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In individuals deprived of sleep, somnolence may spontaneously dissipate for short periods of time; this phenomenon is the second wind, and results from the normal cycling of the circadian rhythm interfering with the processes the body carries out to prepare itself to rest. The word "somnolence" is derived from the Latin "somnus" meaning "sleep".
Individuals experiencing sleep drunkenness report waking with confusion, disorientation, slowness and repeated returns to sleep. [9] [11] It also appears in non-hypersomniac persons, for example after a night of insufficient sleep. [9] Fatigue and consumption of alcohol or hypnotics can cause sleep drunkenness as well. [9]
People may wish to take naps during the day, but unintentionally getting too much sleep will affect nighttime sleep. Physical activity is a treatment for Alzheimer's and a way to encourage night sleep. [5] Caffeine is a (fast-working) brain stimulant, but should be limited at night if a night's sleep is needed. [4] [5] [10]
Fatigue is a state of tiredness (which is not sleepiness), exhaustion [1] or loss of energy. [2] [3]Fatigue (in the medical sense) is sometimes associated with medical conditions including autoimmune disease, organ failure, chronic pain conditions, mood disorders, heart disease, infectious diseases, and post-infectious-disease states. [4]
Sleepwalking is a sleep disorder, or parasomnia, that happens during the deep part of nonrapid eye movement (NREM) sleep — usually within a couple of hours after falling asleep.
Post-exertional malaise is a worsening of symptoms after minimal physical or mental activity, [6] and is a cardinal symptom of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). [7] Both PEM and exercise intolerance are common in long COVID. [8] [9] Orthostatic intolerance (OI) occurs in ME/CFS. OI includes exercise intolerance as one ...
Frail elderly patients (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. Another tool that has been used to predict frailty outcome post-surgery is the Modifies Frailty Index, or mFI-5. This scale consists of 5 key co-morbidities: [61]
Another tool is the Multiple Sleep Latency Test (MSLT), which has been used since the 1970s. It is used to measure the time it takes from the start of a daytime nap period to the first signs of sleep, called sleep latency. Subjects undergo a series of five 20-minute sleeping opportunities with an absence of alerting factors at 2-hour intervals ...