University:
West Coast University
Course:
NURS 103 | Fundamentals of Nursing
Academic year:

2022
Views:

218

Pages:

2
Author:

Kaiden Murphy

Assessment Diagnosis Inference Planning Interventions Subjective: Insomnia related to metabolic disease as evidenced by look of tiredness and lack of energy in the morning biological, physical, psychological, and environmental factors After 1 week of nursing interventions, patient will be able to: Independent Patient verbalizes “I can’t sleep at night. I don’t feel well-rested.” Objectives: Dark shadows under the eyes Appears tired in the morning Lack of energy in the morning prolonged period of stress Development of conditioned arousal to stimuli that would normally be associated with sleep repeated difficulty with sleep initiation, maintenance, consolidation (insomnia) look of tiredness and lack of energy in the morning develop an uninterrupted sleep pattern 5 to 8 hours per night report feelings of being rejuvenated after sleep establish an effective sleep routine Rationale Identify circumstances that interrupt sleep To prevent sleep disturbance because of interruptions Limit fluid intake in the evening To reduce need for night time elimination/ sleep disruption Encourage participation in regular exercise program during daytime Develop behavioral program for insomnia (not napping in bedtime, establishing routine bedtime and arising, and not reading or watching TV in bed) To release energy. However, exercise in bedtime may stimulate rather than relax the body For effective sleep promotion Evaluation After 1 week of nursing interventions, goal met. Patient was able to practice relaxation techniques before bedtime to promote sleep and is involved in daily activities thus inducing sleep during night time. He/she also verbalizes feeling rejuvenated after a good night’s sleep and establish an effective sleep routine. Develop a sleep relaxation program with client (e.g., selfhypnosis, progressive muscle relaxation, imagery) Dependent: Administer medications as ordered 1 hour before sleep ( such as Iterax 10mg) Employing both physical and mental relaxation can help minimize anxiety and promote sleep. To relieve discomfort and take maximum advantage of sedative effect