Nursing Care Plan

Diagnosis: T/C Disseminated TB

Assessment
Subjective:
hindi po ako
makatulog
kagabi dahil sa
lagnat ko as
verbalized
Objective:
Frequent
yawning
upon
assessme
nt
irritable
Restless
Dark
circles
around
the eyes

Diagnosis
Disturbed sleep
pattern related to
interruptions for
monitoring and
hospital stimuli
(noise and
lightning)
secondary to fever

Rationale
Interruptions for
monitoring

Planning
Intervention
At the end of 8 -positioned a client in
hours the
comfortable position
patient will
able to sleep.
-Provided comfort
Hospital stimuli
measures (such as back
(noise, lightning)
rubbing, quiet
environment, light
music)
Fever
-provided a quiet and
peaceful environment
Headache
-Provided a warm bath
before the patient goes to
Inability to sleep
sleep

Disturbed sleep
pattern

-Encouraged the client to

express concerns when
unable to sleep
-encouraged to sleep or
to take a nap.

Rationale
-to alleviate discomfort

-promotes non
Pharmacological
management.

-to help in providing

sleep/rest
-vasodilation of the veins
provide sleepy, lazy effect
causing the client to fall right
to sleep
-verbalizing concern may
promote relaxation

-to promote wellness and

relaxation.

Evaluation
The patient was able to
sleep for 4 hours after our
shift.