1. Caring for Older Adults Holistically, 4th Edition Chapter Eight Activity, Rest, and Sleep as Criteria for Health

2. Caring for Older Adults Holistically, 4th Edition Activity  Promotes life both physically and psychologically  Activity improves functioning of heart, lungs, musculoskeletal system, and digestive system  Activity improves feelings of self-satisfaction  Older adults must be encouraged to do as much activity for themselves as possible  Plan activity specific for the older adult

3. Caring for Older Adults Holistically, 4th Edition Rest  Older adults have special rest needs  Rest may be affected by pain and stress  Pain  Decreases rest and activity  Should be assessed  Stress  Impacts ability to rest

4. Caring for Older Adults Holistically, 4th Edition Sleep  Sleep is important for quality health  Many older adults need more sleep than they get  Two types of sleep  Rapid eye movement (REM)  Non-rapid eye movement (NREM)  Circadian rhythm has impact on sleep cycle

5. Caring for Older Adults Holistically, 4th Edition Sleep  Sleep disorders affect older adults  Insomnia  Difficulty falling asleep  Difficulty staying asleep  Feeling like not getting enough sleep  Sleep apnea is a form of insomnia

6. Caring for Older Adults Holistically, 4th Edition Sleep  Other causes of insomnia  Frequent urination  Acid reflux  COPD  CHF  Nocturnal movement  Restless leg syndrome  Nocturnal myoclonus

7. Caring for Older Adults Holistically, 4th Edition Sleep  Dementia causes disruption in sleep  Psychological conditions can be detrimental to sleep patterns  The following contribute to poor quality sleep  Sedentary lifestyle  Alcohol and tobacco  Caffeine intake in the evening  Noise and light