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Gerontological Nursing 2 credit undergraduate course Page 14 of 20

Week 7: Sleep

Readings: Required:

Gerontologic Nursing, 2nd edition Chapter 10: Sleep and Activity, pages 199-210

Learning Objectives: Describe the normal age-related changes associated with age and functional implications Identify the causes of sleep disturbance among older adults Identify processes/tools for assessment of sleep in older adults Identify nursing interventions to restore sleep quality among older adults

Lecture/discussion:

  • 1.

    Normal age-related changes in sleep patterns and functional implications

  • 2.

    Factors affecting sleep

    • a.

      Environment

    • b.

      Pain, discomfort, and other illness factors

    • c.

      Lifestyle changes

    • d.

      Dietary influence

    • e.

      Drug-inducing sleep

    • f.

      Depression

    • g.

      Dementia

  • 3.

    Sleep disorders & conditions

    • a.

      Disorders

        • i.

          Dyssomnias

        • ii.

          Parsomnias

        • iii.

          Disorders associated with medical or psychiatric disorders

        • iv.

          Proposed sleep disorders

    • b.

      Periodic limb movement in sleep

    • c.

      Sleep apnea

  • 4.

    Assessment

    • a.

      Sleep history, diary

        • i.

          Sleep-wake patterns

        • ii.

          Bedtime routines/rituals

        • iii.

          Medical history

        • iv.

          Medications

        • v.

          Diet

      • vi.

        Environmental

      • vii.

        Psychosocial

      • viii.

        Assessment tool - try this: The Pittsburgh Sleep Quality Index

  • 5.

    Interventions

    • a.

      Non-pharmacologic options

        • i.

          Removal of contributing factors (drugs, diet, activity levels/weight, etc)

        • ii.

          Education

        • iii.

          Sleep hygiene

        • iv.

          Positive Airway Pressure

        • v.

          Cognitive-behavior therapy

    • b.

      Pharmacologic options

Permission is hereby granted to reproduce, post, download, and/or distribute, this material for not-for-profit educational purposes only, provided that Northwest Coalition for Geriatric Nursing Education is cited as the source. This material may be downloaded and/or distributed in electronic format, including PDF format. Available on the internet at www.geronursinged.org E-mail notification of usage to: soncgne@ohsu.edu

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