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CUW5

Mr. and Mrs. E, both 83 years old, live alone in a high-crime area. Mr. E has mild dementia and wakes several times a night to use the bathroom, often drinking caffeinated drinks. Mrs. E also wakes frequently with her husband and when hearing street sounds, worried about a break-in. Their disrupted sleep puts them at risk for health issues like hypertension, anxiety, and cognitive decline. Recommendations include avoiding daytime naps, caffeine, and anxiety; maintaining a sleep routine; and relaxing before bed. Non-pharmacological options that could help include sleep education, stimulus control therapy, relaxation techniques, and cognitive behavioral therapy.

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Ericka Villanueva
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207 views

CUW5

Mr. and Mrs. E, both 83 years old, live alone in a high-crime area. Mr. E has mild dementia and wakes several times a night to use the bathroom, often drinking caffeinated drinks. Mrs. E also wakes frequently with her husband and when hearing street sounds, worried about a break-in. Their disrupted sleep puts them at risk for health issues like hypertension, anxiety, and cognitive decline. Recommendations include avoiding daytime naps, caffeine, and anxiety; maintaining a sleep routine; and relaxing before bed. Non-pharmacological options that could help include sleep education, stimulus control therapy, relaxation techniques, and cognitive behavioral therapy.

Uploaded by

Ericka Villanueva
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Villanueva, Ericka Jane V.

BSN 3-YA-2

Sleep disorder Mr. and Mrs. E, both 83 years of age, live alone in a busy, high-crime area of a large
city. Mr. E has a mild dementia but is able to function well with his wife’s assistance and
supervision. Over the past year, however, he has had significant changes in his sleep pattern in
which he awakens several times during the night to use the bathroom and sleeps most of the day.
He has a tendency to drink caffenaited sodas when he awakens if his wife doesn’t stop him, so she
often will get out of bed when he does to make sure he drinks caffeine-free liquids. Mrs. E’s
frequent awakening with her husband compounds a long term she has had with getting out of bed
when she hears any street sound to assure no one is breaking into their home. Mrs. E is not
comfortable napping during the day and tends to feel tired most of the time.

1. What risks do their sleep patterns present for Mr. and Mrs. E?
- Adequate sleep is essential for maintaining good health and well-functioning of our
body. Sleep disorder are more common in older adult.
The risk associated with sleep disorder are:
 Inadequate sleep affect all function of our body mainly,
 Hypertension in sleeplessness patient is higher compared to normal patient.
 Anxiety disorder in sleeplessness cause anxiety disorder.
 Cardiovascular and cerebrovascular disorder such as stroke and myocardial
infarction.
 Glucose intolerance in sleeplessness cause glucose intolerance leads to
development of diabetes mellitus.
 Obesity decreased sleep cause low levels of leptin and high level of gherlin it
leads to obesity.
 Cognitive decline can decreased sleep affect mental functioning of person, it
affect decision making and critical thinking ability of an individual.

2. What recommendations would you have for this couple?


- Recommendations for sleep disorder:
 Good education is helpful to treat sleep disorder that include,
 Educate to avoid day time nap.
 Advice Mrs. E to avoid anxiety and anticipation it reduces sleep.
 Advice the couples to avoid caffeinated drink, nicotine and alcohol, these all are
stimulants.
 Advise them to maintain sleep routine.
 Educate them to go to bed only for sleep.
 Educate them to relax mind before going to sleeping.
3. What non-pharmacologic measures can be incorporated into an older adult lifestyle
to facilitate sleep?
- There are many non-pharmacological measure available to treat sleep disorder that
include:
a. sleep hygiene and sleep education: education about general health practice like
diet, exercise and substance use and environmental factors like noise ,climate and
light that improves or interfere with sleeping .
b. )stimulus control therapy: it is a bunch of instructions provided for maintaining
good sleep habit it include go to bed only when sleepy, use bedroom for sleep
only, avoid watching TV and reading when sleepy.
c. sleep restriction therapy :set time for actual sleep. Go to the bed at the time of
sleep only, it create mild sleep deprivation and leads to good sleep patterns.
d. relaxation training: it help to relax the mind, it include diaphragmatic breathing
,guided imagery and meditation.
e. cognitive behavioral therapy: in CBT, it include all type of therapies like guided
imagery, relaxation techniques and stimulus control therapy .
f. chronotherapy: it is type behavioral therapy, in this therapy shifting of sleep time
to our desired time of sleeping.

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