1. Nursing Fundamental NURS B20
Sleep and Rest
Nursing Fundamental
NURS B20

2. SLEEP AND REST
The need for sleep and rest is important in the quality of life for all persons
Sleep- The natural periodic suspension of consciousness during which the powers of the body are restored
Rest- A person at rest feels mentally relaxed, free from worry, and physically calm. Does not imply inactivity

3. Physiology of Sleep Circadian Rhythm Sleep Regulation Sleep Cycle
Reticular Activating System
Bulbar Synchronizing Region
Sleep Cycle
Stage 1: nonREM
Stage 2: nonREM
Stage 3: nonREM
Stage 4: nonREM
REM Sleep

4. Physiology of Sleep
nonREM sleep needed for tissue restoration of all body tissues
REM sleep benefits the brain most significantly
Brain tissue is restored
Cognitive function is also restored
Believed it may help memory
Loss of REM= feelings of suspicion and confusion

5. Sleep Cycle
REM

6. Factors Affecting Sleep
Illness
Medications
Life-Style
Emotional State
Environmental Factors
Exercise and Fatigue
Caloric Intake

7. Common Types of Sleep Disturbances
Insomnia
Sleep Apnea
Obstructive
Central
Narcolepsy

8. Nursing Process Assessment Nursing Diagnosis Sleep history
Observation for behaviors of sleep deprivation
Nursing Diagnosis
Sleep Pattern Disturbances
Risk for Injury
Altered Thought Processes
Ineffective Coping

9. Nursing Process Planning
Goal will be made to promote normal, restful sleep for clients having sleep disturbances and/ or difficulties

10. Nursing Process Interventions to promote sleep and rest
Environmental controls
Promote bedtime rituals or routines
Client education
Evaluation determines whether the interventions have promoted a normal sleep pattern, minimized sleep deprivation symptoms, and improved client understanding of how to promote sleep.