Sleeping Problems
The science of sleep has begun to show clear links between lack of sleep and a raft of different ailments - including Alzheimer's disease. "There really is not a single tissue or organ of the body or process of the mind that doesn't depend on sleep, and doesn't implode when you don't get enough," says Walker.
https://www.stuff.co.nz/life-style/well-good/teach-me/102353548/why-a-good-sleep-matters-more-than-you-think
do keep reading down to the end...
A range of sleeping problems:
Unless they are recognized and tackled effectively, sleep problems can give rise to serious consequences. Sleep disorders can manifest as restless sleep, nightmares, vivid dreams, acting out dreams during sleep, and excessive daytime sleepiness. These sleep-related problems can affect the quality of your life, resulting in fatigue, poor attention, memory deficits, and predisposition to accidents.
Types of Sleeping Problems:
How Environmental Noise Harms the Cardiovascular System Sound from cars, aircraft, trains, and other man-made machines is more than just annoying. It increases the risk of cardiovascular disease. Thomas Münzel and Omar Hahad
Jun 1, 2021
Only a few other studies have provided mechanistic insight into the relationship between traffic noise exposure and cardiovascular disease. In 2017, Maria Foraster and her colleagues at the Swiss Tropical and Public Health Institute found, much as we did, that a decade of exposure to nighttime noise events, mainly related to road traffic noise, was associated with increased arterial stiffness in a cohort of 2,775 Swiss participants. That same year, a pooled analysis of more than 144,000 people in two large European cohorts from Norway and the Netherlands indicated that long-term exposure to road traffic noise was associated with higher levels of inflammation, blood lipids, and fasting glucose.
Babisch proposed that annoyance reactions to noise may play an important role in the extent to which noise-exposed subjects develop cardiovascular disease. That is, it’s not the noise itself that’s a problem, but one’s emotional reaction to it. In 2019, Michael Osborne of Massachusetts General Hospital and colleagues demonstrated that, after five years of exposure to transportation noise such as that caused by road and aircraft traffic, higher activity in the amygdala, a brain region involved in emotional processing, stress perception, and emotional reactions, is linked with an increased risk of heart attack, stroke, heart failure, and death through mechanisms involving heightened arterial inflammation. Noise annoyance, it seems, is a so-called effect modifier, meaning that the cardiovascular side effects of noise are greater in people who are getting annoyed and therefore experiencing increased stress responses compared with those who are not.
Whatever the cause, evidence is now accumulating to demonstrate that noise pollution is resulting in endothelial dysfunction, ultimately leading to high blood pressure, arrhythmia, heart attack, heart failure, and stroke.
Some Solutions - https://www.caring.com/articles/sleep-problems
Spending time in bright midday sun helps anchor your circadian rhythm, which is important for optimal sleep. The Vitamin D you get from sun exposure can also play a role in your sleep.
Surprising as it sounds, scientists have found vitamin D deficiency raises your risk of obstructive sleep apnea. In one study, 98 percent of patients with sleep apnea had vitamin D deficiency, and the more severe the sleep apnea, the more severe the deficiency.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
JANUARY 10, 2020
Losing tongue fat improves sleep apnea
https://medicalxpress.com/news/2020-01-tongue-fat-apnea.html
by Perelman School of Medicine at the University of Pennsylvania
Losing weight is an effective treatment for Obstructive Sleep Apnea (OSA), but why exactly this is the case has remained unclear. Now, researchers in the Perelman School of Medicine at the University of Pennsylvania have discovered that improvements in sleep apnea symptoms appear to be linked to the reduction of fat in one unexpected body part—the tongue.
Using magnetic resonance imaging (MRI) to measure the effect of weight loss on the upper airway in obese patients, researchers found that reducing tongue fat is a primary factor in lessening the severity of OSA.
The findings were published today in the American Journal of Respiratory and Critical Care Medicine.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Sleep Habits
The first step toward better sleep is better “sleep hygiene” – daily habits that train your body for sleep.
