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What are the stages of NREM sleep?
- 1- very light, sleep
- 2- Processes slow more
- 3 & 4 Delta Sleep relaxed, dreaming occurs, HR & RR is 20-30% of what it is when awake, important growth hormones are released
What are the types of sleep?
what happens during Delta Sleep?
- HR,RR,body processes continue to slow
- more difficult to arose
- not disturbed by sensory stimuli
- muscles relaxed
- may snore
- eyes roll
- This stage restores body's energy and Growth Hormones released
What is REM?
- Not as restful
- most dreams occur here
- Brain is active
- Brain metabolism increases
- Called Paradoxical Sleep (EEG brain activity resemble wakefulness)
When does REM occur and how long does it last?
occurs about every 90 mins, lasts 5-30 min
What is important about stage 4
Energy and Growth Hormones
How long does it take for a person to go thru stages?
What happens to the stages of sleep as you get oder?
the stages get shorter
- Not as restful
- Most Dreams occur here
- Brain is Active
- Called Paradoxical Sleep (EEG Resemble Awake brain)
- May be difficult to arose or wake up spontaneously
- voluntary muscle tone decreased
- Gastric secretions increase
- HR & RR often Irregular
What is Delta Sleep?
how much of sleep during a night is NREM?
What happens in stage 1 NREM?
- very light sleep
- lasts only a few mins
- person feels drowsy and relaxed
- eyes roll from side to side
- HR & RR drop slightly
- awakened easily, may deny sleeping
When does Delta Sleep occur?
Stage 3 & 4
what is the only difference in stage 3 and stage 4
the amount of Delta Waves during a 30 sec period
What is Sundowners Syndrome
a pattern of symptoms that are triggered in the late afternoon early evening
What age group has a marked decline of Delta Sleep?
What are the methods of sleep promotion?
have an evening routine
how long does a complete sleep cycle last
- 90 to 110 min
- to go through NREM and REM
what are the functions of sleep?
- restores normal levels of activity
- necessary for protein synthesis (cell repair)
what can lack of sleep cause?
- decreased mental functioning
- difficult making decisions
- emotional irritability
- decreased concentration
- Sleep 16-18 hrs day
- Sleep cycle lasts 50 mins
- Crying requires assessment
Infant sleep cycle
- half of infants sleep in light sleep
- by age 1 sleep 14-15 hr, with 1-2 naps
Toddlers sleep cycles
- toddlers sleep 12-14 hr
- naps decrease
- need consistent routine for bedtime
- get grouchy when sleep need not met
need 10-11 hrs sleep
need consistency awaking at night and nightmares
What are some concerns for school age children not getting enough sleep
- Video GMES
- need 9-10hrs to prevent fatigue
- change in sleep pattern is common (sleeping in, needing naps)
- Nocturnal emissions
- heavy periods=anemia fatigue
Adults and Sleep
- Busy life stage
- need 7-9 hr
What are symptoms of sleep deprivation in adults
- drowsy during task/day
adult sleep factore
Older Adults and Sleep
- sleep 7-9 hrs
- earlier bedtime/wake up time
- stage IV decreases
- arouse more, longer to get back to sleep
what is sleep apnea?
- frequent short breathing pauses during sleep
- Loud Snoring
- Waking up at Night
- Difficulty falling asleep
- memory problems
what is Restless Leg Syndrome?
What is Treatment?
- legs feel jumpy, can't lay still
- treatment: gentle exercise, hot/cold bathes, vibrations of feet and legs before bedtime
What are the different types of Sleep Apnea?
What is Obstructive Sleep Apnea?
Structures of oral cavity pharynx obstruct airway