COLLEGE OF NURSING Our Lady of Fatima University

Research and Development Center

ASSESSMENT

NURSING DIAGNOSIS

BACKGROUN D KNOWLEDGE

PLANNING

INTERVENTION

RATIONAL E

EVALUATION

SUBJECTIVE: Nahihirapanakong makatulogdahilmaya tmaya may ginagawasa akin at dahilsaposisyonko as verbalized by the client. OBJECTIVE: -restlessness -weakness -irritability -interrupted sleep

Disturbed Sleeping Patterns related to interruptions for therapeutic,mon itoring, other generated awakening and position as manifested by interrupted sleep and restlessness

Change in sleepwake schedule

Decrease in REM

Short Term: Within 1-2 hours of nursing interventions the patient will be able to identify factors that can help him to promote sleeping pattern. Long Term: Within 1-3 days of nursing intervention the patient will be able to adjust to the environment and achieve optimal amount of sleep as evidenced by rested appearance,verb alization of feeling rested

*Suggest engaging *To promote in relaxing sleep. activity(e.g.listening to calm music,reading books and warm bath).

Short Term: After 1-2 hours of nursing interventions the patient was able to identify factors that can help him to promote sleeping pattern.

*Instruct not to intake large amount of fluid before bed time.

*To prevent from voiding during night time. Long Term: After 1-3 days of nursing intervention the patient was able to adjust to the environment and achieve optimal amount of sleep with rested appearance,wasabl e to verbalized feeling of rested

Impaired processes of information in the brain

*Avoid loud noises and use of overhead lights during night time.

*To promote comfort and relaxation prior to sleep.

Decrease oscillations

*Explain the necessity of disturbances in monitoring vital

*To help patient understand the

COLLEGE OF NURSING Our Lady of Fatima University

Research and Development Center

and improve in sleeping pattern.

signs and in caring when hospitalized.

importance of care and to minimize complaint.

and improved his sleeping pattern.

Disturbed sleeping pattern

*Identify possible *To help underlying causes of patient know sleeplessness. the common consequence s of sleep deprivation. *To educate him about sleeping pattern.

*Explain the importance of adequate sleep.

* Suggest abstaining *To prevent from daytime naps impairment of ability to sleep at night. *Implement effective ageappropriate bedtime rituals. *To enhance clients ability to fall asleep.

*Recommend quiet *To reduce activities, such as stimulation reading or listening so that the

COLLEGE OF NURSING Our Lady of Fatima University

Research and Development Center

to soothing music in client can the evening. relax.

*Ascertain usual pattern and changes that are occurring,naps,awak ening, frequency and clients complaints of lack of rest

*To provide information in alleviating sleep deprivation,i dentifying and establishing plan of care.

*Refer to specialist treatment indicated

sleep *To seek for advice from when a specialist