SANCHEZ, Christine Marie E.

BSN IV-2 DISTURBED SLEEP PATTERN ASSESSMENT

Subjective: Hindi ako masyadong nakakatulog ng maayos dito kasi nagigising ako kapag may nagra-rounds at medyo maingay. as verbalized by the patient. Objective: - Irritability Uneasiness Decreased ability to function V/S taken as follows: T= 37.6 RR= 24 PR= 90 BP= 110/80

DIAGNOSIS

PLANNING

INTERVENTION
Independent 1. Recommend positions for sleep that provide adequate support. 2. Provide bedtime care such as straightening bed sheets, changing damp linens or gowns 3. Discourage entertaining or frequent visits from others.

RATIONALE

EVALUATION

Disturbed Sleep Pattern related to interruptions for therapeutics, monitoring, and laboratory tests

After 4 hours of nursing interventions, the patient will report increased sense of well-being and feeling rested.

Sleep is needed to feel refreshed and restored. To promote physical comfort

Goal met. After 4 hours of nursing interventions, the patient reported increased sense of well-being and feeling rested.

Visiting with friends uses energy and contributes to fatigue. To promote readiness for sleep, and improve sleep duration and quality

4. Minimize sleepdisrupting factors (e.g., shut room door, adjust room temperature, reduce talking and disturbing noises such as phones/alarms) 5. Perform monitoring and care activities without waking client whenever possible

Allows for longer periods of uninterrupted sleep