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Protecting Sleep in the Hospital, for Both Patients and Doctors

nytimes.com

91–100 of 113 posts

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#92
post #50
post #7

My wife has been in the hospital regularly over the past 18 months probably 20 days total. This is a renowned research hospital with a gorgeous, vibrant facility and spacious rooms. They absolutely 100% ignore any semblance of a sleep cycle for their patients (as well as proper nutrition but that's for another day). Constant interruptions to check vitals, ask if we want to pick a meal, beeping infusion pumps, a whole…

Have you had a conversation to address concerns about your spouse’s care? There is always some flexibility around the care that she’d be receiving, and one core component to that is your rational/measured input, either in person or by phone. Framing your concern as rational helps immensely in establishing a dialogue with care staff. It sounds like your core problem is that you want to be bothered less. Nurses are not…

The nurses have been stellar and I’m sure would try to accomodate, but they would actually have to guard the room against all the other ramblers to gain a net benefit.

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#93
post #10
post #8

Earlier quoted context omitted.

All they care about is the bottom line, which is money

All it takes is for one child to die overnight and the parents to sue and you can be sure all patients will get their vitals checked regularly. This is how healthcare works. Source: am a doctor and see this kind of thing on small and large scales

Isn't this why there's monitors? You can also do a visual checkup without waking up the patient.

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#94

Earlier quoted context omitted.

Maybe you could with some sort of mask that measures eye movement?

Can eyes movement be measured through eyelids ?

Yes, the eyelids visibly move and deform along with the eyes moving underneath.

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#95
This is a huge issue. A family member spent two weeks in the hospital last year, and one of the hardest parts of that experience was how difficult it was to sleep there. The light, the noise, the demented patient shouting in the next room, the constant interruptions and questionnaires from nurses and doctors: you just couldn't sleep more than 90 minutes if you were lucky. We called them "the bleeping machines", in the double sense. I would turn them off sometimes, because the stats they were monitoring were not life or death for us. Hospitals are a place where there is no night. The nurses working on the graveyard shift under the bright fluorescents cover a third of the day, and for them, it's just another workday, but it runs from 11pm to 7am. And they treat patients as though it is daytime. Don't get me wrong, the nurses were great, but the structure and incentives don't favor sleep. There is so much that could be done to help patients get better faster, by giving them a more restful environment. But the incentive is to monitor them until you can get them out of the bed, to save everybody money.

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#96
post #80

I’m a doctor and I agree lack of sleep is a huge problem for inpatient care. I (and most of my colleagues) try to avoid waking patients wherever possible. The main reasons I need to wake patients at night is: a) they are unwell. This is unavoidable b) recanullating for fluids/medication that need to be administered overnight. c) for new admissions I need to do more routine tasks (ensure regular meds are prescribed in…

> often shout at dead patients so they can hear me Do they usually respond? Have you ever had a reply "from beyond"?

possibly a typo - s/dead/deaf/

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#97
At my recent overnight stay at a large hospital the Nursing staff were very aware of the necessity of good sleep. They worked hard and went out of their way to create an environment where I was interrupted as little as possible. Their first exit interview question was "How well did you sleep? And how can we improve that?"

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#98
post #86

Earlier quoted context omitted.

Forceps? I thought that forceps had been replaced by sink plungers. Obviously not the sort you buy in the DiY store but the expensive medical grade. The same principle applies though, suction cup goes on baby's head and with one pull the baby is born! I thought the suction cup approach was standard now with the benefit to the technique being no birth marks.

Yep - were going for forceps instead of ventouse.

I was wrong about the forceps. But there is now a new rabbit hole I need to go down - birth marks and what causes them. Plus this 'ventouse' gadget and the merits of it compared to ye olde forceps.

Haven't got time for this rabbit hole now, I might save it for when I meet someone with skin in the game!

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#100
post #7

My wife has been in the hospital regularly over the past 18 months probably 20 days total. This is a renowned research hospital with a gorgeous, vibrant facility and spacious rooms. They absolutely 100% ignore any semblance of a sleep cycle for their patients (as well as proper nutrition but that's for another day). Constant interruptions to check vitals, ask if we want to pick a meal, beeping infusion pumps, a whole…

Waking anyone uncaringly, insensitively, etc (too hard, too early) was the absolute worst sin in my mother's book, and mine too.

In a way, it shows how powerful someone is, that they could take something so valuable from another with almost no effort, and yet so lost if they would do so.

This is vital tech.

Getting started:

https://www.sleepcycle.com/how-sleep-cycle-works/

https://www.instructables.com/id/Sleep-Cycle-Alarm-Clock-wit...

https://github.com/npes-95/sleeping-beauty/wiki/Hardware-&-E...

https://github.com/npes-95/sleeping-beauty/blob/2f32d4722d3d...

https://www.psychologytoday.com/intl/blog/brain-babble/20131...

https://play.google.com/store/apps/details?id=com.fullpower....

https://www.businessinsider.com/does-apple-watch-track-sleep...

https://ouraring.com/

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