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Altered Sleeping Pattern related to Changed In Environment Secondary to Surgical Procedures Assessment Nursing Scientific Plan/Objectives Nursing Rationale

Diagnosis Explanation Intervention Short Term >Established >To gain S> Altered Altered sleeping After 2-3 hours rapport. patients trust O > the patient Sleeping pattern in time- of nursing and may manifest: Pattern r/t limited interventions, the cooperation. - irritation Changed In disruption of patient shall be - restlessness Environment sleep amount and able to verbalize >Monitor and >To obtain - awakening Secondary to quality. In here, understanding of record the VS. baseline data. earlier than Surgical a persons sleep the need to have desired Procedures is insufficient. a complete sleep. >Loosen >To ease the - ptosis of Factors like clothing of the patient. eyelid psychological, patient. body environmental, Long Term weakness parenteral, After 3 days of >Provide well- >To allow physiological nursing ventilated comfort during that contribute interventions, the environment. sleeping as well to the patient shall be as resting. disturbance of able to have a sleep. normal sleeping >Instruct to >To provide pattern and have take food rich energy needed. adequate energy in proteins such to do ADLs. as milk, meat, and Vitamin C. >Provide adequate period. >To allow rest patient to gain enough energy.

Expected Outcome Short Term After 2-3 hours of nursing interventions, the patient will verbalize understanding of the need to have a complete sleep.

Long Term After 3 days of nursing interventions, the patient will have a normal sleeping pattern and have adequate energy to do ADLs.

>Assist patient >To promote to develop wellness. individual program of relaxation. >Advise patient to stay awake during day time. >To allow patient to sleep at night and gain enough rest.

Assessment S>Hindi ako makatulog sa gabi,ini-isip ko ang pamilya ko. nagigising ako ng mga tatlong beses sa aking pagtulog.

O> -Presence of dark circles and eye begs under eyes -;frequent yawning -restlessness

Explanation of the Problem The clients sleep is being disturbed due to the daily activity pattern that they have in the ward. He thinks a lot of things such as his family and about home. Some factors that affects the clients sleeping pattern

Objectives STO: After 8 hours of nursing intervention, the client will be able to: a.)Verbalized understanding of sleep disturbance. b.)Identify appropriate interventions to promote sleep. c.)Perform some relaxation technique to induce sleep.

>Administer >For patients medications per faster physicians recuperation. order. Nursing Rationale Intervention Independent: Tx: a.)Assessed clients Baseline data provides normal sleeping data about normal habits patterns and strategies to improve or to return to normal. b.)Assessed when sleep disturbances began and how they have been resolved in the past c.)assess the clients To determine certain stressors to sleeping disturbances offers insight to cause To determine the


STO: Goal met. After 8 hours of nursing intervention, the client was identify and practice approp interventions to induced sle

LTO: Goal met. After 72 hours of nursing of intervention, the client was have a continued good sleep pattern.

-irritable - three waking bouts Nursing Diagnosis: Altered Sleeping Pattern r/t ruminative presleep thoughts

are his role as a father and boredom.

LTO: After 72 hours of nursing intervention, the patient will be able to: a.)report an improvement in sleep pattern b.)report increase sense of well being and feeling rested c.) have an adequate sleep or achieve/ regain normal sleeping pattern

activity during day time

patients activity which could affect the sleep pattern during night time

Dx: a.)Provided an activity during daytime such as art therapy, aerobic exercises (dancing). b.)Promoted bed time regimens such as a glass of milk

Daytime activity can help patient expand energy and be ready for night time sleep

Milk has soporific qualities that enhances serotonin synthesis, a neurotransmitter that could help in falling asleep faster and longer.

Edx: a.)Encouraged participation in regular exercise program during day. b.)Teach client to avoid caffeine(coffee, tea, chocolate, soft drinks) before sleeping c.)Encouraged relaxation

To aid in stress control or to release energy.

Caffeine is a stimulant to the central nervous system and could interfere the sleep of the patient. To enhance clients

measures such as DBE d.)Emphasize the importance of having regular exercise during day time

ability to sleep. Exercise at bedtime may stimulate rather than relaxing the patient, and could actually interfere with sleep.