COLLEGE OF NURSING

Visca, Baybay City, Leyte, PHILIPPINES

Tel. no.: (053) 563-7226
Email address: nursing@vsu.edu.ph
Website: www.vsu.edu.ph

NURSING CARE PLAN

Care Plan No.: _5_
Patient’s Name: _____________ C.H.______________ Age/Sex: ___4 y.o./Male___ Chief Complaint/s: ”Nag-sige siya og ubo na nay plema,”
as verbalized by the Mother

Outcome Planned Nursing Interventions

Assessment Cues Nursing Diagnosis Evaluation
Identification Nursing Interventions Rationale
Subjective: Goal: Independent: Goal met.
Disturbed sleep pattern r/t - To improve 1. Identify the factors 1. Sleep problems are - The patient
The mother reported insufficient privacy a.m.b. sleep that could interrupt the caused by either was able to
that the patient has verbal reports of sleep sleep pattern of the internal and external report an
interrupted sleep interruption due to giving of Desired patient. factors which may improved sleep
due to giving of medications and pain, RR – Outcome: require assessment after 8 hours of
medications and 32 cpm, PR – 90 bpm, over time. nursing
pain. persistent cough secondary - The patient will interventions
to interstitial pneumonia and be able to report 2. Eliminate any 2. This facilitates
hyperaeration an improved activities that are no minimal interruption of - Patient was
Objective: sleep after 8 longer necessary sleep able to
Scientific Basis: hours of nursing demonstrate a
RR – 32 cpm interventions 3. Perform monitoring 3. Allows for longer relaxed
PR – 91 bpm Disturbed sleep pattern is and care activities periods of uninterrupted manner of
time-limited awakenings due to - Patient will without waking client as sleep, especially during resting after 8
Persistent cough some external factors such as demonstrate possible. night. hours of
the environment, especially in relaxed manner, nursing
a hospital setting where noise, resting/sleeping interventions
lighting, frequent monitoring, after 8 hours of 4. Minimize sleep 4. It promotes
and treatments are always nursing disrupting factors such readiness to sleep and
present. In addition, sleep can interventions as disturbing noises improves quality of
also be disrupted by other sleep.
factors such as chronic pain.
5. Provide a “Do not 5. It is important to alert
disturb” sign on the people and visitors to
patient’s room. avoid disruption of

Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
 COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Tel. no.: (053) 563-7226
Email address: nursing@vsu.edu.ph
Website: www.vsu.edu.ph

References: sleep and provide

privacy for the patient.
 Doenges, M. E.,
Moorhouse, M. F., & Murr, 6. Provide bedtime 6. This facilitates
A. C. (2019). Nurse's nursing care such as relaxation and
Pocket Guide: Diagnoses, back rub and other promotes the onset of
Prioritized Interventions, relaxation techniques. sleep
and Rationales (15th ed.).
F.A. Davis Company. 7. Straighten bed 7. This will provide
sheets and change physical comfort for the
 Wayne, G. (2022, March damp linens or gown patient
19). Insomnia Nursing
Care Plan. Nurselabs. Dependent:
Retrieved April 18, 2022, a. Provide sleep a. Sleep therapy
from therapy as indicated improves quality of
https://nurseslabs.com/ins sleep and allows longer
omnia/ uninterrupted sleep.

b. Provide analgesic b. Perception of pain

medications at bedtime may be increased
as indicated during hours of sleep

Collaborative:

i. Refer to a sleep i. In order to provide

therapist or specialist specific interventions
as indicated and therapies, including
medications, and
biofeedback.

Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.