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Rest and Comfort
NUR 324 (Final)
67
Science
Undergraduate 3
05/06/2008

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Term
RAS
Definition
Controls wakefulness
Term
Pons/Medulla
Definition
Controls sleep
Term
REM
Definition
Most restorative sleep
Term
Decreased energy needs (HR, RR)
Increased human growth hormone
Cognitive restoration (REM)
Definition
Sleep restores biological and psychological process by...
Term
Sleep deprivation
Definition
Significant lack of sleep
Term
CNS
Definition
Controls sleep regulation
Term
Intrinsic sleep disorders
Extrinsic sleep disorders
Circadian rhythm sleep disorders
Definition
Dyssomnias
Term
Psychological insomnia
Narcolepsy
Periodic limb movement disorder
Sleep apnea syndromes
Definition
Intrensic sleep disorders
Term
Inadequate sleep hygiene
Insufficient sleep syndrome
Hypnotic-dependent sleep disorders
Alcohol-dependent sleep disorders
Definition
Extrinsic sleep disorders
Term
Time-zone change (jet lag) syndrome
Shift-work sleep disorder
Delayed sleep phase syndrome
Definition
Circahian rhythm sleep disorders
Term
Arousal disorders
Sleep-wake transition disorders
Definition
Parasomnias
Term
Sleepwalking
Sleep terrors
Definition
Arousal disorders
Term
Sleeptalking
Sleep starts
Nocturnal leg cramps
Definition
Sleep-wake transition disorders
Term
Nightmares
REM sleep behavior disorder
Sleep paralysis
Definition
Parasomnias associated with REM sleep
Term
Sleep bruxism (teeth griding)
Sleep enuresis (bedwetting)
Sudden infant death syndrome
Definition
Other parasomnias
Term
Mood disorders
Anxiety disorders
Psychoses
Alcoholism
Definition
Sleep disorders associated with psychiatric disorders
Term
Dementia
Parkinson's
Central degenerative disorders
Definition
Sleep disorders associated with neurological disorders
Term
Nocturnal cardiac ischemia
COPD
Peptic ulcer disease
Definition
Sleep disorders associated with medical disorders
Term
Menstruation
Pregnancy
Sleep choking
Definition
Proposed sleep disorders
Term
Polysomnogram (PSG)
Definition
Evacuation of sleep staging, airflow and ventilatory efforts, arterial O2 sat, EKG, body positioning, and periodic limb movements
Term
Multiple sleep latency test (MSLT)
Definition
Test done during the day during 4 different naps
Term
Actigraphy
Definition
Wrist device to monitor activity, naps, etc.
Term
Cause nightmares
Cause insomnia
Cause awakening from sleep
Definition
Beta-blockers
Term
Decrease REM time
May cause daytime drowsiness
Definition
Anticonvulsants
Term
Interfere with reaching deeper sleep stages
Definition
Hypnotics
Term
Nighttime awakening due to nocturia
Definition
Diuretics
Term
Suppress REM sleep
Decrease total sleep time
Definition
Antidepressants and stimulants
Term
Disrupts restless sleep (sleep isn't as effective)
Definition
Alcohol
Term
Prevents person from falling asleep
May cause person to awaken during the night
Interferes with REM sleep
Definition
Caffeine
Term
Alters REM sleep
Increased daytime sleepiness
Increased sleep time
Definition
Benzodiazepines
Term
Suppress REM sleep
Cause increased daytime drowsiness
Definition
Narcotics
Term
Acute insomnia
Definition
Test, caffeine
Lasting 1 night in 2 weeks (20-30% of adults in a given year)
Term
Chronic insomnia
Definition
Lasting 3 nights a week for a month or more (10-15% of adults in a given year)
Term
Delayed sleep pattern syndrome
Definition
Problems getting to sleep and messed up pattern (not enough REM)
Term
Emotional or physical discomfort
Definition
Acute insomnia is often caused by...
Term
Older age
Women
Definition
Chronic insomnia is most common in...
