Overview
Learning Objectives
Key outcomes for safe sleep, rest and comfort care: Explain how circadian timing and sleep pressure regulate sleep, and describe how sleep architecture changes with healthy aging.
NCLEX-RN
NCLEX-RN
Key outcomes for safe sleep, rest and comfort care: - Explain how circadian timing and sleep pressure regulate sleep, and describe how sleep architecture changes with healthy aging. - Take a focused sleep history, interpret a sleep diary and score the STOP-Bang screen for obstructive sleep apnea. - Identify the hospital, symptom and medication factors that fragment sleep, and name the first non-drug measure for each. - Separate ordinary fatigue from delirium, hypoxia, medication effect and depression using the cues that change the priority. - Describe the harms of benzodiazepines, Z-drugs, sedating antihistamines and off-label sedating psychotropics in older adults, and the monitoring each requires. - Apply the safe-use rules for sleep-promoting medicines in a patient who also receives opioids or has obstructive sleep apnea. - Explain the principles of tapering a benzodiazepine receptor agonist and the nurse's role in deprescribing. - State who is notified, and how urgently, for new confusion, over-sedation, respiratory depression, complex sleep behaviours and severe withdrawal.
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