Nursing Sleep log assignment

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SleepLogAssignmentFa20-1.docx

N3335 Promoting Healthy Lifestyles

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Assignment: Sleep Log

Name:

Date:

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.”

Task

Accomplished

Competent

Needs Improvement

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

MON

TUES

WED

THURS

FRI

SAT

SUN

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.

Morning

Afternoon

Evening

Night

Sleep hours total

hrs:min (or 0)

Napping sleep time total

hrs:min (or 0)

Sleep hours + Napping hours = Total Sleep Hours hrs:min

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

Afternoon

Evening

Night

Meal times (M) and Snack times (S)

Enter all your meal and snack times

Ex) 0830 (M); 1315 (S); 1700 (M)

Medication that could cause drowsiness ( Y or N)

Unusual circumstances that may have affected sleep ( Y or N) If yes, please briefly explain

1

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