Term
Sleep apnea
Definition
Serious, life-threatening condition characterized by repeated collapse of the upper airway during sleep, with consistent cessation of breathing lasting 10 seconds or more
Term
Central sleep apnea
Definition
No ventilation despite absent obstruction
(edema of cerebrum, problems with pons or medulla)
Term
Obstructive sleep apnea
Definition
Upper airway, ventilation efforts persist
Most common
Snoring, pharyngeal, tonsilar, nasal
Term
Mixed sleep apnea
Definition
Most people have this...
Term
Pickwickian syndrome
(Obesity-hypoventilation syndrome)
Definition
Morbidly obese people who have unnecessary pressure on their diaphragm
Diminished breath sounds and lung capacity
Term
Physiological goals of sleep apnea treatment
Definition
Eliminating sleep fragmentation, apneas and hypopneas, and O2 desaturation
Term
Symptomatic goals of sleep apnea treatment
Definition
Eliminating snoring and sleepiness, improving QOL, reducing or eliminating comorbidities
Term
Weight loss
Avoidance of alcohol
Avoidance of supine sleeping position
Definition
Behavioral modifications to help sleep apnea
Term
CPAP
Definition
Continuous oral pressure
Non-invasive, very effective, but adherence is variable
Term
Oral/dental devices
Definition
May be used for mild to moderate cases, not uniformly effective
Term
Nasal surgery
Definition
May be used alone or in conjunction with other procedures, rarely curative alone
Term
Tonsillectomy
Definition
Most effective in children, may even be curative
Term
Maxillofacial surgery
Definition
Essentially works to correct an overbite in order to open the airway (breaking the jaw, wired shut)
Term
UPPP (Uvulopalatopharyngoplasty)
Definition
Uvula and portions of the soft palate are resected to widen the oropharyngeal airway, snoring usually resolved but apnea may persist
Term
Tracheotomy
Definition
High successful in many cases when other treatments fail
Term
No drugs avaliable
Definition
Pharmacological treatments for sleep apnea
Term
Narcolepsy
Definition
Second leading cause of daytime sleepiness
Term
Brain's inability to regulate sleep-wake cycles
Definition
Narcolepsy is caused by...
Term
Pain
Definition
Complex experience involving physical, emotional, and cognitive components
Subjective and highly individualized
Stimulus can by physical or emotional
Term
Nocicpetive pain
Definition
Normal processing of stimuli that damages normal tissues or has the potential to do so if prolonged
Usually responsive to nonopioids and/or opioids
Term
Somatic pain
Definition
Arises from bone, joint, muscle, skin, or connective tissue
Usually aching or throbbing in quality and is well localized
Term
Visceral pain
Definition
Arises from a visceral organ such as the GI tract and pancreas
Term
Neuropathic pain
Definition
Abnormal processing of sensory input by the peripheral or central nervous system
Treatment usually includes adjunctive analgesics
Term
Centrally generated pain
Deafferentation pain
Definition
Injury to either the peripheral or central nervous system
Term
Centrally generated pain
Sympathetically maintained pain
Definition
Associated with dysregulation of the autonomic nervous system
Term
Peripherally generated pain
Paniful polyneuropathies
Definition
Pain is felt along the distribution of many peripheral nerves
Term
Peripherally generated pain
Painful mononeuropathies
Definition
Usually associated with a known peripheral nerve injury and pain is felt at least partly along the distribution of damaged nerve
Term
Groaning
Moaning
Crying
Grunting
Definition
Vocalizations of pain
Term
Biting lip
Grimace
Clenched teeth
Wrinkled forehead
Tightly closed or wide opened eyes or mouth
Definition
Facial expressions of pain
Term
Restlessness
Immobilization
Muscle tension
Increased hand and finger movements
Pacing activities
Rhythmic or rubbing motions
Protective movement of body parts
Definition
Body movement of pain
Term
Avoidance or conversation
Focus on activities for pain relief
Avoidance of social contact
Reduced attention span
Definition
Social interaction of pain
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