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Impact of sleep disruptions on ICU patients
Impact of sleep disruptions on ICU patients
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Recommended: Impact of sleep disruptions on ICU patients
Minimizing Sleep Disruption in Intensive Care Unit
Sleep is among the most important biological processes necessary for the survival of human beings. According to Delves (2009), on average, people spend up to 30% of their life sleeping. It is an indication of the importance of sleep for the proper function of the body and its long-term survival. However, Weinhouse & Schwab (2006) notes that a broad spectrum of research in different settings and periods has shown that patients in intensive care units (ICU) suffer sleep disruption and deprivation affecting their ability to progress to a faster and complete recovery. One reason is that sleep disturbance may cause important psychophysiological effects, which have the potential to delay the process
Delirium in the Intensive Care Unit (ICU) has become a genuine phenomenon and can be problematic for the patient and the staff caring for them. Delirium occurs when a patient is placed in an unfamiliar environment and has to endure the stress of not just the hospitalization but the stimuli of the environment, which can cause disturbances in consciousness. Patients can become confused, anxious, and agitated; making this difficult for the staff to correctly diagnosis and care for them. Sleep deprivation and environmental factors along with neurotransmitters are strongly related to the occurrence of ICU delirium. ICU staff needs to become more educated on prevention, detection, and proper treatment for the patient experiencing this condition.
Sleep deprivation in hospitalized patients can result in increased morbidity and mortality, and can lower their quality of life. Hospitalized patients require more than the average amount of sleep to aid in recovery, but often get an inadequate amount of sleep or experience poor quality sleep. There are increased frequencies of awakening or being awakened too early in the morning, difficulty falling asleep, an increased need for sleep medications, poor sleep quality, an increase in frequency of napping and nightmares. Sleep-wake cycles contribute to adequate protein synthesis and cellular division that is crucial to sustaining the healing process and maintaining immunity. Sleep deprivation changes normal circadian cycles, resu...
Having no sleep can lead to unhealthy lives, relationships, one’s ability to function and interact with the world, and an unbalanced state of body, mind, and spirit. Sleep is crucial to an individual because it is a time where the body rests and restores energy and develops important information and without sleep, the body will slowly disintegrate. Poor sleep quality often is associated with Insomnia, but the two are two different items. Poor sleep quality is where an individual does not get at least 4 hours of sleep, but is still able to sleep and does not have a normal sleeping cycle. Insomnia is classified as a sleeping disorder, where one persistently lacks the ability to sleep or maintain sleep. This paper goes into a deep discussion of what Insomnia is and the two different types, the causes of Insomnia and how it affects a person’s lifestyle, a comparison between Men and Women who have Insomnia, and possible treatments to aid this disorder.
Chronic sleep loss is becoming more common in modern culture and less restricted to sleep-deprived diseases such as insomnia. Suggested to be the result of a number car, industrial, medical, and other occupational accidents, sleep deprivation is beginning to be recognized as a public concern. As a result, the Centers for Disease Control
As we all know, sleep is an important part of our lives. Without the proper amounts and type of sleep, fatigue and other problems can arise. Generally, we can clearly distinguish between a sleeping person and a person that is awake. With sleeping disorders, the distinction between an awake person and a sleeping person becomes more intriguing. What is the difference, how does it relate to the I-function and consciousness? Each sleeping disorder has its own unique answer to this question. It is essential to understand sleep to fully appreciate it. However, many aspects of it remain a mystery. We do have some degree of understanding of sleep. Within our sleep cycle a type of unusual sleep occurs, REM sleep. During this cycle the periods of REM sleep are interspersed with slow wave sleep in alternation. Each period of REM sleep (there are usually 4 or 5 periods a night) lasts for approximately 5 to 30 minutes. During these periods a sleep paradox occurs. An enormous amount of brain activity takes place; this is sometimes even more activity then when awake. This clearly indicates that sleep is not simply to rest our mind and not to think. So, during this period our brains are extremely active, yet there is usually no input or output. During this period, along with the random eye movement (REM), there is a complete loss of muscle tone. Essentially, at this point, the motor system is paralyzed (normally the body inhibits any movement). The autonomic nervous system also alters its behavior. The regulation of body temperature is lost and the blood pressure, heart rate, respiratory rates shows increased variability. REM sleep can be detected by measuring the electrical activity of the brain with an electroencephalogram. At this point, the EEG will show the same pattern of activity as when the brain is awake.
Sleep loss and shifting sleep patterns are known to be widespread across college campuses throughout the United States and the world at large. Yet, while many studies exist relating sleep to performance, a much smaller amount of studies focus on the Through analysis of these sources as they would prove useful when researching and writing upon the idea of sleep and its correlation to academic performance it was found that a paper titled “Sleep-Wake Patterns and Academic Performance in University Students”, which was presented to the European Conference on Educational Research, is overall the most useful source represented to research the topic.
