The Effect Of Daytime Sleepiness On Aged Care Residents

With regard to sleepiness, several studies indicated that the average of sleep duration in 1910 to 2002 have decreased from 9 to 6 hours on workdays (National sleep foundation, 2002; Groger et al., 2004). Recently, a survey study of Roger et al. (2004) shows that an American Nurses have an average of 84 minutes more sleep on non workdays. Thus, shift work suggested as a cause of sleeping disorder among nurses where they feel of sleep during the shift. Considering the contributing factors of sleepiness, the literature identified that long working hours and rotating shifts are causing sleeping disorder. In the night and rotating shifts, the nurses are rarely obtained adequate amount of sleep. In fact, the nurses experiencing less sleeping hours (1 to 4 hour) than normal sleeping (Zeisler et al.,1980). Nevertheless, insufficient sleep is a significant reason of damaging planning, decision-making, and integration of information (Krueger, 1994; Harrison and Horne, 2000). More recent studies have revealed that long hour shifts and overtime are strongly linked to the difficulties of being a wake through the shift which leads to increase the risk of making an error (Scott et al., 2006; Roger et al., 2004).

The article’s main objective was to examine the prevalence of danger for sleeping disorders among the students who are in college and also their effects on the grade points average (Jane, 2010, pg 91). Their age and gender was also considered in the analysis. According to Jane (2010, p. 92), the survey was conducted on 1845 college students at large from a southeastern public university. The methodology used was the validation of the sleep disorder questionnaire that surveyed the sleep data for the 2007-2008 academic year in the university. The students’ grade points average were also obtained from the registrar’s office and matched against the students’ questionnaire details and then analysis was done. The students faced several sleep problems which could have an impact on their performance, mood, and health. The most common

Martha is a 65 year old lady who suffers from insomnia based on the preliminary symptoms of sleeplessness. She is also under severe stress from her mum’s dependence condition which makes her unhappy with her retirement. Martha’s mum’s condition is of great influence to her insomnia disorder for she only thinks of her through out the day, caring for her leaving Martha with little time to check on her health. Insomnia is a disorder that mostly affects the elderly though it may affect people from all ages. It is the lack of sleep even when one feels to have some sleep. It is not a stand alone disease but a symptom which is defined by the duration one lacks quality sleep. Transient insomnia is not having sleep for a week, short term insomnia is lack of adequate sleep for 2-3 weeks, while sleeplessness for a month is termed as chronic insomnia. Various studies have shown that insomnia affects women more often than men and that 30%-50% of elderly Americans experience difficulty in initiating and maintaining adequate sleep. Diagnosing insomnia in a patient the health practitioner would evaluate the patient medical record and other factors that may contribute to insomnia. For example, snoring, psychological factors such as stress levels and drug use. Martha’s physician would check on her medical

Sleep is important not only for promoting healing, but also for the overall well-being of the individual. When there are problems with the sleeping pattern, it impacts the overall health and safety of the older adult. The person will not have enough rest and will be too tired to perform activities surrounding daily living. We have to assess the risk factors contributing to the problems of sleep disturbance and these might be “related to poor sleep hygiene, including an irregular sleep schedule, environmental noise or light, and the use of stimulants” (Mauk, 2014, p. 581). If the sleeping pattern is not assessed, possible complications will happen, such as falls that could lead to bodily injuries.

The development of focused clinical questions begins with the identification of the patient, population, or problem. This component of PICO must be carefully defined to avoid information that is too general or off topic (Adams, 2012). For example, there is a difference between the adult population and the elderly population. This distinction must be made in this component of PICO to yield accurate search results. The intervention of interest should also be specified to produce applicable information (Adams, 2012). According to Adams (2012), the

Throughout this semester we were asked to chose a PICOT question and analyze another student’s information. The PICOT is an acronym standing for P- patient population, I- intervention, C- comparison intervention and current practice, O- outcome, and T- time you would like to achieve the goal (Nieswiadomy, 2012,

Specific Purpose: My audience will understand the importance of sleep, the effects a lack of sleep can have on a person’s body, and ways to improve the quality of sleep.

Sleep disturbance among the older adult population is known to be a prevalent issue (Gooneratne, Pack, Staley, Schutte-Rodin, Dinges, & Pack, 2011). Much study has

PSQI, a 19-item tool, assessed self-rated sleep quality measures over the prior month, and with a score of 5 or greater associated with poor sleep. ESS, an 8-item self-rated questionnaire, evaluated the impact of subjective perceived sleepiness on daily functioning in eight different environments with a score of 9 or greater being associated with a burden of day-time sleepiness. ISI, a 7-item tool, identified the presence, rated the severity and described the impact of insomnia with a score of 10 or greater identified as positive for

The title of this study “Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” appropriately portrays the information of the article. It describes the design of the study, a randomized trial, as well as the topic, sleep quality of nurses. Overall it gives a good picture of what the article includes.

These nursing interventions include controlling noise levels for patients during the night, controlling lights, regulating room temperatures to increase comfort, encouraging patients to engage in physical activities during the day, making patients to abstain from alcohol and caffeine consumption, and avoiding day-time napping. According to studies conducted to show whether sleep hygiene nursing interventions improved sleep, inconsistent outcomes were found. Since the intervention was easy to apply, some studies found it to have medium scientific quality while others found it to have little effects on the patients (Hellström & Willman, 2011).

A clinical question needs to be precisely significant to the patient or problem at hand and expressed in such a way as to aid in the search for an answer. PICO makes this process easier. It is a memory aid for the vital parts of a well-built clinical question. It also helps formulate the search approach

Develop a PICO question using the PICO model to help guide your decision about patient care based on the best

Furthermore, through these assessments, they can formulate relevant treatment plans for service users based on the necessary information gathered (Orrell et al., 2013; Yuan et al., 2011). The implementation of a more holistic assessment through which patients would be seen in their own homes and where nurses can have a look at service users’ facilities and living conditions as they can be quite often be part of the issue is an effective strategy for promoting continence (Orrel et al., 2013). Moreover, the National Institute of Health and care Excellence (NICE, 2014) has implemented guidelines on the importance of assessing the nursing needs of service users when making decisions on patient care. There exists however discrepancies around patient assessments which range from bypassing the assessment process to mistrust regarding the accuracy of assessments provided by district nurses to the elderly who are in nursing homes or housebound (Peters et al., 2004; Yuan et al., 2011, Orrell et al., 2013). They usually just perform rapid assessments of products without

Specific Purpose: To inform my audience about the factors contributing to sleep deprivation and the effects of insufficient sleep.