Sleep and Rest

1. Sleep and Rest Nursing Fundamental NURS B20

2. SLEEP AND REST • The need for sleep and rest is important in the quality of life for all persons • Sleep- The natural periodic suspension of consciousness during which the powers of the body are restored • Rest- A person at rest feels mentally relaxed, free from worry, and physically calm. Does not imply inactivity

3. Physiology of Sleep • Circadian Rhythm • Sleep Regulation • Reticular Activating System • Bulbar Synchronizing Region • Sleep Cycle • Stage 1: nonREM • Stage 2: nonREM • Stage 3: nonREM • Stage 4: nonREM • REM Sleep

4. Physiology of Sleep • nonREM sleep needed for tissue restoration of all body tissues • REM sleep benefits the brain most significantly • Brain tissue is restored • Cognitive function is also restored • Believed it may help memory • Loss of REM= feelings of suspicion and confusion

5. Sleep Cycle • 1 - 2 - 3 - 4 - 3 - 2 - REM - 2 - 3 - 4

6. Factors Affecting Sleep • Illness • Medications • Life-Style • Emotional State • Environmental Factors • Exercise and Fatigue • Caloric Intake

7. Common Types of Sleep Disturbances • Insomnia • Sleep Apnea • Obstructive • Central • Narcolepsy

8. Nursing Process • Assessment • Sleep history • Observation for behaviors of sleep deprivation • Nursing Diagnosis • Sleep Pattern Disturbances • Risk for Injury • Altered Thought Processes • Ineffective Coping

9. Nursing Process • Planning • Goal will be made to promote normal, restful sleep for clients having sleep disturbances and/ or difficulties

10. Nursing Process • Interventions to promote sleep and rest • Environmental controls • Promote bedtime rituals or routines • Client education • Evaluation determines whether the interventions have promoted a normal sleep pattern, minimized sleep deprivation symptoms, and improved client understanding of how to promote sleep.