e.Energy level:f.Means of relaxing before bedtime:g.Bedtime rituals:h.Sleep environment:i.Pharmacologic aids:j.Nature of a sleep disturbance:k.Onset of a disturbance:l.Causes of a disturbance:m.Severity of a disturbance:n.Symptoms of a disturbance:o.Interventions attempted and results:APPLYING YOUR KNOWLEDGE
CRITICAL THINKING QUESTIONS
1.Visit a busy hospital unit at night. Assess the
factors on the ward that would contribute to a
patient’s sleep deficit. What could be done to
change the hospital environment to promote
healthy sleeping patterns in the occupants?
2.Develop a sleep teaching tool that explains the
typical sleep patterns and requirements for
patients of all ages (infants to older adults).
Include common factors that disrupt sleep pat-
terns, total amount of sleep required, and pos-
sible interventions to minimize sleep pattern
disturbances. Interview individuals who have
tried your interventions and evaluate the like-
lihood that your teaching tool will resolve
sleep problems.3.Interview several friends or relatives to find
out what they do to prepare for a restful
night’s sleep. Do they have any bedtime
routines that are different from yours? What
are some methods they use when they cannot
fall asleep? Discuss the effect of lack of sleep
on their work performance the following day.REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Use the following expanded scenario from
Chapter 34 in your textbook to answer the
questions below.
Scenario:Charlie Bittner is an 86-year-old
man who has recently been admitted to a
long-term care facility. He tells his daughter
that “even though I go to bed around 9 p.m., I
don’t fall asleep until after midnight and then
I’m up twice to go to the bathroom and have a
lot of trouble falling back to sleep.” His daugh-
ter has mentioned to the nurse that her father
spends a lot of time napping during the day.
1.What nursing interventions might the nurse
employ to help alleviate Mr. Bittner’s sleep
disturbances?2.What would be a successful outcome for this
patient?3.What intellectual, technical, interpersonal,
and/or ethical/legal competencies are most
likely to bring about the desired outcome?4.What resources might be helpful for
Mr. Bittner?CHAPTER 34 REST AND SLEEP 221
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