'How' you sleep Matters
https://www.stuff.co.nz/life-style/well-good/teach-me/91598733/What-your-sleeping-position-says-about-you
The science of sleep has begun to show clear links between lack of sleep and a raft of different ailments - including Alzheimer's disease. "There really is not a single tissue or organ of the body or process of the mind that doesn't depend on sleep, and doesn't implode when you don't get enough," says Walker.
READ MORE:
* How much sleep do you need?
* What your sleeping position says about you
* Dr Libby: Five ways to improve your sleep
Walker's new book, Why We Sleep: The New Science of Sleep and Dreams, has been among the top 10 bestsellers in Britain for nine weeks. It drives home an unwelcome message - that hardly any of us get enough sleep and we're doing ourselves damage as a result.
-------------------------------------------------
A range of sleeping problems are associated with a large majority (about 96%) of the people suffering from Parkinson’s disease (PD) and unless they are recognized and tackled effectively, they can give rise to serious consequences. Often the sleep disorders are an early indicator of this impending neurodegenerative disorder, even before the appearance of motor symptoms, and can manifest as restless sleep, nightmares, vivid dreams, acting out dreams during sleep, and excessive daytime sleepiness. These sleep-related problems can affect the quality of life in PD patients, resulting in fatigue, poor attention, memory deficits, and predisposition to accidents.
Sleep apnea is a serious condition that can affect a person's ability to safely perform normal daily activities and can affect long term health. Approximately 25 percent of adults are at risk for sleep apnea of some degree. Men are more commonly affected than women. Other risk factors include middle and older age, being overweight or obese, and having a small mouth and throat.
UpToDate is a must site for those interested in their own health.
http://www.uptodate.com/contents/search?search=sleep+apnea+patient+info
and an interesting thought -
http://inclinedbedtherapy.com/research/182-how-is-digestion-affected-by-inclined-bed-therapy
http://inclinedbedtherapy.com/
Tips To A Good Night’s Sleep With A Disability
Many people with physical disabilities can suffer from sleepless nights. Unfortunately as we age, getting a good nights sleep can become a real issue. 40% of people with disabilities report issues with sleep long-term, and it’s more likely to occur in people who suffer a traumatic brain injury.
There are many factors which can lead to poor sleep, including:
Poor sleep or not getting enough sleep can affect your overall sense of well-being and worsen other conditions, including pain and mood disorders like depression and anxiety.
https://www.stuff.co.nz/life-style/well-good/teach-me/91598733/What-your-sleeping-position-says-about-you
What Causes Sleeping Problems in Parkinson's disease?
Management and Treatment of Sleeping Problems
· Reduction of evening fluid intake.
· Avoiding diuretics or caffeinated drinks or food at bedtime
· Emptying the bladder before going to bed
§ Positioning and Lifting Patients in bed
And don't forget that when your loved one returns home from hospital, that YOU are the one who will be doing most of the 24/7 care. Do ask the visiting Nurse or Allied Health Worker to teach you how to lift them up and make them comfortable in their bed. You need to be particularly aware of bedsores if they cannot move in bed themselves.
Have a look here so that you know how you can help them feel comfortable when you are re-positioning and lifting them in their bed.
POSITIONING AND LIFTING PATIENTS-Title2
https://www.youtube.com/watch?v=H68Sa04s_1s
------------------------------
Interestingly, inclining the head of your bed by just six to eight inches (15 to 20cm) at the head seems to generate remarkable improvements for many people suffering conditions such as circulatory and respiratory issues, diabetes, leg ulcers, migraines, multiple sclerosis, oedema, Parkinson's disease, skin problems, spinal cord injuries, varicose veins and many more.
Have a look at inclinedbedtherapy.com for some suggestions. Simple to do. For a fun look at the inclined bed!
For many years, I had the head of our bed inclined, then as the disease progressed and Don wanted a hospital bed, I placed the raisers under the top legs of the bed. Even in the nursing home, I noticed that Don's electric bed was raised at the head. Although Don was originally diagnosed with Parkinson's, it became clear that he was ticking the boxes for Lewy Body Dementia. This was a breakthrough for his neurologist. His disease lasted 23 years, until he gently went to sleep...
