🚀

오늘의 열정을 계속 이어가세요!

체험은 만족하셨나요? 지식 자료를 소장하고 멋진 의료인으로 성장하세요!

구경하기
Sleep & Rest | 마이메르시 MyMerci
제안하기

뭔가 하고 싶은 말이 있는거야?

제안하기
닫기
컨텐츠 수정하기

컨텐츠 내용을 수정할 수 있습니다

수정하기
닫기

Sleep & Rest

NCLEX Review Guide: Fundamentals - Comfort, Safety & Mobility, Sleep & Rest

Comfort & Pain Management

Pain Assessment & Management

  • Pain is the 5th vital sign and must be assessed using appropriate scales (0-10 numeric, FACES, FLACC for pediatrics)
  • Acute pain is protective and time-limited, while chronic pain persists beyond normal healing time (>3-6 months)
  • Non-pharmacological interventions include positioning, heat/cold therapy, massage, distraction, and relaxation techniques
  • Never withhold prescribed pain medication due to personal bias - patient's self-report is the gold standard

Clinical Scenario

A post-operative patient rates pain 8/10. The nurse should: assess location/quality, administer prescribed analgesics, position for comfort, and reassess within 30-60 minutes.

Key Points

  • Always believe the patient's pain report
  • Combine pharmacological and non-pharmacological approaches
  • Monitor for side effects of pain medications (respiratory depression, constipation)

Safety & Mobility

Fall Prevention & Safety Measures

  • Fall risk assessment should be completed on admission and with any change in condition using tools like Morse Fall Scale
  • High-risk factors include age >65, history of falls, medications (sedatives, diuretics), cognitive impairment, and mobility issues
  • Bed alarms and restraints require physician orders and frequent monitoring every 15 minutes
  • Environmental modifications include non-slip socks, adequate lighting, clear pathways, and call lights within reach

Memory Aid: SAFE

Supervisory rounds
Assess fall risk
Familiarize with environment
Educate patient/family

Mobility & Positioning

  • Proper body mechanics prevent injury: wide base of support, bend knees not back, hold objects close to body
  • Range of motion (ROM) exercises maintain joint flexibility - active, passive, or active-assistive
  • Positioning schedule every 2 hours prevents pressure ulcers and maintains circulation
  • Transfer techniques require assessment of patient's ability, use of assistive devices, and adequate staffing
  1. Assess patient's mobility level and cognitive status
  2. Explain procedure and obtain consent
  3. Use proper body mechanics and assistive devices
  4. Monitor for orthostatic hypotension during transfers
  5. Document patient's response and tolerance

Key Points

  • Prevention is more effective than treatment of complications
  • Use team approach for safe patient handling
  • Regular repositioning prevents skin breakdown

Sleep & Rest

Sleep Patterns & Disorders

  • Normal sleep cycle includes NREM (stages 1-4) and REM sleep, with complete cycles lasting 90-120 minutes
  • Sleep requirements vary by age: newborns 14-17 hours, adults 7-9 hours, elderly 7-8 hours with more fragmented sleep
  • Common sleep disorders include insomnia, sleep apnea, restless leg syndrome, and narcolepsy
  • Sleep deprivation affects immune function, wound healing, and cognitive performance

Sleep Disorders Comparison

DisorderKey FeaturesNursing Interventions
InsomniaDifficulty falling/staying asleepSleep hygiene education, relaxation techniques
Sleep ApneaBreathing interruptions, snoringCPAP machine, positioning, weight management
Restless LegUrge to move legs, worse at nightIron supplements, avoid caffeine, leg massage

Sleep Hygiene & Interventions

  • Environmental factors: quiet, dark, cool room (65-68°F), comfortable bedding, minimal interruptions
  • Behavioral interventions include consistent sleep schedule, avoiding caffeine 6 hours before bedtime, and limiting screen time
  • Hospital sleep promotion: cluster care activities, dim lights during night hours, reduce noise levels
  • Pharmacological aids should be used cautiously, especially in elderly due to increased fall risk and dependency potential

Memory Aid: SLEEP

Schedule consistent bedtime
Limit caffeine and alcohol
Environment conducive to rest
Exercise regularly (not before bed)
Practice relaxation techniques

Key Points

  • Quality sleep is essential for healing and recovery
  • Hospital environment often disrupts normal sleep patterns
  • Non-pharmacological interventions are preferred first-line treatments

Commonly Confused Concepts

Key Distinctions

Concept AvsConcept B
Acute PainvsChronic Pain: Duration >3-6 months, different treatment approach
Active ROMvsPassive ROM: Patient performs vs nurse performs movement
Physical RestraintsvsChemical Restraints: Physical devices vs medications for behavior control
Sleep DeprivationvsFatigue: Lack of sleep vs feeling of tiredness/exhaustion

Common Pitfalls

  • ❌ Assuming elderly patients need less sleep - they need same amount but with different patterns
  • ❌ Using restraints without proper assessment and documentation
  • ❌ Ignoring patient's pain report due to lack of visible signs
  • ❌ Failing to reassess pain after interventions

Study Tips & Memory Aids

Quick Assessment Checklist

□ Pain scale documented
□ Fall risk assessed
□ Mobility level determined
□ Sleep pattern evaluated
□ Safety measures implemented

NCLEX Success Tips

  • Always prioritize safety in answer choices
  • Remember: Assessment before intervention
  • Patient advocacy is key - believe their reports
  • Prevention strategies are preferred over treatment

Remember: You're not just memorizing facts - you're preparing to provide compassionate, safe, evidence-based care. Every concept you master brings you closer to becoming the nurse your future patients need. Stay focused, trust your preparation, and believe in yourself! 🌟

다음 이론을 계속 학습하려면 로그인하세요.

로그인하고 계속 학습
컨텐츠를 그만볼래?

필기노트, 하이라이터, 메모는 잘 쓰고 있어?

내보내줘
어떤 폴더에 저장할래?

컨텐츠 노트에는 총 0개의 폴더가 있어!

폴더 만들기
컨텐츠 만들기
만들기
신고했어요.

운영진이 검토할게요!

해당 유저를 차단했어요.

마이페이지에서 차단한 회원을 관리할 수 있어요.