Sensory
Pain
Sleep
100
Stimulus
Reception
Perception
Arousal
Response
What are the 5 components to the sensory experience?
100
What is the Wong-Baker Faces with rating scale?
100
An altered stated of consciousness that looks like resting.
What is sleep?
200
Impaired vision and hearing
What are the 2 sensory deficits commonly seen in nursing practice?
200
Name the type of pain that occurs in an area distant from the original site.
What is referred pain?
200
Reticular and cortical neurons that aid with alertness.
What is the reticular activating system (RAS)?
300
Monitoring alarms, loud talking, paging systems, call light sounds
What are some interventions that a nurse can do to help with sensory overload?
300
pain that lasts less than 6 months
What is acute pain?
300
Awake -Beta
NREM I- Alpha
NREM II- Theta
NREM III- Delta
NREM II- Theta
REM- Beta & Gama
What are the stages of sleep?
400
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?
400
Point at which the brain recognizes and defines the stimulus as pain
What is pain threshold?
400
Exercise 2 hrs before sleep
carbs
Caffeine
Wine
Illness
Blue light
What are factors that affect sleep?
500
Sleep deprivation, stress, illness can exacerbate this condition
What are seizures?
500
Decreased systolic BP, constricted pupils, feeling faint
What are parasympathetic responses to deep or prolonged pain?
500
Headache
Obesity
Diabetes Type 2
Fatigue
Emotional
Increased pain sensitivity
What are the impacts of lack of sleep?
600
Padded headboard
Padded Side Rails
Suction at bedside
Bed in lowest position
HOB elevated 30 degrees or less
What are seizure precautions?
600
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)
600
Obstructive sleep apnea
Narcolepsy
What are 2 causes of hypersomnia?
700
Impaired vision, hearing, taste, smell, tactile perception, kinesthetic sense, & seizures.
What are sensory deficits?
700
Pruritis,
Constipation,
drowsiness
Respiratory depression
Hypotension
What are side effects of opioids?
700
Sleep walking/talking
Bruxism
Night terrors
What are parasomnias?
800
Sensory deficits that worsen or cause depression, delusions, hallucinations.
What is sensory deprivation?
800
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?