Sleep-Rest Pattern



Sleep-Rest Pattern






Insomnia* (1980, 1998)



DEFINITION

Disruption in amount and quality of sleep that impairs functioning


DEFINING CHARACTERISTICS


Diagnostic Cues



  • Verbal complaints of not feeling well rested

and one or more of the following:



  • Reports interrupted sleep pattern, frequent interruptions during sleep


  • Verbal complaints of difficulty falling asleep (delayed sleep onset)


  • Sleep pattern reversal


Supporting Cues



  • Reports fatigue


  • Reduction in performance (work, school, home)


  • Increasing irritability, restlessness


  • Early awakening


  • Frequent yawning, lethargy


  • Dark circles under eyes


  • Disorientation (progressive)


  • Listlessness


  • Expressionless face


  • Thick speech with mispronunciation and incorrect words


  • Ptosis of eyelids


  • Mild, fleeting nystagmus


  • Slight hand tremor


  • Hallucinations, delirium, paranoia




OUTCOME


Sleep



  • Reports a pattern of feeling well rested after sleep (natural periodic suspension of consciousness for body restoration)


ETIOLOGICAL OR RELATED FACTORS



  • Ruminative (over and over) presleep thoughts


  • Physical discomfort (specify)


  • Family stress


  • Environmental or habit changes (social cues)


  • Frequently changing sleep-wake schedule (e.g., shift changes)


  • Daytime boredom, inactivity


  • Fear (specify)


  • Depression


  • Anxiety (personal stress)


  • Pain


  • Perceived vulnerability to harm


  • Nocturia


  • Sustained use of antisleep agents


HIGH-RISK POPULATIONS



  • Round-the-clock therapy (e.g., treatment/medication required during normal sleep time)


  • Nocturnal dyspnea



Sleep Deprivation (1998)



DEFINITION

Prolonged periods of time (2 to 3 days or more) without sleep (sustained natural, periodic suspension of relative unconsciousness)


DEFINING CHARACTERISTICS


Diagnostic Cues



  • Verbal report of not feeling well rested


  • Report of less than usual hours of sleep for 2 to 3 days or more (confirmed, if possible)

and one or more of the following:



  • Mood changes


  • Restlessness, irritability, anxiety


  • Fatigue, lethargy, daytime drowsiness


  • Inability to concentrate


  • Inability to concentrate, progressing to deterioration in mental and physical task performance and disorientation


  • Perceptual disorders (e.g., disturbed body sensation, delusions, feeling afloat, hallucinations, acute confusion)


  • Transient paranoia, agitated or combative


  • Mild fleeting nystagmus, hand tremors

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Jun 12, 2016 | Posted by in NURSING | Comments Off on Sleep-Rest Pattern

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