Nursing Care Plan For Insomnia 6n5i1p

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 can’t sleep at night. I don’t 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 night’s 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:  ister 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