16
T/F: offer pacifier at nap time and bedtime
True
1. Go to bed when tired or sleepy
2. If unable to fall asleep within 20 mins, get out of bed (do something quiet and relaxing)
3. repeat
4. naps should be avoided
Older adults - stimulus control
All screens turned off 30 mins before bedtime; TV, computers and other screens not be allowed in childrens bedrooms; bedtime routine beginning in infancy; AAP program - "brush, book, bed"
Sleep hygiene
When should the parent lower the crib?
When child can obtain quadruped position
When should a parent remove side rail or move to toddler bed?
When child can climb out of crib
Approx 30-40% of the population greater than 65 years; increases with both depression and anxiety; very high in caregivers for ill family members; dx associated are HTN, arthritis, lung disease, GERD, stroke, neurodegenerative disorders
Insomnia
What are the 2 types of sleep disorders with aging?
1. sleep disordered breathing
2. insomnia
T/F: You should use home monitors or commercial devices, including wedges or positioners, marketed to reduce risk of SIDS ?
False, should not use these things
- increased body mass - particularly central obesity
- large neck circumference (>17 in)
- decreased muscle tension
- change in airway anatomy
- increased airway collapsibility
- decreased thyroid function
- decreased lung volume
Risk factors for obstructive sleep apnea