CUES NURSING BACKGROUND GOALS OF CARE INTERVENTION EVALUATION

DIAGNOSIS KNOWLEDGE

NURSING INTENVENTION RATIONALE

SUBJECTIVE:
Difficulty of Within hours of The intervention will: Sleep patterns are After hours of
falling asleep a. Disturbed Sleep is nursing unique to each nursing
(insomnia) and Sleep Pattern required to intervention and 1. Assess the patients individual intervention:
staying asleep related to lifestyle provide energy health teachings, pattern and help him
(waking up disruptions as for physical and the patient and develop a sleeping Knowing the Patient report
feeling tired and evidence by mental patient’s family plan contributing factor will after weeks
irritable) reports of activities. will be able to: 2. Advise patient to guide appropriate having optimal
Objective data: difficulty falling Assessment of provide dark, quiet therapy balance sleep,
and remaining sleeping a. Determine and comfortable less agitation and
Age: 36 years old asleep agitation, patterns risk factors atmosphere for the Knowledge of its role in irritation, reports
Gender: Male mood alterations that patient to sleep in health/wellness and the feeling rested
Assess contribute 3. Discourage to have wide variation among and energized
Vital signs taken: b. emotional to poor caffeine or large individuals may allay upon waking
Temperature: Stress/depression trauma him sleeping meals intake before anxiety, thereby instead feeling
37.0C feeling anxious patterns patient goes to sleep promoting rest and sleep irritated.
, anxiety, Physical
RR: 18 cpm and stressed such as age, 4. Identify factors 1. Displayed
discomfort (him
BP: 140/90 mmhg can lead to style of contributing in sleep For patients may need improvem
receiving bullet in
PR: 80 bpm sleep living patterns void during the night, ent in
arms and having
dysfunction family over-fatigue can also mood,
it removed)
Pale, with dark history, cause insomnia, napping less
circles under his Refer to a sleep food can disrupt sleeping agitation
c. Environmental patterns except on elders
eyes specialist or habits/cons and
factors (room
discuss sleep umption, that can have better irritation
temperature, sleeping patterns when
study, and obesity 2. Achieves
lighting) can they take their frequent
recommend b. Sleep optimal
disrupt and
relaxing enhanceme naps. amounts
affect normal
activities before nt of sleep,
sleep pattern
patient goes to c. Feel rested
sleep. energized appearanc
Refer to a and having e darker
mental health circles
professional for rested will
mindful and appearance improve
effective sleep
techniques