PROMOTING REST AND SLEEP

SLEEP IS THE ALTERED LEVEL OF

CONSCIOUSNESS IN WHICH THE
INDIVIDUALS PERCEPTION OF AND
REACTION TO ENVIRONMENT ARE
DECREASED
 TYPES OF SLEEP

NREM

REM
NREM (NON-RAPID EYE MOVEMENT SLEEP)

WHEN THE RAS IS INHIBITED

ABOUT 75% TO 80% OF SLEEP

HAS 4 STAGES
NREM (NON-RAPID EYE MOVEMENT SLEEP)
STAGE I
LASTS ONLY A FEW MINUTES
EYES ROLL FROM SIDE TO SIDE
HR AND RR DROP SLIGHTLY
NREM (NON-RAPID EYE MOVEMENT SLEEP)

STAGE II
LASTS FOR 10-15 MINUTES
BODY PROCESSES CONTINUE TO
SLOW DOWN
HR AND RR DECREASE FURTHERMORE
NREM (NON-RAPID EYE MOVEMENT SLEEP)

STAGE III
THE HR AND RR, AS WELL AS OTHER
BODY PROCESSES, SLOW FURTHER
THE SKELETAL MUSCLES ARE VERY
RELAXED
THE REFLEXES ARE DIMINISHED AND
SNORING MAY OCCUR
 NREM (NON-RAPID EYE MOVEMENT SLEEP)

STAGE IV
HR AND RR DROP 20 30% BELOW THAT
EXHIBITED DURING WAKING HOURS
SLEEPER IS VERY RELAXED, RARELY MOVES
AND IS DIFFICULT TO AROUSE
THIS STAGE IS THOUGHT TO RESTORE THE
REM (RAPID EYE MOVEMENT SLEEP)

OCCURS ABOUT EVERY 90 MINUTES

LASTS FROM 5 TO 30 MINUTES
IRREGULAR HR AND RR
MAY BE DIFFICULT TO AROUSE OR WAKE
UP SPONTANEOUSLY
 1 CYCLE LASTS FOR 90 TO 110
MINUTES (1 TO 2 HOURS)
1ST 3 STAGES OF NREM (20-30
MINUTES)
STAGE IV (30 MINUTES)
BACK TO NREM STAGES III AND II
(20 MINUTES)
REM (10 MINUTES)
WHAT IS/ARE THE LONGEST TYPE OR
STAGE OF SLEEP?
 NORMAL SLEEP REQUIREMENTS

NEWBORNS
16 TO 18 HOURS A DAY

INFANTS
14 TO 15 HOURS

TODDLERS
12 TO 14 HOURS
 NORMAL SLEEP REQUIREMENTS

PRESCHOOLERS
11 TO 13 HOURS

SCHOOL AGED
10 TO 11 HOURS

ADOLESCENTS
9 TO 10 HOURS
 NORMAL SLEEP REQUIREMENTS

ADULTS
7 TO 9 HOURS
ELDERS
7 TO 9 HOURS
MANY SLEEPING PROBLEMS
 FACTORS AFFECTING SLEEP

ILLNESS

EMOTIONAL STRESS
FACTORS AFFECTING SLEEP

ENVIRONMENT

STIMULANTS AND ALCOHOL

FACTORS AFFECTING SLEEP

SMOKING
COMMON SLEEP DISORDERS
 INSOMNIA

INABILITY TO FALL ASLEEP OR REMAIN ASLEEP

ACUTE INSOMNIA
CHRONIC
CHRONIC INTERMITTENT INSOMNIA
 COMMON SLEEP DISORDERS

EXCESSIVE DAYTIME SLEEPINESS

HYPERSOMNIA

NARCOLEPSY
Excessive Daytime Sleepiness

HYPERSOMNIA

THE AFFECTED INDIVIDUAL OBTAINS SUFFICIENT

SLEEP AT NIGHT

NARCOLEPSY
 SLEEP APNEA

FREQUENT SHORT BREATHING PAUSES

DURING SLEEP

OBSTRUCTIVE APNEA
CENTRAL APNEA
MIXED
 COMMON SLEEP DISORDERS

PARASOMNIAS

AROUSAL DISORDER

SLEEP WALKING
SOMNAMBULISM
 COMMON SLEEP DISORDERS

PARASOMNIAS

SLEEP WAKE TRANSITION DISORDER

SLEEP TALKING

EXHAUSTION
 COMMON SLEEP DISORDERS

PARASOMNIAS

ASSOCIATED WITH REM SLEEP

NIGHTMARES
 NURSING INTERVENTIONS
TO PROMOTE REST AND SLEEP
 NURSING INTERVENTIONS
TO PROMOTE REST AND SLEEP
SUPPORTING BEDTIME RITUALS

ADULTS
HYGIENIC ROUTINES
RELAXATION
 NURSING INTERVENTIONS
TO PROMOTE REST AND SLEEP

SUPPORTING BEDTIME RITUALS

CHILDREN

NEED TO BE SOCIALIZED INTO PRE SLEEP ROUTINE

 NURSING INTERVENTIONS
TO PROMOTE REST AND SLEEP

SUPPORTING BEDTIME RITUALS

MASSAGE

WARM DRINK
 NURSING INTERVENTIONS
TO PROMOTE REST AND SLEEP

CREATING A RESTFUL ENVIRONMENT

MINIMAL NOISE
COMFORTABLE ROOM TEMPERATURE
APPROPRIATE LIGHTING
 NURSING INTERVENTIONS
TO PROMOTE REST AND SLEEP

PROMOTING COMFORT AND RELAXATION

PROVIDE LOOSE FITTING NIGHTWEAR

ASSIST CLIENTS WITH HYGIENIC ROUTINES
 NURSING INTERVENTIONS
TO PROMOTE REST AND SLEEP

PROMOTING COMFORT AND RELAXATION

EMOTIONAL STRESS INTERFERES WITH SLEEP

RELAXATION TECHNIQUES