Nursing Care Plan: Disturbed Sleeping Pattern Assessment Nursing Planning Diagnosis Subjective: “Paputol-putol yung tulog naming dito kasi maya’t maya may mga pumapasok na tao eh.”
Objective: • Presence of eye bags. • Weakness and restlessness. •Taking nap when there is a chance or if there is a free time. •Yawning
Disturbed Sleeping Patterns related to interruptions for therapeutics, monitoring and other generated awakening and excessive stimulation (noise and lighting).
Following a 1 day of nursing intervention the patient will achieve optimal amount of sleep as evidenced by: Objective: •Verbalization of feeling rested. •Decrease the presence of eye bags. Goal: •Improvement of sleeping pattern. •Absence of restlessness.
Intervention
Rationale
Evaluation
•Assess sleep pattern disturbances that are associated with the environment.
High percentage of sleep disturbances can affect the recovery of the patient.
• Observe and obtain feedbacks regarding on the usual sleeping pattern, bedtime routine and the usual number of hours of sleep and rest.
To determine usual sleeping pattern and to compare if there are any improvements on the sleeping pattern of the patient.
After a 1day of nursing intervention the patient was able to display improvement in sleeping pattern as evidenced by:
•Do as much care as possible without waking up the client and do as much care as possible while the client is still awake.
To avoid disturbances during sleep, and also to maximize the sleep and rest of the client.
•Explain necessity of disturbances for monitoring Vital Signs and care when
For the patient to have an understanding of the importance of care being done to her and to minimize the
• The patient verbalized: Medyo nakatulog at nakapagpahinga na ako ng maayos kumpara dati. •The patient does not look weak and restlessness compare to the past. •The presence of eye bags have been minimized or have gone. •Decrease of the usual yawning.
Hospitalized.
complaints.