Nursing Care Plan For Readiness For Enhanced Sleep N 714of

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NURSING CARE PLAN – Readiness for Enhanced Sleep ASSESSMENT

SUBJECTIVE:

“I want to sleep better,” as verbalized by the patient

OBJECTIVES: -appears eager to learn - participates in comfort measures of choice

DIAGNOSIS

Readiness for enhanced sleep

INFERENCE

Feelings of ease, relief, and transcendence in physical, psychospiritual, environmental, and/or social dimensions

Recognition of the need and desire to strengthen them with concentration and eagerness

Readiness for enhanced sleep

PLANNING

After 8 hours of nursing interventions, patient will be able to verbalize and identify certain techniques that help enhance sleep

INTERVENTION S

Ascertain usual sleep habits and changes that are occurring. Obtain a sleepwake history including history of sleep problems, changes in sleep patterns, and use of medications and stimulants. Assess for underlying physiological illnesses as a potential cause for nighttime sleep loss and daytime sleepiness (including, but not limited to pulmonary,

RATIONALE

Determines need for action and helps identify appropriate interventions Assessment of sleep behavior and patterns are an important part of any health status examination Symptomatology of disease states can cause insomnia Alcohol and nicotine should be avoided for several hours prior to sleep Increases comfort for sleep; provides

EVALUATION

After 8 hours of nursing intervention, goal met. Patient was able to report improved sleep, identify strategies that help enhance sleep, verbalize contentment and was able to display a calm and relaxed appearance

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cardiovascular and gastrointestinal conditions). Advise patient to avoid se of alcohol or cigarettes prior to use of sleep medication or retiring for the evening Provide comfortable bedding and some of own possessions, such as a pillow or an afghan. Establish new sleep routine incorporating old pattern and new environment Encourage some light physical activity during the day. Make sure client stops activity several

physiological and psychological When new routine contains as many aspects of old habits as possible, stress and related anxiety may be reduced, enhancing sleep. Daytime activity can help client expend energy and be ready for nighttime sleep; however, continuation of activity close to bedtime may act as a stimulant, delaying sleep. Helps induce sleep Promotes a relaxing, soothing effect. Milk has soporific qualities, enhancing

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hours before bedtime, as individually appropriate, Instruct in relaxation measures. Promote bedtime comfort regimens (warm bath, massage, a glass of warm milk, etc)

synthesis of serotonin, a neurotransmitter that helps client fall asleep faster and sleep longer Uninterrupted sleep is more restful, and client may be unable to return to sleep when awakened. Daytime activity can help client expend energy and be ready

Avoid or limit interruptions such as awakening for medications or therapies Encourage some light physical activity during the day. Make sure client stops activity several hours before bedtime, as

for nighttime sleep; however, continuation of activity close to bedtime may act as a stimulant, delaying sleep

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individually appropriate