...home (especially birds and cats) Pertinent nasal problems: deviated septum, chronic sinusitis Allergies: particularly airborne particles such as animal dander, dust mites, cockroach droppings Medications he is currently taking: opioids, modafinil (Provigil), amphetamines (prescribed and illegal), OTC drugs, and herbals 2. The two main types of sleep apnea are Obstructive Sleep Apnea (OSA) and Central Sleep Apnea (CSA). OSA is the more common type and is usually a result of obesity. Obstructive sleep apnea occurs when the muscles in the back of your throat relax. These muscles support the soft palate, the triangular piece of tissue hanging from the soft palate (uvula), the tonsils, the side walls of the throat and the tongue. When the muscles relax, your airway narrows or closes as you breathe in, and you can't get an adequate breath in. This may lower the level of oxygen in your blood. Your brain senses this inability to breathe and briefly rouses you from sleep so that you can reopen your airway. This awakening is usually so brief that you don't remember it. Central sleep apnea or CSA is a less common form of sleep apnea that occurs when your brain fails to transmit signals to your breathing muscles. This means you make no effort to breathe for a short period of time. You may awaken with shortness of breath or have a difficult time getting to...
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...Nursing Management of Sleep Disorders March 2013 INTRODUCTION Sleep is the state of natural rest observed throughout the animal kingdom, in all mammals and birds, and in many reptiles, amphibians, and fish. In humans, other mammals, and many other animals that have been studied - such as fish, birds, ants, and fruit-flies - regular sleep is necessary for survival. The capability for arousal from sleep is a protective mechanism and also necessary for health and survival. DEFINITION Sleep can e defined as a normal state of altered consciousness during which the body rests; it is characterized by decreased responsiveness to the environment, and a person can be aroused from it by external stimuli. INCIDENCE & CHARACTERISTICS: Sleep is generally characterized by a reduction in voluntary body movement, temporary blindness, decreased reaction to external stimuli, loss of consciousness, a reduction in audio receptivity, an increased rate of anabolism (the synthesis of cell structures), and a decreased rate of catabolism (the breakdown of cell structures. Almost a third of the general population has some problems with sleep during any given year. More than half of the 9000 participants in a study of sleep in elderly persons (65 years or older) reported the following as sleep pattern disturbance that they experience most of the time: • Trouble falling asleep • Frequent awakening • Waking too early • Needing to nap • Not feeling rested These disturbances may be secondary...
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...CHAPTER 1 INTRODUCTION Definition Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems. People are considered obese when their body mass index (BMI), a measurement obtained by dividing a person's weight in kilograms by the square of the person's height in metres, exceeds 30 kg/m2. Obesity increases the likelihood of various diseases, particularly heart disease, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis. Obesity is most commonly caused by a combination of excessive food energy intake, lack of physical activity, and genetic susceptibility, although a few cases are caused primarily by genes, endocrine disorders, medications or psychiatric illness. Evidence to support the view that some obese people eat little yet gain weight due to a slow metabolism is limited; on average obese people have a greater energy expenditure than their thin counterparts due to the energy required to maintain an increased body mass. Dieting and physical exercise are the mainstays of treatment for obesity. Diet quality can be improved by reducing the consumption of energy-dense foods such as those high in fat and sugars, and by increasing the intake of dietary fiber. Anti-obesity drugs may be taken to reduce appetite or inhibit fat absorption together with a suitable diet. If diet, exercise and medication are...
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...Chapter Overview 5.1 Overview: Consciousness, Brain Activity, Levels of Awareness CONCEPT LEARNING CHECK 5.2 Stages of Sleep CONCEPT LEARNING CHECK 5.1 Consciousness and Psychology 5.3 Dreams Theories of Dreams Dreams as a Reflection of Unconscious Wishes 5.2 Sleep Biological Rhythms and Stages of Sleep Sleep Theories Effects of Sleep Deprivation Sleep Disorders Insomnia Sleep Apnea Narcolepsy Parasomnias CRITICAL THINKING APPLICATION Dreams as Interpreted Brain Activity Dream Contents CONCEPT LEARNING CHECK 5.3 Theories of Dreams 5 Learning Objectives States of Consciousness 5.1 5.2 Define consciousness. Describe how consciousness relates to psychology. Describe the changes in brain wave activity that occur during the different stages of sleep. Understand why sleep deprivation is harmful. Understand why deep sleep is important. Understand why REM sleep is important. Describe some common sleep disorders. 5.3 5.4 5.5 5.6 Describe the two main theories of dreams. Explain the two theories of hypnosis. Discuss the effects and benefits of meditation. List and describe the four categories of psychoactive drugs. Describe the effects of psychoactive drugs on the nervous system. 5.4 Hypnosis Critical Thinking About Hypnosis Theories of Hypnosis Altered State of Consciousness Role Playing Divided Consciousness 5.6 Drug Use Mechanism of Action of Psychoactive Drugs Depressants Alcohol Narcotics/Opiates Summary of...
