Exam 4
Outline
,Sleep and Evenly distributed throughout the
night
shorter but evenly
distributed
Aging
Time in bed increases , but the time of sleep decreases
The amount of movement
leg during sleep increases throughout life
Risk Factors Internal : Chronic Medical Conditions ,
Environmental Factors,
for sleep disturbances Pain Psychosocial Factors this is good to know!
,
+
,
Urinary Issues
External :
Medications Alcohol , +
, Psychosis/ Depression
Start slow+ low then titrate up this is good to know!
Sleep Health Encourage the client to maintain a consistent sleep wake
cyclea minimize naps this is good to know!
Assess their sleep habits at home
Decrease
contributing factors such as noise to include
earplugs ,
decreased lighting keep ,
consistent with times
to promote your circadian rhythm .
Decreased caffeine before bed , no
activity before bed
Zolpidem given at bedtime ; think safetyt bed alarms ,
call light within reach
this is good to know!
, General Physical 30 minutes of bicycling for 5 days and h days of low
Activity impact weights to include 150 minutes over 1 days this is good to
know!
Long-term care Alzhemier's patient that is
walking at night, you need to assess
the client for pain this is good to know!
The best implementation to improve sleep in an ALf or
long-term
care is to encourage them to out their normal bedtime routine
carry
that
they have at home .
Promoting sleep in a hospital , you want to cluster care at night
this is good to know!
Risk Factors Complaints in the
morning of : insomnia
for Sleep Apnea daytime drowsiness
headaches
this is good to know!
also the amount of leg movement during sleep increases also physiological
changes can
contribute to OSA
Restless Leg Ischemia to the
legs
Syndrome Give at
gabapentin night before bed
Encourage stretching techniques to the lower extremities
what could cause RLS? Page 182
Iron deficiency ,
ESRD , diabetes , Increased BMI, caffeine use, alcohol or tobacco use
, sleep deprivation ,
sedentary lifestyle
Outline
,Sleep and Evenly distributed throughout the
night
shorter but evenly
distributed
Aging
Time in bed increases , but the time of sleep decreases
The amount of movement
leg during sleep increases throughout life
Risk Factors Internal : Chronic Medical Conditions ,
Environmental Factors,
for sleep disturbances Pain Psychosocial Factors this is good to know!
,
+
,
Urinary Issues
External :
Medications Alcohol , +
, Psychosis/ Depression
Start slow+ low then titrate up this is good to know!
Sleep Health Encourage the client to maintain a consistent sleep wake
cyclea minimize naps this is good to know!
Assess their sleep habits at home
Decrease
contributing factors such as noise to include
earplugs ,
decreased lighting keep ,
consistent with times
to promote your circadian rhythm .
Decreased caffeine before bed , no
activity before bed
Zolpidem given at bedtime ; think safetyt bed alarms ,
call light within reach
this is good to know!
, General Physical 30 minutes of bicycling for 5 days and h days of low
Activity impact weights to include 150 minutes over 1 days this is good to
know!
Long-term care Alzhemier's patient that is
walking at night, you need to assess
the client for pain this is good to know!
The best implementation to improve sleep in an ALf or
long-term
care is to encourage them to out their normal bedtime routine
carry
that
they have at home .
Promoting sleep in a hospital , you want to cluster care at night
this is good to know!
Risk Factors Complaints in the
morning of : insomnia
for Sleep Apnea daytime drowsiness
headaches
this is good to know!
also the amount of leg movement during sleep increases also physiological
changes can
contribute to OSA
Restless Leg Ischemia to the
legs
Syndrome Give at
gabapentin night before bed
Encourage stretching techniques to the lower extremities
what could cause RLS? Page 182
Iron deficiency ,
ESRD , diabetes , Increased BMI, caffeine use, alcohol or tobacco use
, sleep deprivation ,
sedentary lifestyle
