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Why Do Hospitals Hate Sleep So Much?

motherjones.com

191–200 of 528 posts

Re: Why Do Hospitals Hate Sleep So Much?

#191

Earlier quoted context omitted.

so same as train brakes in a way

Trains slow down and use the engine at a slower pace. You don't have a back up heart.

their braking system is passive, no energy means error means brakes engaged; unlike, say, cars where no energy means .. nothing and any accident can occur.

Re: Why Do Hospitals Hate Sleep So Much?

#192
post #172

Earlier quoted context omitted.

Depends on if you think in purely capitalistic terms (most but not all Americans) or not (again, most Europeans). I mean one way to think about it is the sidewalk is exploitable by businesses as a potential source of revenue for people who want to ride electric scooters (and other businesses that directly grow the economy) and they can pay lobbyists who drive the engine of American economic growth (lol), whereas you…

Dude. Nobody talks like this. Sidewalks are free. Roads are free except when tolled. The library is free. Facebook is free. This is a ridiculous conversation.

They are paid for by taxes

Re: Why Do Hospitals Hate Sleep So Much?

#193

I recently had a family member in the intensive care unit (ICU) for over a month in Austin, Texas. I quickly learned my main contribution would be protecting her sleep when I saw she hadn't slept in days because of the constant interruptions. She went from reasonable and compliant in taking her medication, to extremely irritated and noncompliant with the doctors. Of course I could see this was due to sleep deprivatio…

> intensive care unit (ICU) There are only two reasons for someone to be in an ICU: they require a therapy no other floor will administer, or their condition/therapy requires very frequent administration/titration/observation. These two reasons frequently overlap. Sleep isn’t optional in general. It’s optional in the ICU, because the premise is “if you don’t need this level of attention to survive, you absolutely sho…

I think it is absolutely standard in that situation to at least take vitals every couple/few hours, no way around it. It's annoying to be woken up so often, but it's done for good reasons.

Re: Why Do Hospitals Hate Sleep So Much?

#194
post #97

I’ve been hospitalised 7 times. In New Zealand, Australia, Thailand, and Singapore. Aside from the first day/night after surgery, I’ve never felt like Hospitals are against slept?!? My Wife had a c-section in October. Again, other than first day/night after surgery, never felt like we were interrupted all the time. Is this article about America or something?

It very much depends on what's wrong with you. I've been hospitalised multiple times. Most of the times were fine, but once was neurosurgery, and I'd be woken up at regular intervals throughout the night to answer "What's your name? Where are you? What year is it? How many fingers am I holding up?" At some point there must be a crossover between the risk of an undetected problem vs the risk inherent in lack of sleep.…

Or they wake you up to move your bed from the high risk side of the ward as they have an emergency admission - and overhear the nurses say "might die"

Re: Why Do Hospitals Hate Sleep So Much?

#195
post #148

Earlier quoted context omitted.

The birth of our first child was a very good lesson in assertiveness for me. I learned that as the spouse, you're basically the only one with a full overview of the whole process. In the hospital, shifts change, they're taking care of multiple births simultaneously, and I'm the only one who knows how my wife feels. That gives you a powerful mandate to do whatever is necessary to take care of your partner. So absolute…

s/oxytocin/oxycontin/

No. Oxytocin is used to artificially induce labour.

Re: Why Do Hospitals Hate Sleep So Much?

#196
I understand if clinical staff are actually coming to check on you. In many cases you may need to be checked on every few hours to prevent some decline in condition from going unnoticed. What I don't get is why some hospitals (seems American hospitals don't do it this badly) won't let you sleep when they aren't even coming to check on you.

Last Halloween in Toronto I got a (spooky) appendectomy, and although they were not coming to check on me, I could not sleep because I was in a loud room (the patient beside me had his whole immediate family watching over him, and my mind was awake, trying to decide whether they were speaking Brazillian or Portuguese) with bright overhead lights. I normally sleep with earplugs, but in the sort of rush I was, getting in the ambulance, I neglected to bring a pair. I managed to flag down a nurse to get me a pair of earplugs after five hours of trying to get to sleep.

