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Flashcards inflammatory bowel diseases
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Background: Inflammatory bowel disease (IBD) is a non-curable chronic inflammatory condition that can affect any part of the gastrointestinal tract. Symptoms include diarrhea, nocturnal bowel movements, rectal bleeding, and abdominal pain. Nevertheless, even when the gastrointestinal symptoms are in clinical remission, fatigue can remain a dominant symptom and have a dramatically negative impact on quality of life for many patients. Recently we examined the prevalence of fatigue in our population of IBD patients attending the University of Alberta Gastronintestinal Clinic during 2013. We evaluated fatigue in 322 patients using the validated Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) measurement tool and identified that …show more content…
Polysomnography (PSG) will be used to evaluate sleep disturbance. To ensure eligibility, the study coordinator will go through a screening checklist. If at least one criterion is not met, the patient will be excluded from participating. If the participant meets eligibility criteria, they will be invited to participate and the phases of the study will be explained. Upon informed consent, demographic data will be collected from the patient or from the patient chart. Additionally, a fecal calprotectin kit will be administered to each participant to confirm remission status. To prepare for PSG, participants will be instructed to keep a 2-week sleep diary prior to overnight evaluation. Finally, participants will complete 3 questionnaires before their sleep appointment and submit them, along with the sleep diary: (1) Functional Assessment of Chronic Illness Therapy-Fatigue questionnaire; (2) Beck Depression Inventory-II; and (3) Pittsburgh Sleep Quality Index questionnaire. PSG will take place in a level-one sleep laboratory at the Edmonton General Continuing Care Centre. Following PSG observations, the data will be analyzed via statistical software to determine if the fatigue reported by patients with IBD is related to sleep
Each year at least 40 million Americans suffer from long term, persistent sleep disorders, and an additional 20 million experience occasional sleeping problems. About 60 million Americans a year have insomnia and it tends to increase with age and affects about 40 percent of women and 30 percent of men. It is estimated that 18 million Americas are suffering from sleep apnea, 12 million have RLS, and 250,000 are affected by narcolepsy. Adults typically need between 6 and 10 hours of sleep per 24 hour period, and most people need approximately 8 hours of sleep per day. Infants generally need about 16 hours per day; whereas, teenagers require 9 hours on average. In the first 3 months of...
Crohn’s disease is an inflammatory bowel disease. It is a fairly common disease that affects a large population causing abdominal pain, frequent bloody stools, and fatigue
Neubauer, D. (2009). Current and new thinking in the management of comorbid insomnia. The American Journal Of Managed Care, 15 SupplS24-S32.
Chronic sleep loss is becoming more common in modern culture and less restricted to sleep-deprived diseases such as insomnia. Suggested to be the result of a number car, industrial, medical, and other occupational accidents, sleep deprivation is beginning to be recognized as a public concern. As a result, the Centers for Disease Control
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
The National Sleep Foundation describes sadness as an emotion experienced by humans in difficult times. Findings show that constant emotions are found in depression. Furthermore depression is not something which simply will disappear. Additionally, symptoms may reoccur throughout a person’s lifetime. Overall sleep and depressive illness can be a complex relationship. In general depression can bring about long term problems in sleep disorders stemming from depression. Sleep problems and risk factors may share biological factor and risk factors. These factors lead to important concepts discussed in the article such as insomnia and sleep apnea treatments strategies. Research has found people who have depression are more likely to develop insomnia and suffer from insomniatic symptoms. Some these symptoms include sleep maintenance insomnia, daytime sleepiness, difficulty falling asleep (onset insomnia), and refreshing sleep. Justly researchers suggest depression development is high among those who have both onset insomnia and sleep maintenance insomnia. In 2006, the NSF polls focused on 11-17 ages in children. One of slee...
Wilson, J.F. (2005). Is sleep the new vital sign? Annals of Internal Medicine, 142 (10), 877-880.
"Sleep disorders appear to be a global epidemic, affecting up to 45% of the world's population" (Noor, et al n.p.). That’s leaving a 55% chunk of the world’s population not affected. More than 70 million people in our nation experience sleep disorders, most of whom are unaware of the impact on their daily life (Wells,Vaughn 234). Due to a large portion of people being unaware of sleep disorders’ impaction, the number continuously increases. Major sleep disorders are known to be Rapid Eye Movement(REM), Insomnia, and Obstructive Sleep Apnea(OSA). Over 80 medically recognized sleep disorders exist with insomnia, sleep apnea, snoring, jet lag, shift work, sleepwalking and restless legs syndrome being some of the most common (Wells, Vaughn 234). "Poor sleep in the general population has been shown to have a significant impact on daily function, including considerable daytime cognition dysfunction, decreased ability to accomplish daily tasks, diminished sense of success and achievement, depressed mood, and reduced enjoyment of interpersonal relationships" (Andrews, Strong n.p. 500). Sleep disorders affect a large portion of society, leading people to have a daily lifestyle of drowsiness, stress and poor productivity; treatment has increased as more people become aware of sleep disorders.
It should be noted that the findings of this report are limited by the current knowledge available. As such public awareness of sleep deprivation and the science of sleep must be raised so that sleeping disorders such as sleep deprivation may be completely understood and treated.
THESIS STATEMENT: Narcolepsy is a sleep disorder that has a specific medical definition, life-changing symptoms, and there are ways in how people treat it.
This article has shown me that new strategies are needed to reduce sleep disturbances, improve sleep quality, and support the need for supplemental daytime sleep in hospitalized individuals. These strategies include monitoring patients’ sleep and assess quality of sleep and duration, resolving the problems of sleep disturbance, recognizing that nighttime noise, light, and other factors potentially interfere with patient sleep, minimize lighting in shared patient rooms and turn off lights earlier at night, frequently assess for pain and administer prescribed pain medications to minimize sleep disruption. This article taught me more about sleep cycles and disturbances in hospitalized patients. As a future nurse, I have to accurately assess the patients’ personal characteristics and health education needs, and share this knowledge with my classmates.
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
Kales, A. (1972). The evaluation and treatment of sleep disorders : Pharmacological and psychological studies. In M. Chase (ed.)The Sleeping Brain. Los Angeles : Brain Information Service.
Sleep and Sleep Disorders. Centers for Disease Control and Prevention, 1 July 2013. Web. 7 May 2014. .
Sleep is important and necessary for quality mental and physical health as well as quality of life and safety (NHLBI, 2012). People with sleep deficiency are at an increased risk of motor vehicle accidents, are prone to reduced work productivity, and have decreased levels of concentration (Hedges, 2012). Continued sleep deficiency can raise one’s risk for chronic health problems (NHLBI, 2012). Therefore, a consistent sleep pattern is necessary to achieve and maintain quality of life. The nurse can assist the patient suffering from sleeping difficulty in achieving a