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...Sleep Disorder Among Undergraduate Students 1. INTRODUCTION University life has presents many new and stressful challenges, such as reduced parental supervision which may increases freedom, self-responsibility, disorganized lifestyle, variable schedules, repeated deadlines, dormitory living, new social opportunity and academic obligations (Anbar and Slothower , 2006) . All of these caused students voluntary to alter their sleeping habits in which they tends to reduce their sleeping time from as recommended sleeping time 8 hours to in between 3 hours to 6 hours of sleeping time per day. This can lead to sleep disorder in which nowadays, insomnia and sleepiness are the most common complaints in general population (Watson, Goldberg, Arguelles, and Buchwald, 2006). Notably that, sleep quality refers to a composite of sleep quantity, length of time to fall asleep, number of awakenings at night, length of time to fall back asleep after awakening, feeling of fatigue or restfulness upon awakening in the morning and general satisfaction with sleep. According to Doghramji (2006), insomnia can be defined as complaint of disturbed sleep, manifested as difficulties in sleep initiation or sleep maintenance, and also refers as early awakenings. According to Kamel and Gammack (2006), there are several causes of insomnia which are including primary specific sleep disorders, physical illness, behavioral, environmental and medication. The examples for sleep disorder are Circadian Rhythm Disorders...
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...Pregnancy: The Fight to Survive Sociology Research Paper Tri-County Technical College November 24, 2014 ABSTRACT Objectives: To research the causes of death during childbirth and infancy in nations around the world. To examine related health concerns of birth rate, death rate, birth defects, and how access to medical care in different nations contribute to the birth and survival of the fetus. Reviewing statistics of birth rates in all income nations and the overall affect on the population. Applying the Social Conflict theory as it relates to views on pregnancy. Explore different ideas on how to change declining birth rates and promote better health care for all nations. Key Words: Pregnancy, birth rates, death rates , birth defects,social conflict, health care associated with pregnancy. INTRODUCTION In December of 2013, The World Health Organization (WHO) conveyed a consultation on improving the measurement of quality of maternal, newborn, and child care in health facilities. This annual report proposed 19 core indicators for reporting on the quality of MNHC care in nations around the globe. While some key interventions have increased over the past decade, little progress has been made in the quality of care in some health care facilities around the world. The amount of health care coverage provided to mothers, newborns, and children in low income nations is very minimal compared to high income nations particularly in the United States where health care and...
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...compared to the fiberoptic bronchoscope during awake orotracheal intubation. Methods: In this study, 60 morbid obese patients were randomly assigned to be intubated awake with either the fiberoptic bronchoscope(30 patients) or the Airtraq TM laryngoscope (30 patients). Time needed for intubation, the number of intubation attempts, success rate and complications were assessed in the two groups. Results: The time of intubation was significantly shorter in the Airtraq...
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...ShiNesha Goodman HCS/531 May 20, 2013 Doris A. Chimera, RN, MA, MHA University of Phoenix Abstract The increase in online health information and services often challenges and streamlines the delivery of adequate patient care. In addition access to technology will affect the delivery of health care socially, economically, and ethically. As a consultant of StateServ Home Medical, the writer will present the importance of accurate delivery of a health information technology tool that will allow healthcare professionals Internet access to schedule the ordering and delivery of DME (durable medical equipment). This electronic ordering system will improve the hospice organization’s efficiency. The consultant’s description of StateServ Home Medical will reveal the program to significantly shift the telephone ordering process to Internet access. That leaves the hospice organization’s nursing staff with more time to mange patient care cases. In the ongoing evolution of adapt technologies, hospice organizations should factor integrated durable medical equipment ordering systems that will serve at enhancing patients’ level of care and lower delivery cost. This latest technology will also serve as a maintenance control function which results in complete and accurate billing procedures that will capture active supply use by patients. StateServe Home Medical network services will allow the hospice organization...
