![]() ![]() ![]() Instruct to avoid large fluid intake before bedtime.įor patients may need to void during the night. Though hunger can also keep one awake, gastric digestion and stimulation from caffeine and nicotine can disturb sleep. Instruct to avoid heavy meals, alcohol, caffeine, or smoking before retiring. This promotes regulation of the circadian rhythm, and reduces the energy required for adaptation to changes. Instruct patient to follow as consistent a daily schedule for retiring and arising as possible. In both the hospital and home care setting, patients may be following medication schedules that require awakening in the early morning hours. ![]() Knowledge of its role in health/wellness and the wide variation among individuals may allay anxiety, thereby promoting rest and sleep.Įvaluate timing or effects of medications that can disrupt sleep. Identify factors that may facilitate or interfere with normal patterns Often, the patient's perception of the problem may differ from objective evaluation. Knowing the specific etiologic factor will guide appropriate therapy.ĭocument nursing or caregiver observations of sleeping and wakeful behaviors. Sleep patterns are unique to each individual.Īssess patient's perception of cause of sleep difficulty and possible relief measures to facilitate treatment. Note: you need to indicate time frame/target as objective must be measurable.Īssess past patterns of sleep in normal environment: amount, bedtime rituals, depth, length, positions, aids, and interfering agents. achieves optimal amounts of sleep as evidenced by: rested appearance, verbalization of feeling rested and improvement in sleep pattern.Altered facial expression (e.g., blank look, fatigued appearance)ĬLICK HERE for Free NCLEX –RN & CGFNS Practice Questions Objective/Expected Outcome The patient will:.Verbal complaints of not feeling rested.Awakening earlier or later than desired.Verbal complaints of difficulty falling asleep.Abnormal physiological status or symptoms (dyspnea, hypoxia, neurological dysfunction, and others)Īs evidenced by:.NURSING DIAGNOSIS: Disturbed Sleep Pattern ![]()
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