Unit 4 Assignment – Clinical: Journal Reflection. Children never have sleep issues unless they intake too much sugar in their diet.
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Reflective Journal Instructions
You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 entries and evaluate your progress in reflective practice over the course of the term. Each journal should be a minimum of 250 words.
The purpose of this reflective journal is self-reflection regarding the role in the process of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP.
Address the following items:
In a Word document, respond (agree or disagree) to each of the following statements succinctly, but with detail.
- Children never have sleep issues unless they intake too much sugar in their diet.
- Sleep disorders come in only three main forms, one related to narcolepsy, one related to sleep apnea, and the other related to the inability to stay awake due to stress.
- The use of over-the-counter sleep aids should be encouraged over prescription sleep aids as they are safer and are not habit-forming in any way.
- Menopause has no impact on insomnia or sleep patterns.
- As a backup to over-the-counter sleep aids, benzodiazepines are the most useful and first-line treatment for sleep issues.
- Discuss best practice for insomnia assessment and treatment.
- Name one specific resource or guideline for treatment
Use the appropriate APA formatting.
All components must be discussed to receive full credit as complete.
Note: Grades of Incomplete on this assignment will result in a clinical failure.
Entry 1: A PMHNP’s Reflective Journal about a Patient Encounter
Children never have sleep Unit 4 Assignment – Clinical: Journal Reflection. Children never have sleep issues unless they intake too much sugar in their diet.unless they intake too much sugar in their diet.
Dietitians and mental healthcare providers acknowledge a close association between a child’s dietary sugar intake and their quality of sleep. However, evidence abounds demonstrating that it is not the only cause, as bedtime use of technology is another cause of sleeplessness in a child (Fuller et al., 2017). Other causes include stress, underlying medical conditions, and side effects of some medications. In the case of toddlers, having snacks, juices, and sugary sweets should be avoided at bedtime because it increases their blood sugar levels before the levels drop again. The toddlers’ bodies have to work hard to ensure re-stabilization of the blood sugar by releasing adrenaline, a stress hormone. The adrenaline causes restlessness in toddlers, negatively impacting their sleep.
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Eliason et al. (2020) note that children under two years to the age of 18 need not consume any added sugar in their dietary intake, while those above two years should not exceed 25 grams of added sugar in their daily intake. These and other research findings demonstrate that a high dietary sugar intake can lead to sleep loss and waking up a lot during the night. Intake of high carbohydrate diets increases tryptophan levels (a sleep-promoting amino acid), leading to orexin suppression. As a neurotransmitter promoting alertness, too much sugar intake would offset poor sleep quality later in the night and decrease the proportion of deep restorative sleep hence sleep issues in children (Miller et al., 2019).
St-Onge et al. (2016) opine that research has demonstrated that dietary patterns that are biased towards a high carbohydrate intake lead to reduced sleep onset latency (SOL)and slow-wave sleep(SWS), and increased rapid eye movement(REM). Subsequently, parents, guardians, and other primary child caregivers should consider their children’s dietary sugar intake as it affects their sleep patterns which then cascades to other unhealthy lifestyle choices like eating too much leading to excess weight. Dietitians should also develop nutrition education targeting child caregivers on the components of a healthy diet premised on a child’s age and gender. In conclusion, it is true to say that dietary sugar intake affects a child’s sleep, but it would be erroneous to consider it as the only source of sleep issues in a child.
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References
Fuller, C., Lehman, E., Hicks, S., & Novick, M. B. (2017). Bedtime use of technology and associated sleep problems in children. Global pediatric health.
Miller, A. L., Miller, S. E., LeBourgeois, M. K., Sturza, J., Rosenblum, K. L., & Lumeng, J. C. (2019). Sleep duration and quality are associated with eating behavior in low-income toddlers. Appetite, 135, 100-107.
St-Onge, M. P., Mikic, A., & Pietrolungo, C. E. (2016). Effects of diet on sleep quality. Advances in nutrition, 7(5), 938-949.
Eliason, J., Acciai, F., DeWeese, R. S., Vega-López, S., & Ohri-Vachaspati, P. (2020). Children’s Consumption Patterns and Their Parent’s Perception of a Healthy Diet. Nutrients, 12(8), 2322. Unit 4 Assignment – Clinical: Journal Reflection. Children never have sleep issues unless they intake too much sugar in their diet.
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