Restraint and Alt
identify the effect of a chemical restraint
the organization responsible for evaluating and accrediting health-care organizations and programs in the United States.
Who is Joint Commission
Grinding of teeth during sleep
What is bruxism
in this stage, the eye move, vivid dreaming occurs
What is REM
Name the guidelines required by Joint commission to use a restraint.
What is: Release q 2 hours. Offer hydration, toileting, nutrition and ROM (Document on all)
Chronic inability to fall asleep or stay asleep
What is insomnia
Name the two sleep cycles
what is REM and NREM
What is NREM 1
name the required time to check on a patient in restraints.
What is every 30 mins
What is physician and for 24 hours
Inability to maintain breathing while sleeping; the patient usually snores, accompanied by periods of apnea lasting from 10 seconds to 2 minutes; can be life-threatening
What is sleep apnea?
Define how much sleep an older person requires
What is 5.5 to 6 hours of sleep with naps
The body rests and is restored during this deep sleep
What is NREM 4
What is: less restrictive ways to help patients remember not to get up and try to walk or to alert nursing staff that the patient is attempting to do so.
Name the Seven goals for NPSGs.
What is:
identifying patients correctly, improving staff communication, using medicines safely, using alarms safely, preventing infections, identifying patient safety risks, and preventing mistakes in surgery
Condition causing uncontrollable, recurrent daytime episodes of sleepiness; can hinder driving and operating dangerous equipment
What is narcolepsy
name the effects of sleep deprivation
what is
decrease immune system
agitation, moody, irritable
foggy brain
emotional
Deep sleep begins as muscles are now completely relaxed. The parasympathetic nervous system slows vital signs further and the body becomes immobile
What is NREM 3
Name the strategies to use instead to prevent falls in a patient.
What is:
Offer a snack/drink
Offer toileting /dont leave alone in the bathroom
Room close to the nurses station
restraints can only be used for this reason
What is protecting the patient from harming themselves or harming others.
Never for staff convenience or discipline
Confusion and disorientation in older adults that occurs in the evening hours; the patient is at higher risk for injury
What is sundowning?
What is the circadian rhythm
name things that disturb our sleep
what is pain, kids, noise, temps, environment, hunger, stress, anxiety, phones, social media