1. Sleep, Rest, and Activity
Chapter Ten
Sleep, Rest, and Activity

2. Activity Promotes life physically and psychologically
Activity improves functioning of heart, lungs, musculoskeletal system, and digestive system.
For example walking through a park or short distances several times a day can help build endurance; yoga helps with flexibility
Activity improves feelings of self-satisfaction.
Older adults must be encouraged to do as much activity for themselves as possible.
For example brushing hair will help arm mobility
Plan activity specific for the older adult and help to reach a 15 min physical activity target.
Many adults may believe that exercise is not necessary

3. Which nursing action is considered appropriate when bathing an older adult?
Rush him or her to finish quicker.
Take your time and complete the task.
Encourage the patient to do as much as he or she can himself or herself.
Allow the patient to complete some tasks, but complete the more difficult tasks for him or her.

4. Answer
C. Encourage the patient to do as much as he or she can himself or herself.

5. Rest Older adults have special rest needs.
They may have to modify activity to help them be able to stay energized throughout the day.
Rest may be affected by pain and stress.
Pain
Decreases rest and activity
Should be assessed
Stress
Affects ability to rest
Attempts made to eliminate stress

6. Sleep Sleep is important for quality of health.
Many older adults need more sleep than they get.
If not getting enough sleep may show confusion
Two types of sleep
Rapid eye movement (REM)
Non–rapid eye movement (NREM)
Circadian rhythm has impact on sleep cycle.
Normal physiological change causes many older people to want to stay up late so that they do not wake up early

7. Which of the following is true regarding the sleep of older adults?
Older adults need less sleep.
Older adults often awaken earlier.
Older adults achieve deep sleep quicker.
Older adults do not need daytime naps.

8. Answer
B. Older adults often awaken earlier.

9. Sleep (cont’d) Sleep disorders affect older adults. Insomnia
Difficulty falling asleep
Difficulty staying asleep
Feeling like not getting enough sleep
Try to provide uninterrupted sleep assist with ability to get restorative sleep
Sleep apnea is a form of insomnia happens often to overweight adults or adults with pain, therefore affecting their sleep. Should assess how slept.

10. Sleep (cont’d) Other causes of insomnia Frequent urination
GERD-raise head of bed
COPD
CHF
Nocturnal movement
Restless legs syndrome
Nocturnal myoclonus

11. Sleep (cont’d) Dementia causes disruption in sleep.
Psychological conditions can be detrimental to sleep patterns.
May nap often if depressed or bored, may need to be investigated more
Contributions to poor-quality sleep
Sedentary lifestyle
Alcohol and tobacco
Caffeine intake in the evening
Noise and light

12. Which intervention is appropriate to improve the quality of the older adult’s sleep?
Encourage activity as tolerated.
Provide him or her with a sedative.
Encourage him or her to stay up later.
Discourage the use of caffeine in the evening.

13. Answer
D. Discourage the use of caffeine in the evening.