to your health!. shift work and your health shift work requirements sited as number one reason for...
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To Your To Your Health!Health!
Shift Work and Your HealthShift Work and Your Health
Shift Work Requirements Shift Work Requirements Sited as Sited as Number One Reason for Number One Reason for Physicians Leaving E.M.Physicians Leaving E.M.
Shift Work and Your Shift Work and Your HealthHealth
Shift Work Sleep DisorderShift Work Sleep Disorder
20 to 30% Leave Shift Work20 to 30% Leave Shift Work
Shift Work and Your Shift Work and Your HealthHealth
Immune DysfunctionImmune Dysfunction
Gastrointestinal AilmentsGastrointestinal Ailments
Cardiovascular Disease Cardiovascular Disease
Cancer (Breast and Colon)Cancer (Breast and Colon)
TraumaTrauma
Shift Work and Your Shift Work and Your HealthHealth
Depression and Other Mental IllnessDepression and Other Mental Illness
Pregnancy Related IssuesPregnancy Related Issues
Social Disruption (higher divorce Social Disruption (higher divorce rate)rate)
Substance AbuseSubstance Abuse
Shift Work and Your Shift Work and Your HealthHealth
DesynchronosisDesynchronosis
Blame it On Edison!Blame it On Edison!From a Few Foot Candles to 100,000!From a Few Foot Candles to 100,000!
Review of Normal Sleep Review of Normal Sleep CycleCycle
Stage 1 (initial 10-15 minutes)Stage 1 (initial 10-15 minutes)
Stage 2 ( 50% of total)Stage 2 ( 50% of total)
Stage 3 (Slow Wave Sleep)Stage 3 (Slow Wave Sleep)
Review of Normal Sleep Review of Normal Sleep CycleCycle
Stage 4 (Deeper Slow Wave Sleep)Stage 4 (Deeper Slow Wave Sleep)
REM (Dreaming)REM (Dreaming)
Normal Sleep Contains 5-6 CyclesNormal Sleep Contains 5-6 Cycles
Typical Shift Worker Typical Shift Worker SleepSleep
One and One Half to Two Hours One and One Half to Two Hours ShorterShorter
REM and Stage 2 Sleep Affected MostREM and Stage 2 Sleep Affected Most
Impact of NoiseImpact of Noise Better Living Through Chemistry?Better Living Through Chemistry?
BiorhythmsBiorhythms
Circadian (About a Day)Circadian (About a Day)
Ultraradian (Heart and Brainwave Ultraradian (Heart and Brainwave Oscillation)Oscillation)
Infraradian (Menstrual Cycle)Infraradian (Menstrual Cycle)
Circadian RhythmsCircadian Rhythms
Suprachiasmic Nucleus (The Main Suprachiasmic Nucleus (The Main Internal Clock)Internal Clock)
Individual Cellular ClocksIndividual Cellular Clocks
Free Running Cycle (25 hours)Free Running Cycle (25 hours)
Circadian RhythmCircadian RhythmMarkersMarkers
TemperatureTemperature
MelatoninMelatonin
CortisolCortisol
Circadian RhythmsCircadian Rhythms
Zeightgebers (Time Givers)Zeightgebers (Time Givers)
Entrainment (Matching of endogenous Entrainment (Matching of endogenous circadian rhythm to environmental circadian rhythm to environmental timing cues)timing cues)
Circadian RhythmsCircadian Rhythms
Phase Adjustment (Entrainment to a Phase Adjustment (Entrainment to a change in the timing of change in the timing of synchronizers to the external synchronizers to the external environment) environment)
DesynchronizationDesynchronization
The Light Dark CycleThe Light Dark Cycle
Most Important Human ZeightgeberMost Important Human Zeightgeber
Driver of Key Circadian RhythmsDriver of Key Circadian Rhythms
The Major Barrier to Shift Work The Major Barrier to Shift Work AdjustmentAdjustment
Human Adaptation to Human Adaptation to Shift WorkShift Work
Very PoorVery Poor
Quality of SleepQuality of Sleep
Length of SleepLength of Sleep
Failure of EntrainmentFailure of Entrainment
Human Adaptation to Human Adaptation to Shift WorkShift Work
Night Owls vs. Morning LarksNight Owls vs. Morning Larks
Tremendous Individual VariationTremendous Individual Variation
Age: Phase Intolerance! (decreased Age: Phase Intolerance! (decreased melatonin production, reduced melatonin production, reduced ability for daytime sleep)ability for daytime sleep)
Human Adaptation to Human Adaptation to Shift WorkShift Work
GenderGender
LanguidityLanguidity
FlexibilityFlexibility
HardinessHardiness
Human Adaptation to Human Adaptation to Shift WorkShift Work
Permanent Night Shift WorkersPermanent Night Shift Workers
RotatorsRotators
Shift Work Models (E.M.) Shift Work Models (E.M.)
Ideal (No Night Shifts)Ideal (No Night Shifts)
Hire Permanent Night Owls (Rare Hire Permanent Night Owls (Rare Commodity)Commodity)
Work Large Block of NightsWork Large Block of Nights
Shift Work Models (E.M.)Shift Work Models (E.M.)
Work Short Groupings of NightsWork Short Groupings of Nights
European ModelEuropean Model
Shift TimingShift Timing
Shift Work TaboosShift Work Taboos
Phase Advance RotationPhase Advance Rotation
Sporadic Night Strings Interspersed Sporadic Night Strings Interspersed withwith
Evening/Day ShiftsEvening/Day Shifts
Long Shift Length Long Shift Length
General Guidelines for General Guidelines for SleepSleep
Sleep in a DARK RoomSleep in a DARK Room
Sleep in a Quiet RoomSleep in a Quiet Room
Sleep in a Cool RoomSleep in a Cool Room
Timing of Stimulants (And Hypnotics!)Timing of Stimulants (And Hypnotics!)
Circadian ManipulationCircadian Manipulation
Light TherapyLight Therapy
MelatoninMelatonin
ExerciseExercise
Non-Circadian AidesNon-Circadian Aides
Sedative HypnoticsSedative Hypnotics
Napping (Sleep Debt)Napping (Sleep Debt)
StimulantsStimulants
New HorizonsNew Horizons
HydrocortisoneHydrocortisone
ModafinilModafinil
Text Messaging?Text Messaging?
The Long HaulThe Long Haul
Be Mindful of Your ScheduleBe Mindful of Your Schedule
Find Your Best SpotFind Your Best Spot
Your Sleep EnvironmentYour Sleep Environment
Opt for Short ShiftsOpt for Short Shifts
ReferencesReferences
American College of Emergency American College of Emergency Physicians Policy Statement: Circadian Physicians Policy Statement: Circadian Rhythms and Shift WorkRhythms and Shift Work
Kuhn, G. Circadian Rhythm, Shift Work, Kuhn, G. Circadian Rhythm, Shift Work, and Emergency Medicine. Annals of and Emergency Medicine. Annals of Emergency Medicine 2001;37:88-98Emergency Medicine 2001;37:88-98
NIOSH Training for Nurses on Shift NIOSH Training for Nurses on Shift Work and Long Hours: DHHS (NIOSH) Work and Long Hours: DHHS (NIOSH) Publication No. 2015-115Publication No. 2015-115
