NURS 3234 Lecture Notes - Lecture 8: Nocturnal Enuresis, Cognitive Behavioral Therapy, Sleep Deprivation
Document Summary
Importance of sleep: memory and cognitive function, emotional stability, physical illness, immune system, sleep related problems. Insomnias: daytime somnolence/accidents, sleep apneas (central, obstructive, sleep deprivation, narcolepsy, parasomnia like sleep walking, night terrors, nocturnal enuresis, diagnostic procedures. Sleep disorders: dyssomnias: characterized by insomnia or excessive sleepiness. Treatments for sleep disorders: pharmacologic, sedatives, hypnotics, non-pharmacologic, cognitive behavior therapy (cbt, muscle relaxation measures, stimulus control, sleep restrictions, sleep hygiene measures, biofeedback & relaxation techniques. Sleep deprivation effects: nursing, medical, shift workers, college students, icu patients, sleepiness, leading to motor vehicle and other accidents, ptosis, blurred vision, clumsiness, memory decline, slow/poor decision making, slowed responses, less alert, irritable, withdrawn, apathetic, unmotivated, hyperactive, confused. Common etiologies for nursing diagnoses: physical or emotional discomfort or pain, changes in bedtime rituals or sleep environment, disruption of circadian rhythm, exercise and diet before sleep, drug dependency and withdrawal, symptoms of physical illness.
