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Patient’s Name: Zara Deo Age: 42 years old Date of Admission: January 15, 2023

DATE & TIME FOCUS DATA-ACTION-RESPONSE

January 15, Sleep Deprivation Data


2023 • “mag lisod kog tulog usahay, lahi ra jud ning
medyo edaran na ta nabuntis” As verbalized
@ 8:00 AM by the patient.
• (+) patient looks pale
• (+) Tired
• (+) Sleepy
Vital Signs
BP: 130/80mmHg
Temp: 35.8 Degree Celsius
PR: 99bpm
RR: 23cpm

Action

• Assessed the patient’s description of exhaustion.


• Ensured the patient’s comfort while resting.
• Instruct patient to avoid bedtime foods and
beverages that interfere with sleep.
• Placed the patient in her most comfortable
position.
• Provided the patient with a pleasant atmosphere.
• Determined the patient’s level of family and
social support.
• Administer sleep medication if deemed
necessary.

Response
4:00 PM
• The patient was identified with individually
appropriate interventions to promote sleep.
• Verbalized “nakatulog na jud kog way putol-
putol”
• Reported a slightly increased sense of well-being
and feeling rested.

EVALUATION
Partially Met
Fully Met
Goal Met

NUR-HAIMEEN SHAKUR A. KAMAD

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