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................................................................................................................................................i PART ONE: Research Report ........................................................................................................................1 Introduction .............................................................................................................................................1 Physiological Patterns ........................................................................................................................2 Behavioral and Psychosocial Patterns................................................................................................2 Consequences of Poor Sleep in Adolescents .........................................................................................3 What Can Be Done ..................................................................................................................................4 Reference s.................................................................................................................................................7 PART TWO: Resource Guide.......................................................................................................................11 Pointers for Parents ...............................................................................................................................11 Tips for Teens...
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...Introduction to Psychology: January 12, 2015 3 Main Problems of Psychology 1) Determinism vs. Freewill * The idea that everything that happens has a cause (determinism) versus the belief that behavior is cause by a person’s independent decisions (freewill) 2) The Mind-Brain Problem * The philosophical question of how experience relates to the brain. 3) The Nature-Nurture Issue * “How do differences in behavior relate to differences in heredity and environment?” Intro to Psych: Wednesday, January 14 2015 Three major philosophical issues with psychology: Free Will vs. Determinism - Determinism: Everything that happens has a cause. - Free Will: the belief that behavior is cause by a person’s independent decisions The Mind-Brain Problem - The philosophical question of how experience relates to the brain. - How is brain activity linked with our experienced? - There is a close relationship with brain activity and psychological events - “Do we feel first, or do we think first?” Nature-Nurture Issue - “How do differences in behavior relate to differences in heredity and environment?” Milgram and the shock experiment test Psychiatry - different from psychology in the way that a psychiatrist can prescribe medication and psychologists can not. - branch of the medical field that focuses on the brain and mental disorders **Get to know both of the “What Psychologists Do” handouts from class Quick History of Psychology Early...
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...Chapter 1 The Dimensions of Psychology Summary: Psychology is an academic and applied discipline that involves the scientific study of mental functions and behaviors. Psychology has the immediate goal of understanding individuals and groups by both establishing general principles and researching specific cases, and by many accounts it ultimately aims to benefit society. In this field, a professional practitioner or researcher is called a psychologist, and can be classified as a social, behavioral, or cognitive scientist. Psychologists attempt to understand the role of mental functions in individual and social behavior, while also exploring the physiological and neurobiological processes that underlie certain cognitive functions and behaviors. Structuralism was the first school of psychology and focused on breaking down mental processes into the most basic components. Researchers tried to understand the basic elements of consciousness using a method known as introspection. Wilhelm Wundt, founder of the first psychology lab, was an advocate of this position and is often considered the founder of structuralism, despite the fact that it was his student, Edward B. Titchener who first coined the term to describe this school of thought. Functionalism formed as a reaction to the structuralism and was heavily influenced by the work of William James and the evolutionary theory of Charles Darwin. Functionalists sought to explain the mental processes in a more systematic and accurate...
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...inability to sleep adequately a few times a weak and doesn’t mean the inability to sleep at all. Insomnia can be chronic or on going.Certain causes of insomnia can be categorized into three major categories which include lifestyle, health and environment. Experiments were carried out to see how insomnia affects quality of life and the conclusion reached was that people suffering from insomnia report greater quality of life impairment in contrast to people without insomnia. Sleep disturbance can exacerbate the condition, disrupt treatment, cause further complications and add to the social disability associated with chronic illness. Insomnia can result in mental illness and can have a huge impact when it comes to efficiency of a subject. Personally traits can be a major differentiating point when it comes to comparison between subjects with and without insomnia however personality differences between insomniacs and controls might rather be state-dependent instead of trait-dependent. Treatment of insomnia can be by two major ways namely pharmacotherapy and nonpharmacologic interventions. Herbal treatment as per 82% of Canadians are also very effective when it comes to treating insomnia. Rest and little exertion can also play a vital role when it comes to curing insomnia. Effects Of Insomnia On Quality of Life Insomnia is derived from the Latin word which means “no sleep”. A recent report estimates that 60 to 70 million American suffer from some form of sleep problems and...
