PROFESSIONAL NURSES ROLE IN MAINTAINING REST AND SLEEP NEEDS

IN PATIENTS

- Ms. Johncy Charles

SLEEPAn altered state of consciousness in which

the individual’s perception of and reaction to the environment are decreased.

It is a cyclical process that alternates with longer periods of wakefulness.

This sleep-wake cycle influences and regulates various functions in the body.

CIRCADIAN RHYTHMPeriod of 24 hoursCircadian rhythm is the rhythm of certain

biological activities that take place over a 24 hour period.

The most familiar of them is the sleep-wake cycle.

The circadian rhythms are affected by light, temperature, and other internal and external factors.

All people have biological clocks that synchronize their sleep cycles.

FUNCTIONS OF SLEEPPurpose of sleep still unclear. Some proposed functions of sleep are as follows:Body tissue restoration

• Release of growth hormone• Repair and renewal of tissues

Preservation of cardiac function.• Reduction of heart rate during sleep• Reduction in workload of heart.

COMMON SLEEP DISORDERS

NURSES ROLE

ASSESSMENTSleep historyHealth historyPhysical examinationSleep diaryDiagnostic studies

DIAGNOSISActivity intoleranceAnxietyIneffective breathing patternImpaired comfortAcute confusionIneffective copingFatigueIneffective health maintenanceImpaired memory

NauseaIneffective protectionDeficient knowledgeSleepSleep deprivationDisturbed sleep patternDisturbed thought process

PLANNINGDevelop a plan that provides sufficient

energy for daily activities.Planning of specific nursing interventions

based on the etiology of each nursing diagnosis.

IMPLEMENTATIONHealth promotionEnvironmental controlsPromoting bedtime routinesPromoting comfort

Establishing periods of rest and sleepStress reductionBedtime snacksMedications as prescribed

EVALUATIONObservation of duration of client’s sleep.Questions about how the client feels on

awakening.Observation of clients level of alertness

during the day