sleep disorders nrem l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Sleep Disorders-NREM PowerPoint Presentation
Download Presentation
Sleep Disorders-NREM

Loading in 2 Seconds...

play fullscreen
1 / 9

Sleep Disorders-NREM - PowerPoint PPT Presentation


  • 306 Views
  • Uploaded on

Sleep Disorders-NREM. NREM is 75% of all sleep time (>=slower) Stage 1 -5% of the night Stage 2 -48% of the night Stage 3 (delta) -7% of the night Stage 4 -15% of the night Muscles mover during NREM, metabolic functions slow down & 20% of dreams*. Sleep Disorders-REM.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Sleep Disorders-NREM' - benjamin


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
sleep disorders nrem
Sleep Disorders-NREM
  • NREM is 75% of all sleep time (>=slower)
    • Stage 1-5% of the night
    • Stage 2-48% of the night
    • Stage 3 (delta)-7% of the night
    • Stage 4-15% of the night
  • Muscles mover during NREM, metabolic functions slow down & 20% of dreams*
sleep disorders rem
Sleep Disorders-REM
  • During REM, you have muscle paralysis, erections and much more vivid dreams
  • Newborns dream 80% of time
  • By age 2, REM sleep is 33% of total sleep time, approaching adolescent levels
sleep disorders
Sleep Disorders
  • Insomnias (> 30’ to fall or return to sleep, 3+/wk)
    • Insomnia (middle and late in elderly)
    • Dysomnias (or less than satisfying sleep)
  • Psysiological causes
    • Sleep Apnea (obstructive or central)
    • Narcolepsy (“REM on a rampage”)
    • Periodic limb movement/restless leg syndrome
assessment
Assessment
  • Measures
    • Epworth Sleepiness Scale
    • Pittsburgh Quality Index
    • Duration, at least 1 month, but usually 6
    • Assess routine (including a 2 week sleep diary* )and meds.
    • Ex. Recent study found that people who sleep with TV or noise have poorer QOS….even “white noise”
    • Ex. Acetimiophen has caffiene where Iboprfen does not
how to become an insomniac
How to Become an Insomniac
  • Keep unrealistic sleep goal
  • Catastrophize about not meeting this goal
  • Nap in daytime/spend more time in bed
  • Spend all of the desperate hours fighting to get to sleep in bed (stimulus for upset)
  • Make bed center for activity
  • Start taking sleep medications (REM reb.)
sleep hygiene avoid
Sleep Hygiene-Avoid
  • Excessive noise
  • “Stress” (activities of worries @ bedtime)
  • Uncomfortable bed
  • Caffeine (< 2 hours of bedtime)
  • Cigarettes (< 2 hours of bedtime)
  • Alcohol
  • Napping (longer awake, faster/deeper sleep)
  • Extra wink in morning
  • Variable bedtimes or morning wake-up times
sleep hygiene maintain
Sleep Hygiene-Maintain
  • 60-65 degrees Fahrenheit in bedroom
  • Early afternoon or evening exercise
  • Satisfying (safe) sex
  • Light snacks (hunger aggravates sleep)
  • Warm milk or Ovaltine
  • Awake same time/go to bed only when sleepy
  • Imagine a tranquil place and calming sounds
  • If repeatedly awake 20 minutes after retiring, relax in another room and return to bed only when tired
treatment9
Treatment
  • Most treatments are initially behavioral conditioning-stimulus control
    • Cognitive Arousal/Refocusing
    • Exs. Paradoxical or focus on the sensation in body part
    • Physiological
    • PMR
    • Imaging
    • Biofeedback