Caues
Subjective: “Hindi ako makatulog ng husto” as verbalized by the patient. Objective: • • •
restlessness Dark circles under eyes irritable
Problem
Lack of sleep
Nursing Interventions
Scientific Rationale
The client is Unable to sleep because she frequent urge to empty urinary bladder. Thus her sleeping pattern is disrupted.
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Assess the cause of inability to sleep. Assist patient in observing any previous Bedtime ritual. Advised daytime physical activities as indicated. Limit fluids before bedtime.
Rationale
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To determine the proper • To promote relaxation. • To promote urinary elimination thus reducing bladder distention to promote sleep during night time. • To prevent urinary bladder retention causing dribbling of urine.
Evaluation
Goal partially met. Patient’s sleeping pattern increased from 5-7 hrs.