Ncp- Disturbed Sleeping Pattern

PROBLEM

#2

CUES

Subjective:

Inadequate sleep “Ang hirap matulog sa gabi, hindi rin ako makatulog kahit sa umaga kasi lagi akong minomonitor”. As verbalized by the pt. “Lagi nalang maaga ako nagigising at late nakakatulog”. As verbalized by the pt. “Naiistorbo ako sa pagtulog kasi oras na ng pag inom ng gamot”. As verbalized by the patient. Objective: -Dark circles under eyes -Restlessness -Irritability -Dozing -Yawning -Difficulty in arousal -Change in

NURSING DIAGNOSIS AND RATIONALE Disturbed sleeping pattern r/t interruptions for therapeutics, monitoring, other generated awakening, and excessive stimulation (noise and lighting)

GOALS AND OBJECTIVES

NURSING INTERVENTIONS

N.I. RATIONALE WITH REFERNECES

After 2 shifts, the patient will achieve optimal amount of sleep as evidenced by rested appearance, verbalization of feeling rested, and improvement in sleep pattern.

Assessed sleep pattern disturbances that are associated with specific underlying illnesses.

- High percentage of sleep disturbances are affected by illnesses.

Observed and obtained feedback from clients regarding usual bedtime, routines, # of hours of sleep, and environmental needs.

- To determine usual sleep pattern and provide appropriate intervention.

Did as much care as possible without waking the client, and did as much care as possible while the patient is still awake.

- To avoid disturbances during sleep, and to maximize sleeping process.

Explained necessity of disturbances for monitoring VS and care when hospitalized.

- So that patient will have an understanding of the importance of care being done to him. Minimizes complaints.

Encouraged wearing eye cover, drinking warm milk, and sleeping at the same time

- To enhance ability to fall asleep.

EVALUATION

After 2 shifts, the patient verbalized: “Medyo humaba na ang tulog ko sa gabi. Hindi na rin ako masyadong mahina sa umaga.”