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  1. What % of US adults report insufficient sleep?
  2. Sleep is necessary to: (4)
    • 1. fight off infection
    • 2. support the metabolism of sugar to prevent diabetes
    • 3.perform well in school
    • 4. work effectively and safely
  3. Sleep disorders and sleep deprivation increase the risks for: (4)
    • 1. Heart disease
    • 2. High blood pressure
    • 3. Obesity
    • 4. Diabetes
  4. REM
    Rapid eye movement

    blood pressure down heart rate up
  5. NREM
    Non-rapid eye movement
  6. How many stages are in NREM?
    4 stages (I,!!,III,IV)
  7. Stage I and II of REM
    5% to 50 % of sleep, light sleep

    head bobbing, could touch you and wake you up
  8. Stage III and IV
    10% of sleep, deep-sleep states (delta sleep)

    dreaming/hard to arouse
  9. How much sleep should adults, newborns, preschool age kids, school aged kids/teenagers get a night?
    Adults: 7-8 hours

    Newborns:16-18 hours

    Preschool age kids:10-12 hours

    School aged/teenagers: 9 hours
  10. Factors affecting sleep
    • -Developmental considerations
    • -Motivation
    • -Culture
    • -Lifestyle and habits
    • -Physical activity and exercise
    • -Dietary habits
    • -Environmental factors
    • -Psychological Stress
    • -IllnessMedications
  11. Common Sleep Disorders:
    • ·Insomnia
    • ·Narcolepsy
    • ·Sleep apnea
    • ·Restless leg syndrome
    • ·Sleep deprivation
    • ·Parasomnias
  12. What medication is used to treat ADHD is also used to treat narcolepsy?
  13. Parasomnias
    • -Sleep Walking
    • -Sleep Talking
    • -Bed Wetting
    • -Bruxism
    • -Nocturnal Erections
  14. Bruxism
    teeth grinding
  15. Nocturnal erections
    wake the patient and ask if they need to go to the restroom
  16. Elements of a Sleep History When a Sleep Disturbance is Noted
    • ·Nature of the problem
    • ·Its cause
    • ·The related signs and symptoms
    • ·When it first began and how often it occurs
    • ·How it affects everyday living
    • ·The severity of the problem and whether it can be treated by nursing
    • ·Patient coping patterns/ success of treatments
  17. Sleep History
    • -sleep-wake patterns
    • -effects on daily activities
    • -presence of sleep disturbances
    • -use of sleep aides
  18. Sleep Diary/Log
    A sleep diary or log provides more specific data on the patient’s sleep-wakefulness patterns over a long period.
  19. Physical Assessment with Sleep Disorder
    • -decreased energy levels
    • -facial signs
    • -behavioral characteristics
    • -physical data
    • -mental changes
  20. Sleep Pattern Disturbance (problem)
    • ◦Physical discomfort
    • ◦Exercise just before sleep
    • ◦Physical illness
    • ◦Changes in bedtime rituals
  21. Sleep Pattern Disturbance (etiology)
    • ◦Altered Sleep-Wake Patterns
    • ◦Anxiety r/t inability to fall asleep
    • ◦Activity Intolerance r/t sleep deprivation
    • ◦Fatigue r/t insomnia
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