Stimulus
Reception
Perception
Arousal
Response
What are the 5 components to the sensory experience?
What is the Wong-Baker Faces with rating scale?
An altered stated of consciousness that looks like resting.
What is sleep?
Impaired vision and hearing
What are the 2 sensory deficits commonly seen in nursing practice?
Name the type of pain that occurs in an area distant from the original site.
What is referred pain?
Reticular and cortical neurons that aid with alertness.
What is the reticular activating system (RAS)?
Monitoring alarms, loud talking, paging systems, call light sounds
What are some interventions that a nurse can do to help with sensory overload?
pain that lasts less than 6 months
What is acute pain?
Awake -Beta
NREM I- Alpha
NREM II- Theta
NREM III- Delta
NREM II- Theta
REM- Beta & Gama
What are the stages of sleep?
Giving a food tray and explaining the food in relation to an analog clock- 6 o'clock, 12 o'clock, etc.
What is an intervention to help a visually impaired patient with their meal tray?
Point at which the brain recognizes and defines the stimulus as pain
What is pain threshold?
Exercise 2 hrs before sleep
carbs
Caffeine
Wine
Illness
Blue light
What are factors that affect sleep?
Sleep deprivation, stress, illness can exacerbate this condition
What are seizures?
Decreased systolic BP, constricted pupils, feeling faint
What are parasympathetic responses to deep or prolonged pain?
Headache
Obesity
Diabetes Type 2
Fatigue
Emotional
Increased pain sensitivity
What are the impacts of lack of sleep?
Padded headboard
Padded Side Rails
Suction at bedside
Bed in lowest position
HOB elevated 30 degrees or less
What are seizure precautions?
Rubbing an area of pain closes the A-delta fibers and allows the C-fibers to slow pain
What is the gate-control theory?
(Using massage as an example)
Obstructive sleep apnea
Narcolepsy
What are 2 causes of hypersomnia?
Impaired vision, hearing, taste, smell, tactile perception, kinesthetic sense, & seizures.
What are sensory deficits?
Pruritis,
Constipation,
drowsiness
Respiratory depression
Hypotension
What are side effects of opioids?
Sleep walking/talking
Bruxism
Night terrors
What are parasomnias?
Sensory deficits that worsen or cause depression, delusions, hallucinations.
What is sensory deprivation?
85 yr old with hip fx in pain but the nurse is hesitant to give more meds. for fear of falls, oversedation, respiratory depression. Aging causes higher peak effect and longer duration of the med.
What is undertreatment in the elderly?