Author Question: A long term care facility has selected sleep promotion as its quality improvement project. Which of ... (Read 32 times)

Yi-Chen · **on:** Jul 11, 2018

A long term care facility has selected sleep promotion as its quality improvement project. Which of the following interventions would be appropriate to implement on this unit? (Select all that ap-ply.)

a. Ensuring that all residents receive evening care and are in bed by 8:00 PM
b. Taking as many residents as possible out-side for 30 minutes daily
c. Instituting quiet time (keep noise down, speak in hushed tones, no overhead pag-ing) between 9:00 PM and 6:00 AM
d. Avoiding waking residents for routine care during the night
e. Limiting caffeine and fluids before bed-time

Question 2

An older patient asks a nurse, It seems like all of my friends and I have difficulty sleeping. Is it common among older people? The nurse formulates a response based on the knowledge that normal age-related changes in sleep include:

(Select all that apply.)
a. total sleep time and sleep efficiency are reduced.
b. rapid eye movement (REM) sleep is short-er, less intense, and more evenly distrib-uted.
c. sleep requirements for older adults are less than that of younger adults.
d. daytime napping is common.
e. sleep tends to be deeper in older adults than in younger adults.

Madisongo23 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: B, C, D, E
Strategies to promote sleep for individuals in long term care and hospitals include allowing the resident to stay out of the bed and the room for as long as possible before bed, and not placing him/her in bed too early. Exposing individuals to sunlight for 30 minutes daily in a comfortable outdoor location is also helpful in promoting sleep. Limiting fluids and caffeine before bedtime is also helpful. Changing institutional routines to avoid waking residents for routine care and providing care when residents wake up are also successful strategies to promote sleep.

Answer to Question 2

ANS: A, B, D
Normal age-related changes in older adults include a reduced total sleep time and sleep efficien-cy and shorter, less intense, and more evenly distributed REM sleep. Older adults tend to nap during the daytime. Sleep requirements do not decrease as one ages. Sleep tends to be objectively and subjectively lighter in older adults.