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”
You May Also Find These Documents Helpful
-
There are many people that have difficulties with sleep and many studies that psychologists have researched to help explain this human behavior. In this assignment you will have the opportunity to do a study of your own on yourself!…
- 825 Words
- 4 Pages
Satisfactory Essays -
For each outcome, state two nursing interventions using NIC criteria as well as one evaluation method. Interventions and the evaluation method must be appropriate to the desired outcomes.…
- 581 Words
- 3 Pages
Satisfactory Essays -
Assessment is a vital aspect of nursing care. Assessment is the first phase of the nursing process. A thorough assessment involves gathering information and data about and related to the patient. The data that is collected includes physiological, psychological, environmental, sociocultural, economical, spiritual, and developmental history of the patient. Data may be objective or subjective. Objective data refers to the measurable and observable signs, such as the patient’s heart rate, blood pressure, oxygen saturation, temperature, facial expression, gait, color, etc. Subjective data is obtained from the patient himself and it is the patient’s account of their…
- 1393 Words
- 6 Pages
Better Essays -
1.3 describe the possible short-term and long-term effects on an individual who is unable to sleep well.…
- 1285 Words
- 6 Pages
Better Essays -
This will be a collaborative effort with specialist nurses who will guide the students in a tutorial system. There is coherence between the methodologies and CU’s objectives seen as the methodologies are directed to the objectives of the psychomotor scope, which emphasize the manipulation, articulation and non-verbal communication without disregard for the cognitive scope, as these target the development of the knowledge and understanding necessary to plan, execute and evaluate nursing care.…
- 625 Words
- 3 Pages
Good Essays -
7. Develop three Nursing Diagnoses for this client based on the health history and screening. Include: one actual nursing diagnosis, one wellness nursing diagnosis, one "Risk For" nursing diagnosis, and your rationale for the choice of each nursing diagnosis for this client.…
- 266 Words
- 2 Pages
Good Essays -
Using the problem solving approach discuss the care, nursing interventions and subsequent evaluation of your patient.…
- 2111 Words
- 9 Pages
Best Essays -
Client Diagnosis (Gary): Gary’s diagnosis is insufficient sleep resulting in a circadian rhythm sleep-wake disorder. In addition, Gary’s situation means that he is suffering from other factors that may need clinical attention. Certain environment and psychology events because he living in a single-parent family where the sole parent works night shift and is absent for the majority of Gary’s waking time. This negative effect on Gary’s functioning are associated with the way that Emily and Gary interact (lack of communication, little connection, and adult neglect), resulting in a parent-child relational problem.…
- 1435 Words
- 6 Pages
Powerful Essays -
A nursing care plan is the basis for providing the best possible care for patients. It outlines a specific set of actions that a nurse follows to help the patient resolve a nursing problem, which was identified during an assessment. The plan of care’s elements focus on a set of actions, with outcomes that are measureable. It is designed to solve or minimize problems, which were previously identified. Care plans are systematic, relate to future actions and should be holistic, focusing on the needs of the person as a whole and not just physical illness. When planning care, a nurse should have input from the patient while determining priorities. What is taught will depend much upon what the patient is able and willing to learn. According to Chang and Kelly, (2007),…
- 2949 Words
- 12 Pages
Better Essays -
* WRITE a 1-page paper using the above chapters in your textbook as the reference (see the Nursing Student Writing Guidelines Checklist for paper requirements [25% of paper grade]) answering the following questions:…
- 289 Words
- 2 Pages
Satisfactory Essays -
Most people in Toms River are aware that driving while intoxicated or distracted can be dangerous. Often overlooked, however, is the danger that driving while drowsy poses. The AAA Foundation for Traffic Safety reports that drowsy drivers are involved in an estimated 109,000 motor vehicle accidents resulting in injuries each year. Furthermore, it is estimated that driving while sleep-deprived plays a role in 6,400 fatal auto collisions annually.…
- 455 Words
- 2 Pages
Good Essays -
Many negative consequences result from the ongoing sleep deprivation. Students find it hard to wake up in the morning, not necessarily because they are lazy, but because their body clock is mismatched with the demands of life, and because irregular sleep interferes with their sleep cycle; resulting in increased difficulties falling asleep at night and waking up in the…
- 104 Words
- 1 Page
Good Essays -
2.The development of a plan of care using the nursing process for a specific patient situation.…
- 1296 Words
- 4 Pages
Powerful Essays -
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders defines insomnia as (a) difficulty initiating sleep (sleep onset), maintaining sleep (sleep maintenance), and/or poor quality of sleep for at least 1 month and (b) causing clinically significant distress or impairment in social, occupational, or other areas of functioning (American Psychiatric Association, 2013). Insomnia can be classified into acute (less than 4 weeks) and chronic (more than 4 weeks) depending upon duration. Chronic insomnia can be further divided into primary or secondary insomnia. Primary insomnia is sleeplessness that cannot be attributed to an existing medial, psychiatric or environmental cause (such as drug abuse or medications). Secondary insomnia is when symptoms of insomnia arise from a primary medical illness, mental disorders or other sleep disorders. It may also arise from the use, abuse or exposure to certain substances (American Academy of Sleep Medicine,…
- 914 Words
- 4 Pages
Powerful Essays -
LeMone, P., Lillis, C., Lynn, P., & Taylor, C. (2008). Fundamentals of nursing: The art and science of nursing care (6th ed.). Philadelphia, PA: Lippincott Williams & Wilkins…
- 1347 Words
- 5 Pages
Better Essays