The science of sleep has begun to show clear links between lack of sleep and a raft of different ailments - including Alzheimer's disease. "There really is not a single tissue or organ of the body or process of the mind that doesn't depend on sleep, and doesn't implode when you don't get enough," says Walker.
https://www.stuff.co.nz/life-style/well-good/teach-me/102353548/why-a-good-sleep-matters-more-than-you-think
do keep reading down to the end...
A range of sleeping problems:
Unless they are recognized and tackled effectively, sleep problems can give rise to serious consequences. Sleep disorders can manifest as restless sleep, nightmares, vivid dreams, acting out dreams during sleep, and excessive daytime sleepiness. These sleep-related problems can affect the quality of your life, resulting in fatigue, poor attention, memory deficits, and predisposition to accidents.
Types of Sleeping Problems:
- Difficulty in falling asleep – sleep onset problem.
- Inability to continue sleeping without frequent awakenings – sleep maintenance problem or sleep fragmentation.
- Older adults - 65 years and older - are advised to get just seven or eight hours shut eye daily (new study by the American National Sleep Foundation).
- Spending 10 hours in bed and possibly fretting? Know that it is quite normal at all ages to wake up several times during the night, and older adults are more likely to wake more often. The important thing to realize, is that this is Normal. It's simply that older people don't require as much sleep as they used to.
- A third type of sleeping problem – excessive daytime sleepiness – can develop as a result of inadequate sleep at night. This turns into a vicious cycle, with the person unable to sleep at night because of daytime sleeping. Daytime sleepiness can also occur due to the disease itself or due to the effects of Parkinson’s disease medication.
- Sudden sleep onset during the day or “sleep attacks”, with the person suddenly falling asleep while driving or operating machinery, can be extremely dangerous.
- Often, two or more problems can co-exist.
- Normally during sleep, air moves through the throat and in and out of the lungs at a regular rhythm. In a person with sleep apnea, air movement is periodically diminished or stopped.
- There are two types of sleep apnea: obstructive sleep apnea and central sleep apnea. In obstructive sleep apnea, breathing is abnormal because of narrowing or closure of the throat. In central sleep apnea, breathing is abnormal because of a change in the breathing control and rhythm.
- As we age, the human body starts to make less of the hormones or chemicals that help in sleeping, notably melatonin. This is often coupled with the natural susceptibility to joint wear-and-tear and other medical conditions. Pain from conditions such as arthritis, osteoarthritis, fibromyalgia, restless legs syndrome is often manifested in back, neck, hip, and shoulder pain.
A good start to getting quality sleep is to look at your mattress. Choosing a mattress can become daunting as you get older. Complications like back and joint pain can arise and your mattress needs should adapt.
How Environmental Noise Harms the Cardiovascular System Sound from cars, aircraft, trains, and other man-made machines is more than just annoying. It increases the risk of cardiovascular disease. Thomas Münzel and Omar Hahad
Jun 1, 2021
Only a few other studies have provided mechanistic insight into the relationship between traffic noise exposure and cardiovascular disease. In 2017, Maria Foraster and her colleagues at the Swiss Tropical and Public Health Institute found, much as we did, that a decade of exposure to nighttime noise events, mainly related to road traffic noise, was associated with increased arterial stiffness in a cohort of 2,775 Swiss participants. That same year, a pooled analysis of more than 144,000 people in two large European cohorts from Norway and the Netherlands indicated that long-term exposure to road traffic noise was associated with higher levels of inflammation, blood lipids, and fasting glucose.
