1 / 27

Chapter 18 Comfort, Rest, and Sleep

Chapter 18 Comfort, Rest, and Sleep. Comfort, Rest, and Sleep. Comfort facilitates rest and sleep Safe, clean, and attractive environment contributes to comfort. Question. Is the following statement true or false?

bertha
Download Presentation

Chapter 18 Comfort, Rest, and Sleep

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 18 Comfort, Rest, and Sleep

  2. Comfort, Rest, and Sleep • Comfort facilitates rest and sleep • Safe, clean, and attractive environment contributes to comfort

  3. Question • Is the following statement true or false? Client rooms resemble bedrooms that are bare, white, and have sterile environments.

  4. Answer False. Client rooms are now bright, colorful, and tastefully decorated.

  5. The Client Environment • Environment: nursing care room, furnishings • Client rooms • Wall: relaxing color schemes, wallpapers • Floor: carpeted or linoleum surface • Lighting: adequate lighting, adjustable intensity • Climate control: temperature, humidity, ventilation

  6. The Client Environment (cont’d) • Room furnishings • Bed • Mattress • Pillows • Linen • Privacy curtain

  7. The Client Environment (cont’d) • Room furnishings (cont’d) • Overbed table • Bedside stand • Chairs

  8. Sleep and Rest • Functions of sleep • Promotes emotional well-being • Enhances various physiologic processes • Reduces fatigue

  9. Sleep and Rest (cont’d) • Functions of sleep (cont’d) • Stabilizes mood • Improves blood flow to brain • Improves immune system • Improves capacity for learning and memory storage

  10. Sleep and Rest (cont’d) • Sleep phases • Nonrapid eye movement (NREM) • Quiet sleep • Rapid eye movement (REM) • Active or deepest stage of sleep

  11. Characteristic Electroencephalogram Wave Form

  12. Sleep and Rest (cont’d) • Sleep cycles • Alternate through NREM and REM phases • Sleep requirements • Vary among different age groups

  13. Sleep and Rest (cont’d) • Factors affecting sleep • Old age • Light • Activity • Environment • Motivation

  14. REM and NREM Sleep in Younger Adults and Older Adults

  15. Sleep and Rest (cont’d) • Factors affecting sleep (cont’d) • Emotions and moods • Food and beverages • Illness • Drugs • Sedatives and tranquilizers • Hypnotics and stimulants

  16. Question • Is the following statement true or false? Alcohol is a depressive drug that promotes healthy sleep.

  17. Answer False. Alcohol is a depressive drug that promotes sleep, but it tends to reduce normal REM and deep sleep stages of NREM sleep.

  18. Sleep Assessment • Sleep questionnaires • Sleep diary • Nocturnal polysomnography • Multiple sleep latency test

  19. Sleep Disorders • Insomnia • Hypersomnia • Narcolepsy • Sleep paralysis and cataplexy • Hypnogogic hallucinations • Sleep apnea/hypopnea syndrome

  20. Question • Is the following statement true or false? Apneic episodes can be reduced by sleeping in other than the supine position, losing weight, and avoiding substances that depress respirations such as alcohol or sleeping medications.

  21. Answer True. Apneic episodes can be reduced by sleeping in other than the supine position, losing weight, and avoiding substances that depress respirations such as alcohol or sleeping medications.

  22. Sleep Disorders (cont’d) • Sleep-wake cycle disturbances • Shift work • Jet travel • Seasonal affective disorder  • Parasomnias

  23. Nursing Implications • Identify nursing diagnoses • Develop plan of care • Sleep-promoting nursing measures • Maintaining sleep rituals • Reducing intake of stimulating chemicals • Promoting daytime exercise

  24. Nursing Implications (cont’d) • Sleep-promoting nursing measures (cont’d) • Adhering to regular schedule for retiring and waking • Progressive relaxation • Back massage • Various techniques and purposes

  25. General Gerontologic Considerations • More comfortable with own bed furnishings • Prefer warmer room temperatures • Insomnia and hypersomnia are frequent manifestations of depression • Sundown and sunrise syndrome • Relaxation techniques before bedtime

  26. General Gerontologic Considerations (cont’d) • Hypnotic medications not recommended for use longer than 2 weeks • Difficulty falling asleep • Institutional schedules may interfere with established pattern of sleep; modifications may be necessary • Important to identify potentialsources of sleep disorders

  27. General Gerontologic Considerations (cont’d) • Cognitive impairments may result in sundown or sunrise syndromes • Chronic conditions may interfere with sleep: • Pain • Difficulty breathing • Frequent urination • Short naps or rest periods can restore energy without interfering with nighttime sleep

More Related