215 sleep and rest

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elevatedsound7
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210717
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215 sleep and rest
Updated:
2013-04-01 14:42:46
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215 sleep rest
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215 sleep and rest
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  1. Rest is
     condition in which the body is in a decreased state of activity - leads to feelding of being refreshed
  2. sleep is
    altered state of consciouness in which the individuals perception of reaction to the environment are decreased
  3. Purpose of sleep =
    • restores body system
    • releases growth hormone
    • immune function
    • psychological resotration
  4. sleep should compromise
    1/3 of our day
  5. RAS =
    • reticular activating system
    • contain cells that maintain alertnes and wakefulness
  6. wakefullness occurs when
    the RAS recieves visual, auditory, pain and tactile sensory stimuli
  7. neurontransmitters involved in wake behavior
    • norepinephrine
    • dopamine
    • histamine
    • serotonin
  8. sleep promoting neurotransmitters
    • melatonin
    • adenosine
    • growth hormone
  9. what stage of sleep compromises 75% of sleep =
    non rem
  10. stages of sleep =
    • 1= drowsiness - 5-10 min, easily awakened
    • 2 = light sleep - eye movement stops
    • 3 = arousal becomes difficult
    • 4 = deep sleep/depth increases 10% of sleep
    • 5= REM
  11. sleep cycle repeated how many times a night
    4-5 times each night
  12. each sleep cycle lasts
    90-100 minutes
  13. infant sleep needs
    16 hours
  14. toddler sleep needs
    12hour + 2 naps
  15. school age sleep needs (5-12yo)
    10-11 hours sleep
  16. ADOLESCENT SLEEP NEEDS
    9-10 hours
  17. young adult sleep needs =
    8 or less
  18. older adult sleep needs =
    • 5-7 hours sleep
    • spend less time in stage 4
    • and less REM sleep
  19. what does physical activity do for sleep
    increases REM and NREM
  20. Dyssomnias =
    sleep disorders characterized by insomnia or excessive sleepiness
  21. Parasomnias =
    patterns of waking behaviors that appear during sleep
  22. transient insomnia can occur when
    due to situational stress
  23. treating insomnia =
    • cognitive therapy
    • sleep hygiene - restrict caffeine, nicotine, alcohol
    • stimulus control
    • relaxation
  24. Narcolepsy caused by
    • hypocretin
    • REM sleep occurs in 15 mintues
  25. treatment of narcolepsy =
    stimulant drugs, brief daytime naps
  26. OSA =
    • obstructive sleep apnea
    • apnea may last 10-20 seconds and up to 2 mintues
  27. risk factors of OSA
    • obesity
    • old age
    • males
  28. treatments of OSA
    • wearing oral appliance
    • CPAP
    • removal of tonsils
  29. rest less leg syndrome =
    • feeling of creeping tingling on legs
    • urge to move legs
    • rest induces
    • gets better with activity
    • evening symptoms more severe
  30. URGE of restless leg syndrome
    • urge to move legs
    • rest induces
    • gets better with activity
    • evening symptoms more severe
  31. treatments of restless leg syndrome =
    • leg massage
    • heat/cold
    • medications
  32. somnambulism =
    sleep walking
  33. enuresis =
    urination during sleep
  34. parasomnias =
    • somnambulism - sleep walking
    • night terrors
    • bruxism - grinding of teeth
    • enuresis - urinating in sleep
  35. bruxism -
    grinding of teeth at night
  36. assessment of rest and sleep problems =
    • o  Sleep history
    • o   Usual wake/sleep times
    • o   Bedtime routines
    • o   Presence of sleep disturbances
    • o   Use of sleep aids
    • o   Sleep environment
    • o   Usual number of sleep hours
  37. sleep diary kept for how long
    14 days/ 2weeks
  38. physical assessment of sleep and rest issues
    • assess for fatigue
    • facial characteristics
    • behavioral characteristics
    • snoring
    • nocturnal myoclonus
  39. Nocturnal myoclonus =
    movement of legs/muscles at night
  40. sedatives best result time frame =
    first 2 weeks

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