Juco Fernandez, NR-41 (GROUP 2)

Nursing Diagnosis: Disturbed Sleeping Pattern

Inference: Pain in Right foot -> interruptions for therapeutics monitoring-> disturbance in sleep-wake generating -> Disturbed sleep pattern

ASSESSMENT Expected Outcome Intervention Rationale Evaluation

Subj. Cues: Long Term Independent: After 2 hours of nursing
Nagagalaw ko kasi Outcome: this provides a conducive interventions, the client
yung paa ko eh After 1 week of Provide quiet environment environment for the client stated two ways to improve
masakit kapag may nursing (straighten sheets). to relax. sleep pattern such as
tinamaan tapos may interventions, the providing a quiet
mga taong nagtitingin client will report Provide comfort measures This soothes and relaxes environment (straightening
sakin kaya gumising improvement in (back rub). the client. sheets) and comfort
ako kasi nakakahiya quality of sleep measures (back rub).
naman kay doc as pattern.
verbalized by the Explore other sleep aids. To promote wellness.
patient. Short Term (warm bath or milk)
Outcome:
Obj. Cues: After 2 hours of Dependent:
Presence of nursing To promote wellness.
Eye bags interventions, the Arrange care to provide
client will state uninterrupted sleep.
Yawning two ways to
improve sleep Recommend Limiting intake Caffeine inhibits sleep
Restless pattern such as of caffeine and chocolate (Nutrition and Diet
sleep providing a quiet prior to sleep.
environment
Taking nap (straightening Collaborative:
when there is sheets) and Refer to sleep specialist
a time comfort measures for treatment when
chance. (back rub). indicated.