1 Chapter 18 Comfort, Rest, and Sleep Bader EL Safadi BSN, MSc Fundamental of Nursing - A...
12
1 Chapter 18 Comfort, Rest, and Sleep Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
-
Upload
donald-dorsey -
Category
Documents
-
view
217 -
download
13
Transcript of 1 Chapter 18 Comfort, Rest, and Sleep Bader EL Safadi BSN, MSc Fundamental of Nursing - A...
1
Chapter 18
Comfort, Rest, and Sleep
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
2
Comfort : ) state is which a person is relieved of distress ) that facilitates rest and sleep
Rest : (waking state characterized by reduced activity and mental stimulation)
Sleep:(state of arousable unconsciousness)
Safe, clean, and attractive environment contributes to comfort.
Environment : refers to room where the client receives nursing care and its furnishing
LIGHTING—adequate lighting, both natural and artificial is important to the comfort of clients and nursing personnel.
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
Comfort, Rest, and Sleep
3
Environment: nursing care room, furnishings
Client roomsWall: relaxing color schemes, wallpapersFloor: carpeted or linoleum surfaceLighting: adequate lighting, both natural and artificial is
important to the comfort of clients and nursing personnel.Climate control:
1. Temperature :most clients are comfortable if temp is 68-74 ˚F
2. Humidity: Amount of moisture in the air.
3. Ventilation: Movement of air
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
The Client Environment
4
• Room furnishings
– Bed
o Mattress
o Pillows
o Linen
– Privacy curtain
– Overbed table
– Bedside stand
– Chairs
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
The Client Environment (cont’d)
5
Functions of sleep
1. Reduces fatigue
2. Stabilizes mood
3. Improves blood flow to brain
4. Enhances various physiologic processes (Increasing protein synthesis.)
5. Improves immune system
6. Promotes emotional well-being
7. Improves capacity for learning and memory storage
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
Sleep and Rest
6
Sleep phases1. Non rapid eye movement (NREM)
o Quiet sleep2. Rapid eye movement (REM)
o Active or deepest stage of sleep
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
Sleep and Rest (cont’d)
7
Effect of chronic sleep deprivation1. Altered comfort.
2. Impaired coordination.
3. Loss of muscle mass and weight.
4. Increased susceptibility to infection.
5. Slower wound healing.
6. Decreased pain tolerance.
7. Poor circulation.
8. Unstable moods.
9. Impaired judgment.
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
Sleep and Rest (cont’d)
8
Sleep cycles
Alternate through NREM and REM phases
Sleep requirements
Vary among different age groups
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
Sleep and Rest (cont’d)
Sleep and Rest (cont’d)
• Factors affecting sleep
1. Old age
2. Light
3. Activity
4. Environment
5. Motivation
6. Emotions and moods
7. Food and beverages
8. Illness
9. Drugs
o Sedatives and tranquilizers
o Hypnotics and stimulants
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012 9
10
Sleep questionnaires
Sleep diary
Nocturnal polysomnography
Multiple sleep latency test
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
Sleep Assessment
11
INSOMNIA: difficulty falling asleep, awakening frequently during the night or awakening early.
HYPERSOMINA: characterized by feeling sleepy despite getting normal sleep.
SLEEP APNEA: cessation of breathing.HYPOPNEA: hypoventilationPARASOMNIA: conditions associated with activities that
cause arousal or partial arousal, usually during transitions in NREM periods of sleep.
Bader EL Safadi BSN , MSc Fundamental of Nursing - A Feb,05,2012
Sleep Disorders
12
Identify nursing diagnoses Develop plan of care
Sleep-promoting nursing measuresMaintaining sleep ritualsReducing intake of stimulating chemicalsPromoting daytime exerciseAdhering to regular schedule for retiring and wakingProgressive relaxationBack massage
o Various techniques and purposes Bader EL Safadi BSN , MSc Fundamental of Nursing - A
Feb,05,2012
Nursing Implications