Babisch proposed that annoyance reactions to noise may play an important role in the extent to which noise-exposed subjects develop cardiovascular disease. That is, it’s not the noise itself that’s a problem, but one’s emotional reaction to it. In 2019, Michael Osborne of Massachusetts General Hospital and colleagues demonstrated that, after five years of exposure to transportation noise such as that caused by road and aircraft traffic, higher activity in the amygdala, a brain region involved in emotional processing, stress perception, and emotional reactions, is linked with an increased risk of heart attack, stroke, heart failure, and death through mechanisms involving heightened arterial inflammation. Noise annoyance, it seems, is a so-called effect modifier, meaning that the cardiovascular side effects of noise are greater in people who are getting annoyed and therefore experiencing increased stress responses compared with those who are not.
Whatever the cause, evidence is now accumulating to demonstrate that noise pollution is resulting in endothelial dysfunction, ultimately leading to high blood pressure, arrhythmia, heart attack, heart failure, and stroke.
Some Solutions - https://www.caring.com/articles/sleep-problems
Spending time in bright midday sun helps anchor your circadian rhythm, which is important for optimal sleep. The Vitamin D you get from sun exposure can also play a role in your sleep.
Surprising as it sounds, scientists have found vitamin D deficiency raises your risk of obstructive sleep apnea. In one study, 98 percent of patients with sleep apnea had vitamin D deficiency, and the more severe the sleep apnea, the more severe the deficiency.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
JANUARY 10, 2020
Losing tongue fat improves sleep apnea
https://medicalxpress.com/news/2020-01-tongue-fat-apnea.html
by Perelman School of Medicine at the University of Pennsylvania
Losing weight is an effective treatment for Obstructive Sleep Apnea (OSA), but why exactly this is the case has remained unclear. Now, researchers in the Perelman School of Medicine at the University of Pennsylvania have discovered that improvements in sleep apnea symptoms appear to be linked to the reduction of fat in one unexpected body part—the tongue.
Using magnetic resonance imaging (MRI) to measure the effect of weight loss on the upper airway in obese patients, researchers found that reducing tongue fat is a primary factor in lessening the severity of OSA.
The findings were published today in the American Journal of Respiratory and Critical Care Medicine.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Sleep Habits
The first step toward better sleep is better “sleep hygiene” – daily habits that train your body for sleep.
'How' you sleep Matters
https://www.stuff.co.nz/life-style/well-good/teach-me/91598733/What-your-sleeping-position-says-about-you
The science of sleep has begun to show clear links between lack of sleep and a raft of different ailments - including Alzheimer's disease. "There really is not a single tissue or organ of the body or process of the mind that doesn't depend on sleep, and doesn't implode when you don't get enough," says Walker.
READ MORE:
* How much sleep do you need?
* What your sleeping position says about you
* Dr Libby: Five ways to improve your sleep
Walker's new book, Why We Sleep: The New Science of Sleep and Dreams, has been among the top 10 bestsellers in Britain for nine weeks. It drives home an unwelcome message - that hardly any of us get enough sleep and we're doing ourselves damage as a result.
-------------------------------------------------
A range of sleeping problems are associated with a large majority (about 96%) of the people suffering from Parkinson’s disease (PD) and unless they are recognized and tackled effectively, they can give rise to serious consequences. Often the sleep disorders are an early indicator of this impending neurodegenerative disorder, even before the appearance of motor symptoms, and can manifest as restless sleep, nightmares, vivid dreams, acting out dreams during sleep, and excessive daytime sleepiness. These sleep-related problems can affect the quality of life in PD patients, resulting in fatigue, poor attention, memory deficits, and predisposition to accidents.
Sleep apnea is a serious condition that can affect a person's ability to safely perform normal daily activities and can affect long term health. Approximately 25 percent of adults are at risk for sleep apnea of some degree. Men are more commonly affected than women. Other risk factors include middle and older age, being overweight or obese, and having a small mouth and throat.
UpToDate is a must site for those interested in their own health.
http://www.uptodate.com/contents/search?search=sleep+apnea+patient+info
and an interesting thought -
http://inclinedbedtherapy.com/research/182-how-is-digestion-affected-by-inclined-bed-therapy
http://inclinedbedtherapy.com/
Tips To A Good Night’s Sleep With A Disability
Many people with physical disabilities can suffer from sleepless nights. Unfortunately as we age, getting a good nights sleep can become a real issue. 40% of people with disabilities report issues with sleep long-term, and it’s more likely to occur in people who suffer a traumatic brain injury.
