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