NURS 1112 Chapter Notes - Chapter 40: Calibration, Sleep Deprivation, Excessive Daytime Sleepiness

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3. drugs and substances, lifestyle, emotional stress, the physical environment, exercise and fatigue, food and caloric intake. Insomnias (acute-less than one month, primary insomnia, co-morbid insomnia (due to medical condition), nonrestorative sleep, early morning awakening. Sleep apnea, (and other apneas) snoring, upper airway resistance syndrome. Comprehensive nursing assessment of sleep: ask the patient to describe his or her sleep pattern (past and present), the nature of the sleep problem, duration, etc. Health promotion nursing interventions to promote sleep: sleep enhancement. Encourage patient to establish a bedtime routine and a regular sleep pattern. Instruct patient to limit his/ her consumption of caffeine, nicotine, and alcohol before bedtime. Assist in identifying ways to eliminate stressful concerns about work before bedtime, adjust the sleep environment: control the noise, temperature, and light in bedroom. Encourage client to begin walking routinely during the day, but not 2 or 3 hours before bedtime. Instruct the patient on how to perform muscle relaxation.

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