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...General Psychiatry William a. Kehoe, Pharm.D., m.a., FCCP, BCPS University of the Pacific stockton, california © 2009 American College of Clinical Pharmacy 1-281 General Psychiatry Learning Objectives: 1. Describe pharmacotherapeutic options for managing the following psychiatric problems: depression, bipolar disorder, schizophrenia, anxiety disorders, insomnia, and alcohol withdrawal. Describe the drugs used to treat the above disorders in terms of unique pharmacological properties, therapeutic uses, adverse effects, and cognitive and behavioral effects. Formulate a pharmacotherapeutic treatment plan when presented with a patient having depression, bipolar disorder, schizophrenia, an anxiety disorder, or insomnia. Discuss the treatment of substance abuse using alcohol abuse as a model. 4. 2. C. Theophylline. D. Pseudoephedrine. Which one of the following antidepressants would be least likely to cause drug-disease or drug-drug interactions for T.N.? A. Venlafaxine. B. Fluvoxamine. C. Phenelzine. D. Fluoxetine. Which one of the following periods represents the continuation therapy phase for T.N.’s depression? A. 6–12 weeks. B. 12–16 weeks. C. 6–12 months. D. 2−3 years. T.N. will be seen initially at monthly intervals to assess antidepressant therapy. Which one of the following instruments is a patient-completed measure of depressive symptoms that could be used to assess his response? A. Hamilton Rating Scale for Depression. B. Montgomery-Åsberg Depression Rating Scale...
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...the end of battle returned to the outposts to care for the sick and injured * Army nursing service – organize nurses and hospitals and coordinate supplies for the soldiers during the Civil War * Clara Barton a. Provided care in tents set up close to the fighting b. Did not discriminate c. Establishment of the American Red Cross * Harriet Tubman – helped slaves escape to freedom on the underground railroad * Walt Whitman – a poet * Louisa May Alcott – an author * Dorothea Dix – union’s superintendent of female nurses during the Civil War B. Nurses fighting diseases * Florence Nightingale d. Epidemiology – the study of the distribution and origins of disease e. Air, light, nutrition, and adequate ventilation and space assist the patient to recuperate * Lillian Wald & Mary Brewster f. Founded the Henry Street Settlement in NY to improve the health and social conditions of poor immigrants g. Improve health and prevent illness by promoting safe drinking water, adequate sewage facilities, and proper sanitation Florence Nightingale (1820-1910) * “Lady of the Lamp” * Walked through the camp at night providing care to the sick and wounded during the Crimean War * Major contributions: * Establishment of nursing as a distinct profession * Introduction of a broad-based liberal education...
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...USER Manual 1038585 JR 10/02/06 Important! Fill in the information below when you receive the BiPAP Auto M Series system. Serial No.: _______________________________ (located on the bottom of the device) System Prescribed for: __________________________________________ Date of Purchase or Rental: ______________________________________ Pressure Setting: _____ cm H2O Mask Type: __________________________________________________ Mask Size: ___________________________________________________ If you have any questions concerning the system, contact: • Home Care Company: _______________________________________ • Telephone Number: _________________________________________ Telephone Number: _________________________________________ Respironics, Inc. 1001 Murry Ridge Lane Murrysville, Pennsylvania 15668-8550 USA Customer Service Telephone Number: 1-800-345-6443 (US and Canada) or 1-724-387-4000 • Health Care Professional: _____________________________________ The BiPAP® Auto M Series with Bi-Flex® system is covered by one or more of the following patents: 5,148,802; 5,313,937; 5,433,193; 5,632,269; 5,803,065; 6,029,664; 6,305,374; 6,539,940; 5,535,738; 5,794,615; 6,105,575; 6,609,517; 6,837,260; 5,645,035; 6,286,508; 6,550,478; 6,752,150; 6,615,831 5,970,975. Other patents pending. BiPAP, Whisper Swivel, Encore Pro, and Encore Pro SmartCard are trademarks of Respironics, Inc. © 2006 Respironics, Inc. and...
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