ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Deficient Following a 1 day of  Assess past patterns  Sleep patterns are unique After a 1 day of
knowledge r/t nursing intervention, of sleep in a normal to each individual. nursing intervention,
“Usahay mabatian unfamiliarity of the patient will environment: amount, the patient was able to
nako nga malipong information as achieve the optimal bedtime rituals, depth, display improvement
ko” (Sometimes I evidenced by amount of sleep as length, positions, aids, in sleeping pattern as
feel light headed) & questioning evidenced by: and interfering agents. evidenced by:
“Maglisud nakog members of the
tulog balik basta health care team Objective:  Assess the patient's  Knowing the particular  The patient
makamata ko sa  Verbalization perception of the etiologic cause will help does not look
kadlawon” (It will of feeling cause of sleep you choose the right weak and
make me hard to rested. difficulty and possible treatment. restless
sleep as long as I  Decrease the relief measures to compare to the
wake up at dawn) as presence of facilitate treatment. past
verbalized by the eye bags.  Knowing its importance in  The presence
patient. Goal  Identify factors that health and wellness, as of eye bags
 Improvement may facilitate or well as the vast range of has been
of sleeping interfere with normal responses among people, minimized or
OBJECTIVE: pattern. patterns can help to reduce anxiety have gone
 Absence of and promote relaxation  Decrease of
 After a few restlessness and sleep. the usual
minutes of yawning.
activity, the
p/t needs to
sit and rest

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 Yawning
 Presence of
eye bags
 Weakness  Instruct to avoid  Though hunger might keep
and heavy meals, alcohol, you awake, stomach
restlessness caffeine, or smoking digestion, as well as
before retiring. caffeine and nicotine
stimulation, can keep you
awake.

 Provide nursing aids  To promote rest.

(e.g., back rub,
bedtime care, pain
relief, comfortable
position, relaxation
techniques).

 The nurse will  These may be beneficial

educate the patient on when the patient
when to take a sleep experiences short-term
aid and how they are sleep problems.
not to be used on an
everyday basis.

REFERENCES:

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Aprn Bc, M. D. E., Crrn, M. M. R. M. F., & Bsn Rn, A. M. C. (2016). Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and
Rationales (14th ed.). F.A. Davis Company.