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Respiratory System Disorders and Therapy From a New - Louis Bolk ...

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Sleeping Problems<br />

Asthma patients frequently experience sleeplessness during exacerbations. When lying<br />

down, patients have an increased shortness of breath. They may also be woken up by<br />

dyspnea. Normally, when we go to sleep the awareness of our body <strong>and</strong> surroundings<br />

ceases. In asthma, increased conscious sensory — <strong>and</strong> brain — function results in a<br />

pathological sleeping pattern.<br />

Sleep is relaxing, it contributes to dissolution processes. Sleep dissolution processes are<br />

abrogated in asthma as indicated in fig. 2.4.<br />

Anxiety<br />

Many patients are fearful during – <strong>and</strong> sometimes even in-between — their acute episodes.<br />

They are afraid of suffocating, of going to the hospital, of becoming disabled. The fear<br />

can also become more diffuse.<br />

An intensified awareness <strong>and</strong> a narrowing of consciousness accompany fear. There is only<br />

one focus in the mind, namely fear. Fearful patients can sometimes describe how they<br />

experience fear as an involuntary, somewhat obsessive concentration on one subject.<br />

Patients are not able to withdraw from the fear focus voluntarily or to freely direct their<br />

thoughts. We could characterize this as a consolidating tendency of conscious life.<br />

Table 3.1. The characteristics of awareness in asthma <strong>and</strong> exacerbations<br />

ASTHMA Awareness<br />

particularly<br />

exacerbations<br />

Reaction to Overalert,<br />

stimuli also in the<br />

airways<br />

Consolidating Anxiety<br />

tendency<br />

Dissolving Disturbed<br />

tendency with<br />

decreased<br />

sleep<br />

<strong>Bolk</strong>’s Companions RespiRatoRy system DisoRDeRs anD theRapy - 27

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