Week 3 DD - Sleep and Rest PDF

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Week 3 Dig Deeper Assignment for Fundamentals of Nursing...

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NURS 100 – Week 3 Dig Deeper Assignment

Case Studies, Chapter 33, Rest and Sleep 1. You are a nurse in a general practice whose current patient is visiting the physician to report her inability to fall asleep or stay asleep five out of seven nights per week. She describes that her husband is an over-the-road trucker and is home about 10 days per month. They have four kids, three in high school, and she works full time as a stockbroker. (Learning Objectives #2 & #4) a. Outline the questions you would expect to ask the patient regarding her sleeplessness. -

How many hours of sleep do you get each night?

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What is the average hours of sleep do you get each week?

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What is the main cause of your sleeplessness?

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Why is this affecting your sleep?

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Can you think of some things that you can change to get more sleep?

b. How could more specific information regarding the patient’s sleep–wake patterns be obtained? Gather information about sleep patterns, Ask patient to use a sleep diary to track hours of sleep, total time of sleep, sleep efficiency, sleep quality or satisfaction c. What data would be helpful to record in a sleep diary? -

Hours of sleep

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What time you went to sleep and woke up from the sleep

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How difficult was it to fall asleep

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Disruptive sleep, being woken up in the middle of the night

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How you felt after waking up the next day? What was your mood?

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Medications/Supplements taken before sleep

d. Which key findings obtained during a physical assessment could validate the existence of a sleep disturbance? The findings in the physical assessment may confirm that the patient is getting sufficient rest to provide energy for the day’s activities or validate the existence of a sleep disturbance that is decreasing the quantity/quality of sleep. 2. As a pulmonary nurse, a significant proportion of your nursing care is spent in dealing with patients who have sleep disturbances, some resulting in the need for a sleep study. The patient with whom you are collaborating is a nursing student who is in his final year of

NURS 100 – Week 3 Dig Deeper Assignment nursing school and is “constantly sleepy.” The student describes his frequent inability to sleep and only getting 2 to 3 hours of sleep per night for the last 4 months. His wife, accompanying him to this appointment, reports he snores loudly and during a large percentage of his sleep time. (Learning Objectives #5 & #6) a. Which factors in the nursing student’s life could be contributing to his sleeplessness? Factors contributing to the nursing student’s life to his sleeplessness are probably sleep apnea from snoring and the stress from the hectic nursing classes in the final year of the nursing program. b. Outline sleep hygiene recommendations that could increase his sleep time. -

Exercise regularly

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Avoid using electronics at least an hour before bedtime

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Turn off all lights in the warm to create a dark quiet bedroom

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Try to maintain a regular sleeping pattern

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Hot baths before bed to calm down and get ready for bed

c. How would you categorize the patient’s insomnia? The patient’s insomnia may be categorized as chronic insomnia as it has been going on for more than 3 months. When a condition lasts more than 3 months, it is considered a chronic issue instead of acute. d. What signs indicate the possibility of sleep apnea? Signs that indicate the possibility of sleep apnea are snoring, inability to stay asleep after 2-3 hours of sleep, and constant sleepiness during the daytime. e. List appropriate etiologies for sleep deprivation nursing diagnoses for this patient. -

Sleep apnea from snoring

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Stress...