There are many factors which can lead to poor sleep, including:
- pain, discomfort and difficulty repositioning
- worry and anxiety
- inactivity during the day
Poor sleep or not getting enough sleep can affect your overall sense of well-being and worsen other conditions, including pain and mood disorders like depression and anxiety.
https://www.stuff.co.nz/life-style/well-good/teach-me/91598733/What-your-sleeping-position-says-about-you
What Causes Sleeping Problems in Parkinson's disease?
- Certain PD medication, especially when initially started and the medication dose has not been regulated satisfactorily.
- As the disease progresses, muscle rigidity, stiffness, tremors and pain increase, contributing to problems with sleep.
- Insomnia may occur due to akinesia or inability to roll over or turn on sides in bed.
- Lower levels of dopamine during the night can aggravate the symptoms of PD causing more frequent awakenings at night.
- Age related insomnia.
- Dementia, depression, hallucinations.
- Nocturia – frequent urge to pass urine at night can interfere with sleep. In a PD patient, getting out of bed to use the toilet each time can become a task.
- Nightmares, vivid dreams, night terrors, and dream-enacting behavior during sleep are common in PD patients due to a problem known as REM sleep behavior disorder (RBD). It can be one of the earliest symptoms of PD. The patient may kick or punch out if he is dreaming of being attacked and unknowingly harm himself or the person sleeping beside him. A person sleeping alone may not even realize that he is suffering from this condition. On being woken up, he will become absolutely normal. Certain PD drugs are associated with causing nightmares too.
- Sleep apnea – disruption of sleep caused by a medical condition where there is periodic suspension of breathing for a few moments.
- Restless leg syndrome (RLS) and periodic leg movement disorder (PLMD) are two similar but different conditions commonly seen in PD patients, which often contribute to sleep disturbance.
- Excessive daytime sleeping.
Management and Treatment of Sleeping Problems
· Reduction of evening fluid intake.
· Avoiding diuretics or caffeinated drinks or food at bedtime
· Emptying the bladder before going to bed
- Use of bedside commode.
- Avoiding daytime sleeping.
- Treatment related to the cause of insomnia.
- Over-the-counter drugs to aid sleep should not be taken without consulting a doctor (always go to the same chemist so you can be alerted to any possible adverse reaction).
- Sedatives and tranquillizers may be prescribed and the dose and time of taking PD drugs may be altered by the doctor.
§ Positioning and Lifting Patients in bed
And don't forget that when your loved one returns home from hospital, that YOU are the one who will be doing most of the 24/7 care. Do ask the visiting Nurse or Allied Health Worker to teach you how to lift them up and make them comfortable in their bed. You need to be particularly aware of bedsores if they cannot move in bed themselves.
Have a look here so that you know how you can help them feel comfortable when you are re-positioning and lifting them in their bed.
POSITIONING AND LIFTING PATIENTS-Title2
https://www.youtube.com/watch?v=H68Sa04s_1s
------------------------------
Interestingly, inclining the head of your bed by just six to eight inches (15 to 20cm) at the head seems to generate remarkable improvements for many people suffering conditions such as circulatory and respiratory issues, diabetes, leg ulcers, migraines, multiple sclerosis, oedema, Parkinson's disease, skin problems, spinal cord injuries, varicose veins and many more.
Have a look at inclinedbedtherapy.com for some suggestions. Simple to do. For a fun look at the inclined bed!
For many years, I had the head of our bed inclined, then as the disease progressed and Don wanted a hospital bed, I placed the raisers under the top legs of the bed. Even in the nursing home, I noticed that Don's electric bed was raised at the head. Although Don was originally diagnosed with Parkinson's, it became clear that he was ticking the boxes for Lewy Body Dementia. This was a breakthrough for his neurologist. His disease lasted 23 years, until he gently went to sleep...