Sleep deprivation can get SO BAD you get...
cardiac arrhythmias
What are some implementations you can make to get your patient to sleep?
Get your
... [Show More] Bob Marley and turn them lights down loooooow
PLANNING - stack your interventions (meds, vitals, etc.) so you're not interrupting patient sleep
Put patients at the end of the hallway if they're sensitive to noise and light
Pay attention to the patient's normal sleep routine at home
What is nocturia?
It's when you gotta pee in the middle of the night
AHEM "Without proper amounts of rest and sleep, the ability to concentrate, make judgements, and participate in daily activities _____, and _____________"
decreases, and irritability increases
What are some preexisting medical conditions that make it difficult to sleep?
high blood pressure (heart and head pounding)
GI disorders like GERD
Restless leg syndrome (RLS) aka Elvis leg
What are some factors influencing sleep?
Drugs (HECK YEAH)
-caffeine and medications
Substances
Lifestyle (people are up all night (all night))
Emotional stress (aka school)
Environment (lights, temp, noises)
Food and caloric intake (ya need something in the stomach)
Which side of the mouth would you put food into a patient that has muscular asymmetry (like from a stroke?)
The strong side
What are the 7 PHYSIOLOGICAL symptoms of sleep-deprivation?
ptosis, blurred vision
Fine-motor clumsiness
Decreased reflexes
Slowed response time
Decreased reasoning and judgement
Decreased auditory and visual alertness
Cardiac arrhythmias
What are the 7 PSYCHOLOGICAL symptoms of sleep-deprivation?
Confused and disoriented
Increased sensitivity to pain
Irritable, withdrawn, apathetic
Agitated
Hyperactive (like literally this explains so much about me)
Decreased motivation
Excessive sleepiness
What's the main thing that's not bueno about sleep deprivation?
the body doesn't heal
What are the 5 functions of sleep?
Time of restoration
Memory consolidation
Preparation for the next period of wakefulness
Restores biological processes
Protein synthesis and cell division for the renewal of tissues
What are some gnarly sleep disorders? (5)
Insomnia
Sleep apnea
Narcolepsy
Sleep deprivation
Parasomnias (see other card for these cause there's a lot ugh)
What are parasomnias?
There's 7 of them (can there be like a list of 3 or something in this chapter omg)
Sleep problems (wow so specific):
confusional arousals
somnambulism (sleepwalking)
night terrors
nightmares
nocturnal enuresis (bed-wetting)
body rocking
bruxism (teeth grinding)
If you're gonna nap, you should limit them to....
20 minutes or less twice a day
(...good lord I wish I had time for naps.)
What are some environmental things you can do to help your patients sleep?
turn off the lights (but leave on a night light!)
lower temperature
don't be noisy
If you're unable to sleep in 15 to 30 minutes, what should you do?
a relaxing activity like reading
To promote sleep, you should sit in natural sunlight during the day for how long?
2 hours each morning if possible
What are 2 good nutrition things to do before bed?
consume carbs or milk as a light snack before bedtime
decrease fluids 2 to 4 hours before sleep
If a patient starts off not able to eat, what is the progression that food should go?
Clear liquid -> Full liquid -> Mechanical soft -> Soft/low residue -> Regular
(I skipped steps that weren't talked about in lecture and didn't seem important. Pg. 1122 box 45.10 for the whole spiel)
What can a patient "eat" on a clear liquid diet?
Anything clear...
Clear fat-free broth, bouillon, coffee, tea, carbonated beverages, clear fruit juices, gelatin, fruit ices, popsicles
What can a patient "eat" on a full liquid diet?
Clear liquid + addition of smooth-textured dairy products (Prescribed ice cream hell yeah), strained or blended cream soups, custards, refined cooked cereals, vegetable juice, pureed vegetables, all fruit juices, sherbets, puddings, frozen yogurt
...like if you can blend it, they can eat it [Show Less]