If they have to come check on you, they could at least make it possible to rest when they're not checking on you.

Re: Why Do Hospitals Hate Sleep So Much?

#197
post #193

Earlier quoted context omitted.

> intensive care unit (ICU) There are only two reasons for someone to be in an ICU: they require a therapy no other floor will administer, or their condition/therapy requires very frequent administration/titration/observation. These two reasons frequently overlap. Sleep isn’t optional in general. It’s optional in the ICU, because the premise is “if you don’t need this level of attention to survive, you absolutely sho…

I think it is absolutely standard in that situation to at least take vitals every couple/few hours, no way around it. It's annoying to be woken up so often, but it's done for good reasons.

First observation every few hours is fine, but their is little coordination between hospital workers so people are often interrupted multiple times an hour which cuts the time for the next interruption.

That’s cost effective for the hospital but simply not viable longer term. To be clear waking someone up every 2.5 - 3 hours is very different from waking them up every 2.5 hours and another 2+ random times during the night.

As long as somone is only in the ICU for 72 hours it’s not a huge deal, but start talking a week and it’s a significant issue.

Re: Why Do Hospitals Hate Sleep So Much?

#198

Earlier quoted context omitted.

You were dealing with doctors and nurses, right? One group runs a gauntlet of fire by sleep deprivation during pre-med training: with on-call work hours up to 120 hours a week. And the other group are typically on shift rotas so their sleep patterns are permanently disrupted. I'm going to call it for them being oblivious to the sleep requirements of ordinary human beings, because these professions are self-selecting…

>One group runs a gauntlet of fire by sleep deprivation during pre-med training: with on-call work hours up to 120 hours a week. I would argue this is the source of injury and death to the patients that needs to be addressed rather than powered through in some sort of macho hazing ritual. Anecdotally a very tired doctor is allegedly how my wife lost her mother.

I've always assumed that the failure rate for handing off care to another person and the rate because of long hours must go in favor of long hours. I don't have anything to back this up except the MCAT being designed to check how you perform when tired. Now with electronic records I've been wondering if long hours are still be necessary, assuming I'm right about the failure rates.

I'm sorry about your mother in law regardless.

Re: Why Do Hospitals Hate Sleep So Much?

#199

I recently had a family member in the intensive care unit (ICU) for over a month in Austin, Texas. I quickly learned my main contribution would be protecting her sleep when I saw she hadn't slept in days because of the constant interruptions. She went from reasonable and compliant in taking her medication, to extremely irritated and noncompliant with the doctors. Of course I could see this was due to sleep deprivatio…

You were dealing with doctors and nurses, right? One group runs a gauntlet of fire by sleep deprivation during pre-med training: with on-call work hours up to 120 hours a week. And the other group are typically on shift rotas so their sleep patterns are permanently disrupted. I'm going to call it for them being oblivious to the sleep requirements of ordinary human beings, because these professions are self-selecting…

Nurses are a lot more than just shift change workers, and their nursing school requirements are a lot higher than you seem to believe.

Re: Why Do Hospitals Hate Sleep So Much?

#200

Earlier quoted context omitted.

You were dealing with doctors and nurses, right? One group runs a gauntlet of fire by sleep deprivation during pre-med training: with on-call work hours up to 120 hours a week. And the other group are typically on shift rotas so their sleep patterns are permanently disrupted. I'm going to call it for them being oblivious to the sleep requirements of ordinary human beings, because these professions are self-selecting…

Nurses are a lot more than just shift change workers, and their nursing school requirements are a lot higher than you seem to believe.

I don’t think (s)he was commenting on education. I read their comment as only people who can do 12 hour shifts that may be required to occasionally be overnights followed by days, completely disrupting their sleep schedule, can make it as ICU nurses.
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