The founders of nursing acknowledged the need for sleep and rest to aid the body in healing, but with 60% of patients requesting a sedative, this shows the hospital environment is not one that promotes sleep and rest. There is renewed interest in exploring the best nonpharmacological methods of helping achieve sleep and rest while in the hospital to promote healing (Robinson, Weitzel, & Henderson, 2005). Evidence-Based Practice As nurses frequently interact with the patients, they are the ones exploring evidence-based practice to identify ways to modify the hospital environment and use more nonpharmacological methods to promote sleep to help the body repair itself (Robinson et al., 2005). Florence Nightingale noted patients require proper nutrition, sleep, quiet, and “unnecessary noise harms the patient” (Robinson et al., 2005, p. 263). Nurses have identified many ways to help patients get rest, including relaxation techniques, music, warm blankets, warm drinks, massage, and aromatherapy (Robinson et al., 2005). There are still many barriers interfering with sleep in the hospital, as the disruption of sleep is common through frequent monitoring and procedures, noise, lighting, and anxiety about being in the hospital (Robinson et al., 2005). Another barrier is the critical care environment, which has more invasive monitoring and tests and noise from monitors and ventilators (Eliassen & Hopstock, 2011). The implications of using nonpharmacological method of sleep, while not only providing more rest to support healing, also can allow patients to feel as if the medical staff is concerned about them and gives them some control (Jones & Dawson, 2012) while reducing the adverse effects that can accompany sedatives (Robinson et al., 2005... ... middle of paper ... ...uality of sleep and rest while in the hospital while being given an element of control over their care. By continuing to explore and offer these interventions, the field of nursing continues to provide patient-centered care that holistically treats patients in an effort to restore them to their maximum health. Works Cited Eliassen, K. M., & Hopstock, L. A. (2011). Sleep Promotion in the Intensive Care Unit - A Survey of Nurses’ Interventions. Intensive and Critical Care Nursing, 27, 138-142. http://dx.doi.org/10.1016/j.iccn.2011.03.001 Jones, C., & Dawson, D. (2012). Eye Masks and Earplugs Improve Patient’s Perception of Sleep. Nursing in Critical Care, 17(5), 247-254. http://dx.doi.org/10.1111/j.1478-5153.2012.00501 Robinson, S. B., Weitzel, T., & Henderson, L. (2005, November/December 2005). The Sh-h-h-h Project. Holistic Nursing Practice, 19(6), 263-266.
Holistic nursing focuses on promoting health and wellness. It is care that is based on the theory of a balance between the body, mind and spirit. Its goal is to heal the body person as a whole. Holistic assessment is a practice that is specialized on nursing knowledge, theories, expertise and intuition to guide nurses in becoming therapeutic partners with their patients. It recognizes and gathers information about the totality of the human being, the interconnectedness of body, mind, emotion, spirit, socio-cultural, relationship, context, and environment. This paper is based on a holistic assessment of a patient from my job. A 72 years old Caucasian.
Fontana, C. J. (2010). Sleep Deprivation Among Critical Care Patients. Critical Care Nursing Quarterly , 75-81.
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
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.
After a long while of looking at small tools and a lack of sleep, a nurse’s eyes can be weary, just like anyone else. Nurses need rest just as much, if not more than, the rest of the general population. There are only twenty four hours in a day and if one works for a twelve hour shift it does not leave much room to enjoy family or have a social life. Because of this, nurses are often sleep deprived and they find alternative sources of escape. Some of the so called sources or coping mechanisms are medicinal. Nurses have a good knowledge of medications and their side effects, so one might think they would be confident in taking drugs they provide their patients on a regular basis; however, many nurses use that knowledge to abuse these medications. They may take some from work instead of giving their patients their full dose and may overdose on those drugs to escape the stresses of daily
Wilson, J.F. (2005). Is sleep the new vital sign? Annals of Internal Medicine, 142 (10), 877-880.
When someone hears holistic nursing their mind may immediately jump to a form of hippie nursing with little to none scientific background or accuracy in the quality of care. This belief however is extremely inaccurate as to what holistic nursing really is. Holistic care can be defined as to when the nurse honors the patient’s wishes and takes into consideration the social, physical, emotional, and spiritual aspects of the patient’s life (American Holistic Nurses Association, n.d.). Holistic nursing is growing in popularity amongst patients because of its open communication between nurse and patient, its unique approach to health and healing, as well as the comprehensive care it can provide.
"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.
Insomnia can be defined as a purpose or apparent complexity in falling and staying asleep. Dissimilarities in variables used for measurement sleep-onset time, time asleep, and time awake by some, sleepiness, irritability, or other impairment of daytime function by others, make difficult comparisons between studies. The insomnia treatments for which there is confirmation of efficacy include sleep restriction, in which the patient is instructed to remain in bed only as long as he is actually sleeping, stimulus control no activities in the bedroom except sleep and sex, and a variety of relaxation methods, particularly in the circumstance of multimodal sleep clinics (Rowe, 1995).
Sleepiness, whether due to sleep apnea, heavy snoring, idiopathic hypersomnolence, narcolepsy or insomnia from any number of sleep-related disorders, threatens millions of Americans' health and economic security (1). Perhaps somewhat most concerning of these disorders are those that allow sleep without having any control over when it happens-idiopathic hypersomnolence and narcolepsy. The two are closely related in that both cause individuals to fall asleep without such control, yet narcolepsy occurs without any dreaming during naps (2). For years, narcoleptic people have been falling asleep in corners, concerned, as they have given numerous attempts to try to stay focused and awake. But besides the excessive fatigue that people experience, there surely must be more that can be associated with causing such sleepiness among people at an uncontrolled level. There might especially not be a reason involving the I-function of the brain, as people are not aware of when necessarily they will fall into their deep sleep.
Sleep is a reoccurring act that is part of our daily lives. It is one of the most important elements of human health. The natural state of sleep has been studied throughout the years of human evolution. It occurs when hormones are released throughout the body to make the individual begin to fall asleep. The importance of sleep is often overlooked amongst humans, leading to a disorder. There are problems that occur in the human body that are of higher importance and require more attention. Sleep disorders should be viewed as a priority to humans because it alters human health, presents as a precipitating factor for other health problems, and can be treated quickly.
My philosophy of nursing incorporates knowledge, compassion, competence, and respect for each patient. It is based on my personal and professional experiences, both of which have helped me to positively contribute to a patient’s recovery and wellness. These are the attributes that give me a sense of pride and strengthen my commitment to the nursing profession. This paper explores my values and beliefs relating to a patient’s care, as well as, the responsibilities of health professionals.
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
“Twelve Simple Tips to Improve Your Sleep.” (2009, Dec. 18). The Division of Sleep Medicine at Harvard Medical School. Healthy