Date Cues Need Nursing Objective Intervention evaluation

diagnosis of care
J S 1. determine
A L client’s usual
N E sleep pattern
U E and
A P expectations
R - ®provides
Y R comparative
E baseline
21, S
T 2.
2 recommend
0 P baseline
1 A snack.
0 T ®sense of
T fullness and
@ E satiety
3pm R promotes
N sleep and
reduces
likelihood of
gastric upset.

3. promote
adequate
physical
exercise
activity
during day.
® enhances
expenditure
of energy/
release of
tension so
that client
fees ready for
sleep/rest.

4. suggest
abstaining
from daytime
naps
®daytime
naps impair
ability to
sleep at
night.

5. investigate
anxious
feelings
® to help
determine
basis and
appropriate
anxiety
reduction
techniques.

6.
recommend
quiet
activities,
such as
reading,/
listening, to
soothing
music in the
evening.
®to reduce
stimulation
so that client
can relax.

7. instruct in
relaxation
techniques,
music
therapy, and
meditation.
® to decrease
tension,
prepare for
rest/ sleep.

8. discuss/
implement
effective age-
appropriate
bedtime
rituals (e.g
going to bed
at same time
each night,
drinking
warm milk).
®to enhance
client’s
ability to fall
asleep.

9. administer
sedatives/
other sleep
medications
for peak
effect/
duration.
®to reduce
need for
redosing
during prime
sleep hours.

10. Refer to
support
group /
counselor.
®to help deal
with
psychological
stressors.