UN Rest And Activity Flashcards

1
Q

Sleep is controlled by 3 distinct processes

A

Homeostatic process
Circadian process
Ultradian process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is homeostatic process

A

Sleep-wake cycle
Reticular activation syst (RAS) affects s-w transitions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the circadian process

A

24hr circadian rhythm and biological clock, synchronizes s-w cycles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is ultradian process

A

Non rapid eye mvmt (NREM) (3 stages),
REM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Stages of sleep

A
  1. NREM 1: 2-5% lightest level of sleep
  2. NREM 2: 45-55%, 10-15 min
  3. NREM 3: 10%, deepest sleep, restoring energy
  4. REM sleep: 25%, dreams, highly active brain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sleep cycle organization

A

Presleep 10-30 min
Four to five complete cycles of 90-120min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Function of sleep

A

Unclear, maintains biology functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Sleep deprivation causes

A

-Enviro factors (noise, light, uncomfortable)
-Pathophysiological (pain, invasive equipments)
-Emotional (stress, lack of control/privacy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sleep disorders

A

Insomnia (difficulty to fall/remain asleep)
Sleep apnea (cessation of breathing)
Parasomnia (sleep walking)
Narcolepsy (neurological sleep disorder)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Actions to enhance sleep patterns

A

Regular bedtime
no naps or 20 min only
relax before bed
Limit coffee/alcohol in late afternoon+
Consume carbohydrates or milk before bedtime
decrease intake of fluid 2-4hrs before
Med for pain 30 min before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nurses actions for pt sleep quality

A

Assist hygiene practice
Fix bed linen
Encourage voiding before
Give blankets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Benefits of activity

A
  1. Contributes to pt physical/emotional well-being
  2. Prevents risk of deconditioning
  3. Prevents functional decline
  4. Supports activities of daily living
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Effects of exercice on cardiovascular

A

Strengthens heart muscle contraction and cardiac output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Exercice in pulmonary

A

Improve gas exchange

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Exercise on metabolic

A

Increases: basal metabolic rate, gastric mobility, production of body heat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Exercise on musculoskeletal

A

Improves strength and tone if skeletal muscles, increase bine density

17
Q

Exercice on activity intolerance

A

Improves tolerance and decreases fatigue

18
Q

Exercise on psychosocial

A

Improves tolerance to stress

19
Q

Factors influencing activity

A
  1. Developmental changes
  2. Behavioural aspects (motivation,knowledge)
  3. Environmental issues
  4. Cultural/ethnic influences
  5. Family/social support
20
Q

Deconditioning is

A

-Complication of immobilization
-Commonly led to by extended or complicated hospitalizations
-on bed rest without illness loses 3% muscles strength from baseline levels

21
Q

What is muscle atrophy

A

Decrease in size of muscles

22
Q

Muscle hypertrophy

A

Muscle enlargement

23
Q

Contractures

A

Permanent shortening of muscle and subsequent shortening of tendons and ligaments

24
Q

Crepitation

A

Palpable/audible crackling produced by bones rubbing against each other

25
assessment in pt physique
Mobility/gait, ROM (degree of damage to a joint
26
Changes in a pt unable to tolerate strenuous activity
HR or RR exceeds baseline, facial pallor, dizziness sob weakness chest pain
27
Nursing actions for rest and activity
-Discuss activity/rest patterns and develop plan -ways to minimize fatigue (slower and shorter activities, rest often, more assistance -increase energy (high energy food, adequate rest) -techniques to monitor activity tolerance
28
Nursing actions to maintain balance between rest and activity
Stretching, active ROM exercise, low intensity walking, assist with passive ROM, analgesic 30 min before exercise