Disturbed Sleep Pattern for Post Stroke
Disturbed Sleep Pattern for Post Stroke
Sleep is a state of individual behavior that is relatively quiet, with increased high-threshold stimulation of the stimulus from the outside. This situation is a regular, alternating with the awake state (wake up), and easily roused, (Hartman). Another opinion also states that sleep is a state of rest that occurs within a certain time, decreased awareness of body systems help to improve / restore energy. Also sleep as a phenomenon in which there is a period of unconsciousness that accompanied the physical behavior of the different psychic awake.
Sleep is triggered by a complex group of hormones are active in That the play, and that 'respond to cues from the body Itself and the environment. About 80 percent of sleep is dreamless, and is known as non-rapid eye movement (NREM) sleep.
Get the quality and quantity of good sleep is one important part of the healing process (recovery) post stroke. However, sleep disturbance itself is a problem that often arises in patients post stroke. Sleep disorders can lead to frustration. Disturbed Sleep Pattern can make the patient tired and disturbed. Sleep disorders also increase the risk of post stroke patients to suffer another stroke (National Stroke Association, 2009).
Approximately 2/3 of patients post stroke have sleep disordered breathing (SDB). Type of sleep disorder is caused by an abnormal breathing pattern. With SDB, patients sleep interrupted several times throughout the night. SDB also pose a dangerous risk to health because it can increase blood pressure, stress the heart and blood clotting (Nationla Stroke Association, 2009)
There are several types of SDB, the most common is obstructive sleep apnea (OSA). In the OSA, the patient may stop breathing for 10 seconds or more, and can occur several times during the night sleep.
There are several symptoms that indicate a patient had SDB. Some symptoms can be seen at night and the other can be observed at noon. The symptoms that occur at night, among others, snoring, frequent waking at night, sweating, shortness of breath and insomnia. Insomnia is defined as repeated difficulty in initiating sleep, difficulty staying asleep at night, sleep duration of inadequate or poor sleep quality, which cause disruption during the move during the day.
The symptoms that may arise during the day due to SDB include: excessive drowsiness, impaired concentration or attention, headache, lethargy and depression (National Stroke Association, 2009)
Disturbed Sleep Pattern for Post Stroke
Nursing Care Plan for Stroke with Nursing Diagnosis
Sleep is a state of individual behavior that is relatively quiet, with increased high-threshold stimulation of the stimulus from the outside. This situation is a regular, alternating with the awake state (wake up), and easily roused, (Hartman). Another opinion also states that sleep is a state of rest that occurs within a certain time, decreased awareness of body systems help to improve / restore energy. Also sleep as a phenomenon in which there is a period of unconsciousness that accompanied the physical behavior of the different psychic awake.
Sleep is triggered by a complex group of hormones are active in That the play, and that 'respond to cues from the body Itself and the environment. About 80 percent of sleep is dreamless, and is known as non-rapid eye movement (NREM) sleep.
Get the quality and quantity of good sleep is one important part of the healing process (recovery) post stroke. However, sleep disturbance itself is a problem that often arises in patients post stroke. Sleep disorders can lead to frustration. Disturbed Sleep Pattern can make the patient tired and disturbed. Sleep disorders also increase the risk of post stroke patients to suffer another stroke (National Stroke Association, 2009).
Approximately 2/3 of patients post stroke have sleep disordered breathing (SDB). Type of sleep disorder is caused by an abnormal breathing pattern. With SDB, patients sleep interrupted several times throughout the night. SDB also pose a dangerous risk to health because it can increase blood pressure, stress the heart and blood clotting (Nationla Stroke Association, 2009)
There are several types of SDB, the most common is obstructive sleep apnea (OSA). In the OSA, the patient may stop breathing for 10 seconds or more, and can occur several times during the night sleep.
There are several symptoms that indicate a patient had SDB. Some symptoms can be seen at night and the other can be observed at noon. The symptoms that occur at night, among others, snoring, frequent waking at night, sweating, shortness of breath and insomnia. Insomnia is defined as repeated difficulty in initiating sleep, difficulty staying asleep at night, sleep duration of inadequate or poor sleep quality, which cause disruption during the move during the day.
The symptoms that may arise during the day due to SDB include: excessive drowsiness, impaired concentration or attention, headache, lethargy and depression (National Stroke Association, 2009)
Treatment for mild SDB severity varies depending on the case. Some treatments can be given, among others:
- In mild cases recommended for the patient to control / lose weight, avoid drinking beverages containing alcohol, caffeine, and avoiding the use of sleeping medications
- In some cases SDB caused by the wrong sleeping position can be improved by avoiding the supine sleeping position and adjust the position of lying on bed
- In the context of continuous hospitalization positve airway pressure is the best treatment for respiratory support in patients with SDB
Disturbed Sleep Pattern for Post Stroke
Nursing Care Plan for Stroke with Nursing Diagnosis
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