Nursing Care Plan

Nursing Diagnosis Analysis Goals and Nursing Interventions Rationale Evaluation

and Cues Objectives

Insomnia related Insomnia is a Goal:

to depression, symptom which After an hour of
stress, physical can accompany nursing
discomfort several sleep and interventions, the
(difficulty of medical disorders, patient will be able
breathing) characterized by to have a normal (All nursing
persistent sleeping pattern. interventions are
Subjective cues: difficulty falling independent.)
> asleep and/or Objectives:
staying asleep 1. After 10 1. Determine Provides opportunity to 1. The patient
despite the minutes of patient’s address was able to
opportunity. Poor therapeutic expectation of misconceptions/ verbalize the
sleep quality can communication adequate sleep, unrealistic quality of sleep
occur as a result , the patient listen to subjective expectations. she is
of clinical will be able to reports of sleep experiencing
depression. verbalize the quality. and her
quality of sleep satisfaction
she is 2. Obtain feedback To determine usual about it.
experiencing from patient sleep pattern and
and her regarding sleep provide comparative
satisfaction problems, usual baseline.
about it. bedtime rituals or
routines, number
of hours of sleep,
time of arising and
 environmental
needs.

2. After 10 3. Explain and For the patient to 2. The patient

minutes of discuss to the understand her was able to
discussion, the patient what condition. explain what
patient will be insomnia is. insomnia is.
able to explain
what insomnia
is.

3. After 15 4. Identify To determine possible 3. The patient

minutes of circumstances that reasons of the sleep was able to
discussion, the interrupt sleep and disorder. express
patient will be the frequency in understanding
able to express which they occur. of the different
understanding factors which
of the different 5. Explain to patient Worrying about not contributed to
factors which that occasional sleeping can perpetuate her sleeping
contributed to sleeplessness the problem. problem.
her sleeping should not
problem. threaten health.

6. Evaluate use of Overindulgence

caffeine and interferes with sleep.
alcoholic
beverages.

4. After 15 7. Discuss effective To enhance patient’s 4. The patient

 minutes of age-appropriate ability to fall asleep. was able to
discussion, the bedtime rituals. enumerate 3
patient will be out of 5 ways
able to 8. Encourage To aid in stress control/ on how to
enumerate 3 out participation in release of energy. eliminate
of 5 ways on regular exercise insomnia.
how to program during
eliminate the day.
insomnia.

5. After 10 9. Instruct patient to Research indicates 5. The patient

minutes of use sleeping long-term use of these was able to
discussion, the medications medications can explain the
patient will be sparingly. actually induce sleep right way of
able to explain disturbances. taking sleeping
the right way of medications, its
taking sleeping side effects and
medications, its adverse effects.
side effects and
adverse effects.

6. After the span 10. Explain to the People tend to be 6. The patient
of an hour , the client the benefits motivated if benefits of was able to
patient will be of having an certain actions are show her
able to show adequate sleep. directed towards them. willingness to
her willingness apply the
to apply the 11. Identify To aid in reinforcing knowledge she
knowledge she motivating factors. the client. gained.
gained.