Question

They affect the central nervous ight causing insomnia. like monoamine oxidase inhibitors, SSRs like sertraline Prozac Some may have sedating effects hence cause excess sleepiness like amitriptyline and doxepin 4. Your 69-year-old female patient is admitted for a sleep study. She complains of sleep difficulty nightly obj 2,5,6,8 a. Explain the nomal changes in sleep across the lifespan to the patient. What diagnostic testing would you anticipate this patient having? c.How can the nurse assess for sleep difficulty? d Wh at are some recommendations you can make for good sleep hygiene? What is an appropriate nursing diagnosis for this patient? What interventions would you use to assist the patient and why? Discussion Topics, Mohr Chapter 23, Anziety Disorders 1 You are canng for a client who is experiencing severe anxiety. Think about a time in your life when you have experienced anziety obj1,5 a Define anziety bhat are your common symptoms when anxious? Pay attention to your body response and connect the response to the feeling of anxiety Classify these as cognitive, affective physoopc, ot oral

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Answer 1

4aThe duration of time required to have a good nights rest varies from person to person and is based on a number of factors including age,lifestyle and genetics.The amount of time spent in NREM and REM sleep also changes according to different stages of our lives.The amount of sleep varies with age.Most teenagers need 9-10 hours per night.A young child needs more and an adult less to perform at their best.For instance ,working day or night shifts,sleeping in quiet or noisy places,leading an active versus inactive lifestyle .The amount of time we spend sleeping decreases as we get older.The proportion of total sleep time spent in REM sleep decreases markedly from infancy to adolescence and then remains relatively stable into adulthood and old age.The amount of NREM sleep time also decreases ,but compared with the drop in REM sleep upto adolescence,NREM sleeps tend to be relatively stable.There is a gradual decrease in total time spent sleeping as we age.There is a gradual decrease in REM sleep from birth to adolescence followed by a slight increase in late adulthood .

b Polysomnogram,which is a noninvasive,pain free procedure is the diagnostic testing used.

c Insomnia can be assessed with client report(subjective),observations which is objective .

d Some recommendations for good sleep hygiene are l do not watch tv,study,talk on phone in bed.dont lie in bed awake.control room temperature,avoid alcohol,spicy foods,heavy meals and caffeine several hours before bedtime.

e Disturbed sleeping pattern related to lifestyle disruptions as evidenced by reports of difficulty falling and remaining asleep,agitation,dozing during the day, and mood alterations.

Nursing Interventions

• The nurse will assess the patients sleeping pattern and help him develop a sleeping plan.
• The nurse will discourage caffeine or large meal intake 2 hours before the patient goes to sleep.
• The nurse will educate the patient on techniques on how to fall asleep .

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