Nursing Sleep log assignment
N3335 Promoting Healthy Lifestyles
Assignment: Sleep Log
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Overview: Sleep Log
You will maintain a Sleep Log for the first week of the course in preparation for studying the role of sleep in health promotion during Module 2. This document enables you to record how much sleep you get in each 24-hour period and your “sleepiness factor” when you are awake.
Example of input for Nighttime Sleep Total (hrs:min) – 7:25 (means you slept for 7 hours and 25 minutes)
Objective:
· Analyze personal sleep patterns.
Rubric
Use this rubric to guide your work on the assignment “Sleep Log.”
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Task |
Accomplished |
Competent |
Needs Improvement |
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Sleep log for 1 week (Total 100 points) |
All parts complete with accurate information (there must be an “S” in the “Difficulty staying awake” section for EACH day indicating when you slept). No blank boxes. (100 points) |
Most parts complete (50% or more, but less than 100%); missing S’s in some or all 24-hour periods. (75 points) |
Less than 50% complete. (0 points) |
Sleep Log
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MON |
TUES |
WED |
THURS |
FRI |
SAT |
SUN |
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Sleep Log In each box indicate the amount of time that you slept. Include naps. Totals should then be listed in the corresponding box below.
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Morning |
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Afternoon |
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Evening |
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Night |
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Sleep hours total hrs:min (or 0) |
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Napping sleep time total hrs:min (or 0) |
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Sleep hours + Napping hours = Total Sleep Hours hrs:min |
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Difficulty staying awake 0 = Not at all 1 = Occasionally 2 = Frequently 3 = Most of the time S = Falling asleep/sleeping (You should put an S in the box that corresponds with the box in the Sleep Log section above indicating when you slept.) |
Morning |
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Afternoon |
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Evening |
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Night |
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Meal times (M) and Snack times (S) Enter all your meal and snack times
Ex) 0830 (M); 1315 (S); 1700 (M)
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Medication that could cause drowsiness ( Y or N) |
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Unusual circumstances that may have affected sleep ( Y or N) If yes, please briefly explain |
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