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
cant sleep at night.
I dont feel wellrested.

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

To release energy.
However, exercise
in bedtime may
stimulate rather
than relax the body

Develop
behavioral
program for
insomnia (not
napping in
bedtime,
establishing
routine bedtime
and arising, and
not reading or

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 nights sleep
and establish an
effective sleep
routine.

watching TV in
bed)

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