Actual Nursing Care Plan

DISTURBED SLEEP PATTERN

EXPLAINATION OF
DATA THE PROBLEM OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
SUBJECTIVE: The client had STO: Within 8 Dx: STO: After 8
”Narigatan nak Surgery done on hours of a. Identified a. Helps identify hours of
nga makaturog his left hand nursing presence of factors circumstances that nursing
idi rabii, due to his intervention, known to interfere are known to intervention,
nakurang nga 3 admitting the patient with sleep, interrupt sleep the patient
hours laeng diagnosis of should including post-op patterns and which was able to
iti turog ku” Avulsed wound verbalize status, could disrupt the identify the
hand left. understanding hospitalization and person’s biological list of
OBJECTIVE: Because of his of sleep environmental rhythms. advices that
>Changes in hospitalization disturbance and factors such as promotes or
normal sleep and post- identify the frequent medical and induces sleep
pattern operation advices given monitoring and by
>Appears status, the that can interventions understanding
sleepy client’s time, promote sleep. the different
>with amount and b. Observed b. Observations may sleep
interrupted quality of LTO: Within 72 nonverbal cues such not be congruent with disturbances.
sleep pattern sleeping is hours of as frequent yawning verbal reports or may
of 20 minutes disrupted. nursing be only indicator LTO: After 72
>Frequent intervention, present when client hours of
yawning the patient is unable to nursing
>Dark circles should report verbalize intervention,
under eyes improvement in the patient
sleep or rest c. Assessed clients c. To provide was able to
NURSING pattern and usual sleep pattern comparative baseline sleep and
DIAGNOSIS: increase in for improvements verbalized
Disturbed sense of well- increase of
Sleep Pattern being and sense of
feeling rested. d. Observed for d. To provide proper well-being
physical signs of nursing interventions and felt
fatigue and provide safety of rested.
the patient
Tx:

a. Provided comfort a. Promotes

measure such as relaxation and
straightening readiness for sleep
bedsheets

b. Performed b. Allows for longer

monitoring and care periods of
activities without uninterrupted sleep,
waking the patient especially during
night.

EDx:

a. Advised to drink a. To reduce sleep

water, tea or milk interference from
before sleeping hunger or
hypoglycemia

b. Advised not to b. Substances known

drink caffeinated to impair falling or
drinks or to eat staying asleep.
foods containing
caffeine

c. Encourage c. To aid in stress

participation in control or release of
regular exercise energy.
program during day