Assessment Subjective Data: Hindi ako makatulog pag gabi. as verbalized by the patient.

Diagnosis Insomnia related to metabolic disease as evidenced by look of tiredness and lack of energy in the morning.

Planning Short-term goal: After 4 hours of Nursing intervention, patient will be able to identify and do appropriate interventions to promote sleep. Long-Term goal: Patient will report improvement in sleeping pattern such as feeling rested after sleep after a week of continued sleeppromoting interventions.

Intervention Independent: Identify circumstances that interrupt sleep. Limit fluid intake in the evening Encourage participation in regular exercise program during daytime Develop behavioral program for insomnia such as not napping in bedtime, establishing routine bedtime and arising, and not reading or watching TV in bed Dependent: Administer medications if ordered 1 hour before sleep

Rationale To prevent sleep disturbance because of interruptions. To reduce need for nighttime elimination To release energy. Exercise in bedtime may stimulate rather than relax For effective sleep promotion.

Evaluation Patient practices relaxation techniques before bedtime to promote sleep. Patient is involved in daily activities thus inducing sleep during nighttime.

Patient reports Inference: difficulty falling and Insomnia is most staying asleep often defined by an individual's report Objective Data: of sleeping Dark shadows under difficulties. the eyes Insomnia is most Appears tired in the often thought of as morning both a sign and a Sleeping most of the symptom that can day accompany several sleep, medical, and psychiatric disorders, characterized by persistent difficulty falling asleep and/or staying asleep or sleep of poor quality. or marked distress for more than 1 month.

To relieve discomfort and take maximum advantage of sedative effect.