Rest and Sleep Comfort and Pain Management

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Comfort, Rest and Sleep

Pain - a sensation of physical or mental


hurt or suffering that causes distress or
agony to the one experiencing it.
Factors Affecting the Pain
Experience

1. Age
2. Previous experience with Pain
3. Cultural norms and attitudes
Pain Assessment Questions
Characteristics Question

QUALITY How do you feel?

INTENSITY “Which picture best describes your


pain?”

LOCATION Where does it hurt?

DURATION Is the pain constant?

TRIGGERS What makes the pain worse?

EFFECTS How has the pain affected your life?

KNOWLEDGE LEVEL Have you taken any medicine for


pain?
NONPHARMACOLOGIC Therapies

 Relaxation, imagery, reframing


 Patient education
 Psychotherapy
 Cutaneous stimulation
 Transcutaneous electrical nerve
stimulation
 Acupuncture
Techniques that distract attention
a. Listen to music
b. Conversation
c. Read/play games
Techniques that promote relaxation
d. Conventional methods
• Listen to music
• Guided imagery
• Meditation
e. Analgesics
f. Placebo
REST and SLEEP
• Rest- a state of relaxation and
calmness, both mental and physical.

• Sleep- a state of altered consciousness


during which an individual experiences
minimal physical activity and a great
slowing of the body’s physiological
process.
Stages of Sleep
1. NREM (Non-Rapid Eye Movement)
Stage
a. Stage 1 – readily awakened, drowsy
relaxed
b. Stage 2 – light sleep
c. Stage 3 – difficult to arouse
d. Stage 4 – deep sleep
2. REM (Rapid Eye Movement) stage
a. Dream state of sleep, close to
wakefulness but difficult to arouse
Common Sleep Disorders
1. Insomnia – difficulty falling asleep
2. Hyperinsomnia – excessive sleep
3. Narcolepsy – overwhelming sleepiness during daytime
4. Sleep Apnea – cessation of breathing during sleep
5. Parasomnia
• Somnambulism – sleep walking
• Nocturnal enuresis –bedwetting
• Soliloquy – sleep talking
• Nocturnal erections – wet dreams
• Bruxism – clenching and grinding of teeth during
sleep
Nursing Interventions to Promote Sleep

• promote comfort and relaxation


• create restful environment
• attend to bedtime rituals
• high protein food
• avoid caffeine and alcohol in the evening
• use the bed mainly for sleep

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