
- Factors affecting pain: better and worse
- Vital signs
- Other signs and symptoms
The nurse needs this information to assess the person’s pain:
- Location and any radiation
- Onset and duration
- Intensity: rate from 0 to 10
- Description
- Factors causing pain (precipitating factors)
- Factors affecting pain: better and worse
- Vital signs
- Other signs and symptoms
Techniques for dealing with pain
Distraction
to change the person’s center of attention.
Techniques for dealing with pain
Relaxation
to be free from mental and physical stress.
Techniques for dealing with pain
Guided imagery
creating and focusing on an image.
Side effects of pain controlling drugs
- orthostatic hypotension,
- drowsiness,
- dizziness, and
- coordination problems.
How will you meet safety and security needs?
- Keeping the _________ within reach
- Explaining the ________ for care
- Explaining how _____ is given
- Following the person’s ________ and _______ whenever possible
Meeting safety and security needs
- Keeping the signal light within reach
- Explaining the reasons for care
- Explaining how care is given
- Following the person’s routines and rituals whenever possible
What is sleep?
a state of unconsciousness, reduced voluntary muscle activity, and lowered metabolism
What are the benefits of sleep?
- It lets the ____ and ____ rest.
- The body saves _____.
- Body functions ____
- _____ _____ are lower than when awake.
- Tissue _______ and _______ occur.
- Sleep lowers ______, ______, and _______.
- It _________ and ________ the person.
- It lets the mind and body rest.
- The body saves energy.
- Body functions slow.
- Vital signs are lower than when awake.
- Tissue healing and repair occur.
- Sleep lowers stress, tension, and anxiety.
- It refreshes and renews the person.
Circadian Rhythm
daily rhythm based on a 24-hour cycle.
includes the sleep-wake cycle
What are the two phases of sleep?
NonREM or NREM = non rapid eye movement
REM = rapid eye movement
NREM sleep
the phase of sleep in which there is no rapid eye movement. The first phase when physical restoration occurs.
REM sleep
The rapid eye movement phase is called REM sleep. The second phase when mental restoration occurs.
The amount needed __________ with age.
The amount needed decreases with age.
Insomnia definition
a chronic condition in which the person cannot sleep or stay asleep all night.
What are the three forms of insomnia?
- Cannot fall asleep
- Cannot stay asleep
- Awakens early and cannot fall back asleep
With sleep deprivation, the ______ and _______of sleep are decreased.
With sleep deprivation, the amount and quality of sleep are decreased.
What should you do if a person is sleepwalking?
You need to protect the person from injury and falling; guide the person back to bed and waken the person gently.
