N261
N.Denker RN. MSN, lecturer
This podcast is available in iTunes University in the n261 Course. Download instructions are available on the homepage of your D2L course.
Approximate time: 24 mins
Objectives
1. The learner will describe conditions that place an individual at risk for sleep disturbances.
2. The learner will assess the patient’s condition to determine when sleep disturbances are developing or have developed.
3. The learner will develop a plan of care to provide appropriate nursing interventions for patients experiencing sleep disturbances.
4. The learner will evaluate the effectiveness of nursing interventions for patients experiencing sleep disturbances.
5. The learner will analyze the relationship between the exemplar(s) and the concept
Sleep – important factor in quality of life. Sleep Definition
Somnology – the study of sleep.
Physiology of Sleep
Biorhythms – neuro transmitters and Neurons
Circadian Rhythms
Stages of Sleep
NREM-Non-REM sleep
REM-Rapid eye Movement
Sleep Cycles
Functions of Sleep
Normal Sleep Patterns and Requirements
Newborns
Infants
Toddlers
Preschoolers
School Aged children
Adolescents
Young adults
Middle Aged Adults
Older Adults
Factors Affecting Sleep
Age
Pain
Stress
Stimulants/alcohol
Diet/Obesity
Smoking
Motivation
Medications
Lifestyle/Shift Work
Environmental
Common Sleep Disorders
Primary Sleep disorders- those in which the person’s sleep problem is the main disorder.
Secondary Sleep disorder- sleep disturbance caused by another clinical disorder, such as thyroid dysfunction, depression , or alcoholism.
Review the 6 min YouTube Video on Sleep Disorders at http://www.youtube.com/watch?v=X2yfUL8uct0&feature=channel
Primary Sleep Disorders or Dysomnias
Insomnia-
Hypersomnia-
Narcolepsy
Sleep Apnea-
Parasomnias-
Restless Leg Syndrome
Sleep Deprivation- prolonged disturbance results in decreases amount, quality, consistency of sleep.
Affects of Sleep Deprivation
Review this 5 min YouTube video http://www.youtube.com/watch?v=evvYmnIhG78&NR=1
Symptoms related to insufficient sleep:
1.
2.
3.
4.
5.
Assessment of Sleep
Assessment relative to a client’s sleep includes a sleep history, sleep diary, a physical examination, and a review of diagnostic studies. Subjective statement MOST important information.
“How well rested do you feel after a night of sleeping?”
Sleep History
Usual sleeping pattern, specifically sleeping and waking times, hours of undisturbed sleep, etc
Bedtime rituals
Use of sleep medications
Sleep environment
Changes in sleep pattern
Problem Identification
Nursing Diagnosis – Disturbed Sleep Pattern.
Nursing Diagnosis – Sleep Deprivation
Planning and Implementation
Major goal for clients with sleep disturbances is to maintain a sleeping pattern that provides sufficient energy for daily activities
Watch this YouTube 5 min video which explains some sleep interventions http://www.youtube.com/watch?v=YbW3dg1rF4A&feature=channel.
Nursing interventions to enhance the quantity and quality of sleep involve largely non-pharmacologic measures such as………….
Enhancing Sleep with Medications
Listen to the Podcast: “Sleep: Sedatives/Hypnotics”
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