(1) SELF-CARE/SLEEP-
define stress-inability to cope with perceived (real or imagined) demands
define and give examples of situational stress-not commonly expected, difficult to adapt and
overcome
examples:
- trauma, serious illness, tragedy
define and give examples developmental stress-expected/normal part of coping in life
examples:
- pregnancy, children leaving home, empty nesting, caring for elderly parents (sandwiching)
How does stress affect patients:-- depression, dyspepsia, eating disorders
- linked to causes
- linked to causes of death
- effects cognitive function
- aging
- more susceptible to infection
What are physiology stress responses?-- affects immune system
- immunosuppression
Positive ways to manage stress-Physical Activity, Progressive Muscle Relaxation, Breathing
Exercises, Imagery, Autogenic Training, Meditation, Yoga
, What vital sign changes are common with anxiety-- Breathing
- O2 oxygen saturation
- Heart rate, BP
-hyperventilation
Four Stages of Sleep Cycle:-Stage 1:
- 4-5%
- light sleep
Stage 2:
- 45-55%
- breathing pattern and heart slows
Stage 3:
- 4-6%
- deep sleep
- slow delta waves
Stage 4:
- 12-15%
- very deep sleep
Stage 5:
- 20-25%
- REM: rapid eye movement
What is the average sleep cycle-90 minutes
most common sleep disturbance-stress
orthopnea-ability to breathe only in an upright position
- semi flowers position
- shortness of breath
- copd, chf
sleep apnea-a disorder in which the person stops breathing for brief periods while asleep
"without breath"
(2) MEDICATION/ADMINSTRATION-
what is tell man lettering and what is it used for?-mixture of using capital and lowercase letters
to distinguish drug labels
ADE =-adverse drug events
who are the most sensitive to drugs (5)-1. very young
2. very old
3. people with kidney, liver (hepatic), stomach issues, GI
4. people with many chronic issues