SLEEP AND REST

It's a basic necessity of life, as fundamental to out health and well-being as air, food and water.  When we sleep well, we wake up feeling refreshed, alert, ready to face the day.  when we don't, every aspect of our lives can suffer.  Few of us think about sleep until it eludes us.

Let's first look at the basics regarding sleep.    

Sleep Foundation

Read parts 1-4 please. 

Then go to your study guide and do the pages there. 

QUIZ TIME

• How many hours of sleep does this the typical adult need per night?

• How many hours do you get?

• You have to have a comlicated operation.  What time of day would you want the surgery done?  (what are peak performance hours for most adults?)

• What  is the purpose of NREM sleep?

• What is the purpose of REM sleep?

              A NATIONAL SLEEP DEBT

        Sleep problems have become a modern epidemic that is taking a catastrophic toll on our bodies and our minds. According to a Gallup Poll conducted for the National Sleep Foundation, one out of every two people suffers from sleeplessness at some point in their lives, many of them chronically. It's estimated that 30-40 million Americans suffer from serious sleep disorders that undermine their sleep quality and their health. For the victims of disordered sleep, the night is a source of anguish, not rest.

              For millions more, the body's need to sleep is treated as a waste of time. In our 24-hour society, we steal nighttime hours for daytime activities, cheating ourselves of precious sleep. In the past century, we have reduced our average time asleep by 20 percent and, in the past 25 years, added a month to our average annual work/commute time. Our national sleep debt is onthe rise. Our society has changed, but our bodies have not, and we are paying the price.

              THE COST OF SLEEPLESSNESS IS HIGH

         What happens when we're deprived of the restful sleep we need? We're less alert and attentive, more inclined to irritability and other mood problems that can make our relationships with family, friends and co-workers difficult. Our concentration and judgment suffer, our ability to perform even simple tasks declines, our productivity is sabotaged. Sleeplessness, whether it's the result of a sleep disorder or an overextended lifestyle, invites diminished quality of life and deteriorating health.

        When we lose sleep or our sleep is poor, we also put ourselves and those around us at high risk for accidents. Major industrial catastrophes such as the Three Mile Island incident have been attributed to human error that occurred during times when the body is at its sleepiest. If we ignore our sleep needs and get behind the wheel of a car, lives may be at stake. It only takes a  few seconds-just long enough for a tired body to steal a needed"microsleep"- to run off the road or into an oncoming car.

POINT OF INTEREST

• There is talk about installing into cars a detector which measures length of time of blinks.  As we become more tired and sleepy, our blink time gets longer. The car would notice this and do something to wake you up, or require that you stop the car.

• To determine the amount of sleep that is right for your body, take a couple of weeks when you are able to sleep all you want.  Go to bed when you are tired, get up when you feel rested.  Keep track of the number of hours you sleep on average.

QUIZ TIME

• What are situations in our profession that could be dangerous when nurses become sleepy?

Please go to this site again and read number 6.

POINT OF INTEREST

• Taking melatonin has been useful to some people in decreasing jet lag.
• http://www.medicinenet.com/jet_lag/article.htm
• A research study showed women who did shilft workers (night shift) have an increased risk of breast cancer.
• http://www.hghacademy.com/antiaging-2/14.htm

QUIZ TIME

• What self care behavior would you advise for your female clients who work nightshift?
• Name three things/tips to give to your clients who are traveling overseas.

TO NAP OR NOT TO NAP

Read this quick article and decide...

http://www.backcare.com/src/article1_qual.cfm

QUIZ TIME

• Name four benefits to napping.
• Are afternoon naps advisable for people who have trouble going to sleep or staying asleep?  Why?

INSOMNIA

Please read this page:

http://www.4woman.gov/faq/insomnia.htm

QUIZ TIME

• What are the different types of insomnia?

• What is the difference between primary and secondary insomnia? 

• Are sleeping pills the best option for treatment of insomnia? 

• Your client is experiencing insomnia.  Name five "tip" that may help.

POINT OF INTEREST

• Loss of sleep has been shown to increase cardiovascular risk.

http://www.sciencedirect.com/science?_ob=QuickSearchListURL&_method=list&_aset=B-WA-A-A-A-MsSAYVA-UUW-AUEDVVYUBE-AUECUWYYBE-ZABVBCACB-A-U&refSource=quickSearch&count=1&_chunk=0&go=&md5=a45ba98dcba8cb87bddaa1b6fba69fbf&view=f&sort=d

SLEEP APNEA

Read this general information about sleep apnea:

http://www.sleepapnea.org/geninfo.html

Fast and easy to understand site:

http://www.sleepfoundation.org/publications/sleepap.cfm

QUIZ TIME

• What the different types of sleep apnea?

• Who is at greater risk for developing sleep apnea?

• What are the symptoms?

• What are the effects?

• Treatment options?

POINT OF INTEREST

• Sleep apnea increases cardiovascular risk.  To find out how, and read POI regarding atrial fibrillation:

http://sleepfoundation.org/ask/sleepapneaandheartdisease.cfm

NARCOLEPSY

Irresistible daytme sleep attacks.

http://www.sleepfoundation.org/publications/livingnarcolepsy.cfm#1

QUIZ TIME

• Name three effects to daily living clients with narcolepsy may experience.
• What are the symptoms of narcolepsyy?

RESTLESS LEG SYNDROME

The need to move keeps sleep away.

http://my.webmd.com/content/article/8/1680_51888.htm?z=1836_00000_0000_rl_06

QUIZ TIME

• What are symptoms of RLS?

• Treatment options?

POINT OF INTEREST

• Most people with RLS also have periodic lemb movements disorder (PLMS), whic is characterized by a periodic jerking of the legs during sleep.  The movements cause multiple sleep interruptions that are often so brief that the sleeper isn't aware of them, although the sleep partner may be.  Unlike RLS, PLMS is not uncomfortaboe for the sufferer, but it can cause excessive sleepiness during the day.

PARASOMNIAS

Things that go bump in the night

                Sleep Walking

 Hit next to go to the next page.

http://health.allrefer.com/health/sleep-walking-info.html#topcontent

QUIZ TIME

• Is medical intervention usually necessary to treat sleep walking?

• What teaching would you do with the parents of a sleep walker?

                Sleep Talking

Sleep talking can range from a word or two of gibberish to an entire speech, but except for the distress it causes others, it's harmless.  The sleeper has no membory of it, and the condition is usually temporary, brought on by stress or illness.  It can also be associated with sleep apnea or sleep terrors.

                Sleep Terrors

http://www.denversleep.com/terrors.html#T2

POINT OF INTEREST

• facinating article.  (only a POI)

http://observer.guardian.co.uk/life/story/0,6903,596608,00.html

QUIZ TIME

• In what stage of sleep do sleep terrors usually occur?

• What is the best way to deal with sleep terrors?

                REM movement disorder

REM movement disorder is when the paralysis that normally occurs during rapid eye movement (REM) sleep is incomplete or absent, allowing the sleeper to "act out" dreams.  Most common in older men, it may result in violent behavior and injuries.  Unlike those who experience sleep terrros, the victims recall vivid dreams.  Medication is usually very effective in treating this disorder.

APNEA

Everything you need to know...

http://www.sleepfoundation.org/publications/sleepap.cfm#1

QUIZ TIME

• What the different types of sleep apnea?

• What are the symptoms?

• What are the effects?

• Treatment options?