Client X Female 18 yrs.

old College Student

ASSESSMENT NURSING GOALS & NURSING RATIONALE IMPLEMENTATION EVALUATION

DIAGNOSING
PLANNING OBJECTIVE INTERVENTION
Subjective Cue: Sleep Deprivation After 10 minutes, the Goal: Independent After nursing
“Nung nasa Senior Highschool related to Aging client will be able to: After nursing  Observed and  To determine Intervention, the
po ako marami po ako mga related sleep stage intervention the obtained usual sleep goals was met as
requirements and projects sina shifts. 1. Identify the client will: feedback from routine and evidence by:
submit kaya madalas nag interventions clients regarding provide
pupuyat ako, hanggang sa pag to promote  Show signs of usual bedtime, appropriate Client identified
tagal nagging habit kona sleep. decreased routines, intervention. interventions to
matulog ng late, kaya ngayon yawning at number of hours promote sleep.
nasa College na ako nahihirapan 2. Verbalize that daytime of sleep, and  Proper support
ako dahil late ako nakakatulog, she is rested environmental with pillows for Decreased yawning
nakakatulog lamang ako after and active after  Verbalize her needs. the side lying at daytime.
ko mag laro ng online Games at sleep. feeling of rested position,
mag scroll sa Social media, at and promotes Client Verbalized her
hanggang sa malowbat ito.” 3. Adjust lifestyle improvement in  Recommend a relaxation and feeling of Rested and
to her sleeping. nap or rest sleep aids improvement in her
“Minsan nakakatulog ako during accommodate period each day. (Maternal sleeping.
Class hour at minsan pag routines that Newborn
minamalas nahuhuli ako ng promotes to Objectives: Nursing,
aming guro at napapagsabihan. sleep.  The client will second edition,
Tapos minsan nakakaranas ako experiences a McKinney P.
ng pag sakit ng ulo at pag kahilo refreshed sleep  Provide a quiet 1042)
tapos parang mabigat yung continuously. and peaceful
katawan ko.” environment  To help in
 The client will during sleep providing
Objective Cue: take 8 hrs. Each period. better
 Usually sleeping time of day as well as sleep/Rest
Client X is 1:00 to nap or rest
2:00am up to 5:30 or period.  Position client in
6:00am a comfortable  To alleviate
 4-5 hrs. of sleep per day position. discomfort
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