We live our entire life in two states, sleep and awake1. These two states are characterized by two distinct behaviors. For instance, the brain demonstrates a well-defined activity during non-REM sleep (nREM) that is different when we are awake. In the study of sleep by Huber et. al., the authors stated that sleep is in fact a global state2. It is unclear whether this statement means that sleep is a state of global behavioural inactivity or the state of the global nervous system. The notion that sleep is a global state of the nervous system served as basis for sleep researchers to search for a sleep switch. The discovery of the sleep switch, in return, provided evidence and enhanced the notion that sleep is a global state of the nervous system. The switch hypothesis developed from the fact that sleep can be initiated without fatigue and it is reversible1. It was hypothesized that there is something in the brain that has the ability to control the whole brain and initiate sleep. Studies have found a good candidate that demonstrated this ability3. They found a group of neurons in the Ventrolateral Preoptic (VLPO) nucleus. It was a good candidate because it was active during sleep, has neuronal output that can influence the wakefulness pathway, and lesion in the area followed reduce sleep3. The idea that there is something that can control the whole brain and result sleep state supports the idea that sleep is a global state of the nervous system.
: Much is said about how long shifts and nurse-to-patient ratio affect the nurse’s health, but little attention has been paid about the effects of sleep deprivation on the health and care of nursing professionals. Although it is important to understand the effects of long hours of work, researchers should also look attentively on the effects of insufficient sleep on the life of nurses.
Wilson, J.F. (2005). Is sleep the new vital sign? Annals of Internal Medicine, 142 (10), 877-880.
Many studies of the role of sleep are partial or total sleep deprivation studies which support Oswold’s restoration theory. One of these supporting studies was Dement’s. He deprived participants of REM sleep and consequently found that they increased their number of attempted REM stages from 12 to 26 over 4-7 nights. During their first uninterrupted night, participants increased their REM sleep by 10% which is known as REM rebound. This suggests the importance of REM and the possibility that the purpose of sleep is to get into REM sleep. The participants reported anxiety, irritability and difficulty concentrating which shows that REM sleep is needed to avoid these affects and enable brain recovery which corresponds with Oswold’s theory. Even so, Dement’s study has low ecological validity, it has low population validity because there were only 8 participants and they were a self-selected sample. Participants would probably have shown demand characteristics because the experiment took place in a lab. It also has low mundane realism because people would not usually sleep in a lab and be interrupted repeatedly.
The authors and scientists from a different study by the U.S National Library of Medicine National Institutes of Health on long and short-term sleep deprivation state directly that “in certain jobs, people face sleep restriction. Some professions such as health care… require working at night. In such fields, the effect of acute total sleep deprivation (SD) on performance is crucial” (Alhola & Polo-Kantola, Sleep deprivation: Impact on cognitive performance). Depending on their schedule, nurses can often be susceptible to sleep deprivation and are no exception, especially if they are working long hours. The study performed research on how acute and chronic sleep deprivation can affect the brain and how it can slow down or worsen thought process and rationality throughout the day for working adults. The authors also explain that “motor function, rhythm, receptive and expressive speech, and memory ...deteriorated after one night of SD.” (Alhola and Polo-Kantola, Sleep deprivation: Impact on cognitive performance) Although everybody is affected by a lack of sleep differently, some might have the ability to handle it a lot better than others, but it is fair to say that no one can perform their jobs perfectly if their brains are being affected by sleep deprivation. This organization concludes this study by explaining that there is still much research that needs to be
The implications of using nonpharmacological method of sleep, while not only providing more rest to support healing, also can allow patients to feel as if the medical staff is concerned about them and gives them some control (Jones & Dawson, 2012) while reducing the adverse effects that can accompany sedatives (Robinson et al., 2005...
Imagine that you are in the middle of an important lecture during history at 2:00 p.m. and you are fighting to stay awake. As you look around the room, you feel that you are the only that is having a difficult time maintaining your alertness. Well, you’re not alone. Sleepiness and fatigue is a very problematic issue for many Americans. When they become tired, they can’t seem to find a way to defeat it. This can get in the way of their jobs, schoolwork, and extracurricular activities. One thing that many Americans don’t know is that afternoon naps can solve their problems. People should take naps because it is very beneficial for their mental and physical health. Naps can increase one’s productivity, help them to improve their cognitive performance, and allow them to recharge themselves.
Sleeping is something that is an essential part of human nature and is a must in order for one to be a functional human being. Sleep is an idea that is accompanied by many wives’ tales, including the idea that one needs seven to eight hours of sleep each night and alcohol helps one fall asleep and sleep more soundly. One myth about sleep is that during sleep, one is in a state of nothingness. In truth, however, it has been discovered that during sleep the brain is active, variations in heartbeat and breathing occur, and the eyes and ears are active throughout the time of sleep. These activities during a person’s sleep are important because they help that person be more aware, awake, and alert during sleep.
Each night, the average person spends approximately 7-9 hours giving their bodies a restful vacation in the land of dreams. Considering this, we spend 1/3 (or 25 years) of our entire lives engaging in this idle activity. Although these numbers can appear as a waste of time in our every day lives, sleeping and/or napping is the energy that helps fuel our bodies to function correctly. Sleep is a necessary function in our every day routine in order to make our brains function at the most efficient level. As we sleep, the brain helps us to recuperate and regain strength by “restoring and repairing the brain tissue” (Myers, 2010, p 99). Without this reviving process, we would all eventually deteriorate. By impairing the sleep deprived mentally and physically, it can potentially cause serious harm. We must fade our conscious mind, and let our mind relax within subconscious state.