Please enable JavaScript.

Coggle requires JavaScript to display documents.

Sleep and Aging, Stage 1 very light sleep, muscle activity slows down,…

- - - - The number of times a call for assistance to the bathroom or for pain medication or subjective symptoms of inability to sleep occur
      - Whether the person appears to be asleep or awake when checked during the night
      - If sleep medication was given and if repeated
      - The time the person awakens in the morning (approximation)
      - Where the person falls asleep in the evening
      - Daytime naps
  - - - to assess the perception of quality and adequacy of sleep
        
        Do you feel drowsy or sleepy during the day or early evening?
        
        Does fatigue interfere with your desired daytime activity level?
      - to assess nighttime sleep pattern
        
        After you fall asleep, how many times do you wake up during the night?
        
        How long does it usually take to fall asleep after you get into bed?
      - to identify opportunities for health education
        
        What is your usual time for getting into bed?
        
        Do you take any medicines to help you sleep?
        
        Describe your usual activities during the daytime and evening.
  - - - to promote sleep wellness for older
        people include health education and direct interventions
        
        environmental modifications and comfort and relaxation strategies
    - - the crucial management
        for older people with sleep disorder
      - techniques
        
        Maintain a regular schedule of waking and going to bed, even on weekends.
        
        During the day, avoid naps longer than 30 minutes.
        
        Engage in regular exercise, and participate in social activities.
        
        During the day, avoid stimulants such as tobacco and caffeine,
        especially as evening approaches.
        
        Create a regular bedtime that minimizes exposure to bright light, excessive noise, and stimulation.
        
        The bedroom should be kept dark and slightly cool.
        
        Use the bedroom for sleep and intimacy rather than for eating, watching TV, or engaging with other electronic devices.
        
        Avoid large meals and alcohol before bedtime.
        
        Educate family members of patients with cognitive dysfunction about the elements of good sleep hygiene, as they will need to guide their loved ones in these therapies.
- - - - is the percentage of time asleep during the time in bed
      - begins to decline even in healthy adults after 50 years old
        
        attributed both to prolonged sleep latency
        
        increased number of awakenings during the night
  - - - thermoregulation
      - sleep-wake cycles
      - secretion of many
        hormones
        
        cortisol and melatonin
    - - causes adults to become sleepy between 10 pm and midnight and to awaken feeling rested between 6 am and 8 am
    - - causing older people to become sleepy earlier in the evening and awaken earlier in the morning
  - - - Sleep is divided into 2 stages
        
        non-rapid eye movement (NREM)
        
        is further divided into Stages 1, 2, 3, and 4
        
        rapid eye movement (REM)
        
        is a critical state for sleeping elders
        
        the brain replenishes neurotransmitters
        that organize neural networks essential for remembering, learning, performance, and problem-solving.
    - - More time spent in bed awake before falling asleep
      - Total sleep time and sleep efficiency are reduced
      - Awakening are frequent
      - Daytime napping
      - Change in circadian rhythm
        
        early to bed, early to rise
      - Sleep cycle
        
        more stage 1, little stage 4, more disruptions
      - REM sleep is short, less intense, and
        more evenly distributed
- - - - complaint of trouble falling asleep, trouble staying asleep, or early morning awakening, and resultant daytime dysfunction
    - - Physical aches and pains
        
        headaches,
        stomachaches
      - Impaired performance at work
      - Daytime drowsiness or low energy
      - Difficulty paying attention
      - Anxiety
      - Tension and irritability
      - Depression and mood swings
  - - - daytime fatigue
      - loud periodic
        snoring
      - unusual nighttime activity
        
        sitting upright or
        falling out of bed
      - morning headache
      - poor memory and
        intellectual functioning
      - irritability and personality change
  - - - is characterized by vigorous motor behaviors related to dream reenactment
- - - - Stage 5
        REM sleep, brain waves speed up and dreams occur, heart rate increases