ASSESSMENT

S> Gabi ang

trabaho ko sa
may Alabang
kaya madalas
puyat ako. as
verbalized by
the client.
O>fatigue
>restlessness
>eyebags
>working
hours: 10 p.m.
to 8 a.m.
>sleeps 10
a.m. to 3 p.m. if
she has work
>sleeps 10
p.m. to 7 a.m. if
she has no
work

NURSING
DIAGNOSIS
Disturbed
Sleeping
Pattern
related to
frequently
changing
sleep-wake
schedule as
evidenced
by the
working
hours of the
client.

SCIENTIFIC
PLANNING
EXPLANATION
Change in
Long Term
sleep- wake
Outcome:
schedule
After 1 week of
nursing
Decreased REM interventions,
the client will
Impaired
report
processing of
improvement in
information in
quality of sleep
the brain
pattern.
Decreased
oscillations
Disturbed
sleeping pattern

REFERENCE:
Fundamentals
of Nursing by
Taylor, page
1178

IMPLEMENTATION
Independent:

Provide quiet
environment
(straighten sheets).

Provide comfort
measures (back rub).

Arrange care to
provide uninterrupted
sleep.

Short Term
Outcome:

Recommend
After 2 hours of
Limiting intake of
nursing
caffeine and chocolate
interventions,
prior to sleep.
the client will

Explore other sleep

state two ways
aids. (warm bath or
to improve sleep
milk)
pattern such as
providing a quiet
environment
Collaborative:
(straightening

Refer to sleep
sheets) and
specialist for
comfort
treatment when
measures (back
indicated.
rub).

SCIENTIFIC RATIONALE
-this provides a conducive
environment for the client to
relax. (Fundamentals of
Nursing by Taylor)
-this soothes and relaxes the
client. (Fundamentals of
Nursing by Taylor)
-to promote wellness.
(Fundamentals of Nursing by
Taylor)
-Caffeine inhibits sleep
(Nutrition and Diet Therapy by
Peckenpaugh)
-to promote wellness.
(Fundamentals of Nursing by
Taylor)

-for advise from a specialist.

(Fundamentals of Nursing by
Taylor)

EVALUATION
Outcome
Achieved. After 2
hours of nursing
interventions, the
client stated two
ways to improve
sleep pattern such
as providing a
quiet environment
(straightening
sheets) and
comfort measures
(back rub).