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Nurses are expected to always act in the best interests of the patient to maintain a relationship that is strictly with all intent to only benefit the client. The nurse must ensure that their client's needs are met while being professional. [4] Extensive research and clinical observation has shown that the body, mind and emotions are in unity.
There have been many studies suggesting health risks associated with shift work. Many studies have associated sleep disorders with decreased bone mineral density (BMD) and risk for fracture. Researchers have found that those who work long-term in night positions, like nurses, are at a great risk for wrist and hip fractures (RR=1.37). [5]
Depending on the environment of where the patient is holistic approach may be different and knowing this will help nurses to achieve better in holistic nursing. [11] For patients with illness, trauma and surgery increasing sleep will benefit in recovery, blood pressure, pain relief and emotional wellbeing. [11]
Sleep diary layout example. Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders. [1] From the middle of the 20th century, research has provided increasing knowledge of, and answered many questions about, sleep–wake functioning. [2]
One of the important questions in sleep research is clearly defining the sleep state. This problem arises because sleep was traditionally defined as a state of consciousness and not as a physiological state, [14] [15] thus there was no clear definition of what minimum set of events constitute sleep and distinguish it from other states of partial or no consciousness.
Previously, this syndrome has been identified as general dysautonomia but now is considered a specific form of it. It has also been referred to as paroxysmal sympathetic instability with dystonia, or PAID, and sympathetic storm. Recently, however, studies have adopted the name paroxysmal sympathetic hyperactivity to ensure specificity. [2]
Actigraphy can assess sleep/wake patterns without confining one to the laboratory. The monitors are small, wrist-worn movement monitors that can record activity for up to several weeks. Sleep and wakefulness are determined by using an algorithm that analyzes the movement of the patient and the input of bed and wake times from a sleep diary.
Another systematic review noted 7-16% of young adults have delayed sleep phase disorder. This disorder reaches peak prevalence when people are in their 20s. [62] Between 20 and 26% of adolescents report a sleep onset latency of greater than 30 minutes. Also, 7-36% have difficulty initiating sleep. [66]