About
Periods of decreased to absent respirations while sleeping; can be a result of obesity, enlarged uvula, or a partially blocked airway.
Assess
Fatigue, not rested after awakening, frequent headaches in the morning lasting sometimes the entire day, history of snoring, overweight; client needs a sleep study test.
Complications
Decreased quality of life due to excessive daytime sleepiness, impaired alertness, irritability
Surgical intervention- monitor for post-operative complications.
Tracheostomy for severe obstructions may be necessitated to maintain a patent airway.
Diagnosis
- Fatigue related to lack of sleep
- Ineffective breathing pattern related to inability to breathe regularly during sleep
Goals
- The client will feel rested upon awakening.
- The client will state three methods to reduce incidence of sleep apnea.
- The client will sleep for 6-8 hours without periods of sleep cycle interruptions.
Interventions
- Assess clients usual pattern of sleep, including a history from significant others.
- Discuss non-pharmacological approaches to reducing risk of sleep apnea, including losing weight ( if applicable) and position changes during sleep states.
- Administer medications ordered to help with maintaining sleep state or increasing daytime wakefulness.
- Encourage client to report symptoms of fatigue, irritability, headaches, or daytime sleepiness to health care providers.
- Teach client the proper way to utilize delivery systems that encourage normal breathing during sleep, including CPAP and BiPAP delivery systems.
- If surgery is required, teach client what to expect before, during, and after surgical intervention.
- Monitor for signs/ symptoms of complications.
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