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Optimizing sleep time in critical care unit
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During patient and family care rounds in the intensive care units (ICU), the one consistent concern that I hear is how difficult it is to sleep in the ICU. Modern day ICUs are not designed to promote sleep, but rather are designed to alert and engage staff in patient safety. It has been shown that sleep deprivation and fragmentation impairs neurocognitive function and healing (Friese, 2008). The effects of sleep on delirium are not known, but data now suggest that improved sleep may decrease the incidence of delirium (Patel, Baldwin, Bunting & Laha, 2014). The goal of my project is to optimize the quantity and quality of sleep a patient receives in the ICU in order to decrease delirium and hospital length of stay while improving the
Figueroa-Ramos, M., Arroyo-Novoa, C. M., Lee, K. A., Padilla, G., & Puntillo, K. A. (2009). Sleep and delirium in ICU patients: a review of mechanisms and manifestations. Intensive Care Med , 781-795.
The article "Causes and consequences of sleep deprivation in hospitalized patients" written by Stephanie Pilkington is exploring the causes and consequences of sleep deprivation in hospitalized patients. The author provides a brilliant summary of factors that affect the level of sleep experienced by patients in hospitals and the effects of sleep deprivation on the health and the wellbeing of these individuals. The article goes on to state that for sleep-deprived patients, there were bio-cognitive consequences for their health and recovery, with particular effects on immune functioning, inflammation, parasympathetic equilibrium, carbohydrate metabolism and cognitive performance.
The many concepts are very complex and have many dimensions. Concepts developed by Leininger, Watson, Gaut, Benner and Wrubel, Ihde, and many more were discussed and how they relate to ICU nurses and their caring practices. It is stressed in this article that ICU nurses have an important role of making sure they have insight into their specific behaviors so that nursing practices can be developed. Once these nursing practices are developed, ICU nurses can successfully care for their critically ill patients. Wilkin (2003) claims that caring is a, “dual component of attitudes/values and activities, which create an ongoing challenge for the ICU nurses” (p.
Sleep deprivation is a common condition that occurs if you don’t get enough sleep. In case of sleep deprivation people have trouble falling and staying asleep for a long period of time. In order to understand how serious sleep deprivation can be, one must need to know causes and consequences of sleep deprivation, how much sleep do we need? What does sleep do for us? And how we can cure sleep deprivation.
Prevention of ICU psychosis should occur as soon as the patient has been in the ICU for a few hours. Review visiting policies for the facilities, provide great periods of sleep, by reducing the disturbing and noise levels in the patient room, also try to minimize shift change in nursing staff caring for the patient, assess the patient alertness for the place, date and time on every shift(Welker, M. MSN, 2016). ICU psychosis can be increase by health care professional awareness of early clinical signs of delirium during patients assessment(Arend, E., Christensen, M. 2009). ICU psychosis is affecting the majority of the patient admitted to the ICU. Evidence base shows that the ICU environment is contributed to it’s development. Delirium is increased with morbidity and mortality as well as increased with length of stay in the intensive care unit(Arend, E., Christensen,
Sleep deprivation (SD) is a common phenomenon encountered by many individuals with different professions. [3] These professions include healthcare, security and drivers working at night. [1] The average length of sleep that an individual needs is between 7 and 8.5h per day. [quoted in 1] However, this varies between individuals with different age and gender. Pilcher and Huffcutt found that both total and partial SD give adverse effects on human functioning. [2] Researchers have concluded that sleep deprivation affects cognitive performance [1,2], motor performance and mood of an individual. [2]
Delirium is a sudden, fluctuating, and usually reversible disturbance of mental function (Fan, Guo, Li, & Zhu, 2012). Delirium has been identified in several hospital settings, however occurs more frequently in an Intensive Care setting. Risk factors are not limited to a certain age, race, or gender. There are several long and short term adverse effects associated with Delirium, and may even leave the patient in a decreased mental state after discharge. It is important to use the proper assessment tools to identify delirium in patients. More so, it is imperative that the medical and nursing staff be aware of all risk factors, signs and symptoms, and interventions to minimize and properly treat delirium in the ICU setting.
: 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.
The public health problem that I am addressing is the lack of sleep. The target population will be adolescents and college students in America. Sleep is important to health because the timing, quality, and duration are essential. Sleep plays a big role in good health and well-being throughout your life. How you feel when you are awake comes from how well you slept at night. Sleep has a direct correlation with metabolic regulation, emotional regulation, performance, memory consolidation, learning, and brain recuperation process. Because of these factors it should be viewed as just as important
In the future I aspire to become a neuro ICU nurse. In this setting, patients are recovering from traumatic brain injuries or other nervous system injuries. Because this body system is so vital to human survival, an appropriate setting of peace and quiet is essential to a full recovery for these patients. Specifically, these patients need sleep. Nightingale (1859/1969) remarks in the beginning of “Noise,” “If he is roused out of his sleep, he is almost certain to have no more sleep” (p. 43).
Many college students suffer from sleep deprivation; only a few students would say that they are getting enough rest at night. Sleep deprivation is caused by not receiving the amount of sleep that the human body needs to function properly throughout the day. Sleep deprivation has many causes and effects that most often lead to depression, physical illness, learning problems, and irregular sleep patterns; Elizabeth Austin offers two solutions to help college students cope with sleep deprivation.
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
Eliassen, K. M., & Hopstock, L. A. (2011). Sleep Promotion in the Intensive Care Unit - A Survey of Nurses’ Interventions. Intensive and Critical Care Nursing, 27, 138-142. http://dx.doi.org/10.1016/j.iccn.2011.03.001
In the world of higher education, students at the collegiate level are highly likely to be overwhelmed with course load, in addition to sports and extra-curricular activities (Jacobs & Dodd, 2003). These factors have the potential to lead to various amounts of sleep deprivation, and as the research of Nilsson, Sunderstrom, Karlsson et al. (2004) has shown, sleep deprivation is correlated with higher levels of fatigue, impairments in speed and accuracy as well as limitations in cognitive and physical performances. One way to cope with this fatigue that has shown to have very positive results on people of all ages is taking naps. In addition to reducing sleepiness, Milner & Cote (2008) have determined that “napping may lead to considerable benefits in terms of mood, alertness and cognitive performances”. It is these benefits that nappers seek when engaging in napping activities.
Jacobson, Joy. "Tackling PTSD and ICU patients and their caregivers: studies suggest approaches to averting PTSD." American Journal of Nursing 110.12 (Dec 2010): 18(1). General OneFile. Gale. UMass Dartmouth. 22 Feb. 2011