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Sleep Management for Anxiety Relief

A 36-year-old male police officer was recently promoted to detective but is experiencing increasing difficulty falling asleep and sometimes staying asleep due to concerns over the danger of his new occupation. He reports waking up feeling tired and irritable. His nursing diagnosis is sleep pattern disturbance related to anxiety from his job promotion and fear of falling asleep on the job. The plan is to help reduce his anxiety through relaxation techniques and establishing a consistent sleep routine, as well as enhancing his sleep through addressing lifestyle and environmental factors contributing to his sleep issues.

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Kring kring
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341 views1 page

Sleep Management for Anxiety Relief

A 36-year-old male police officer was recently promoted to detective but is experiencing increasing difficulty falling asleep and sometimes staying asleep due to concerns over the danger of his new occupation. He reports waking up feeling tired and irritable. His nursing diagnosis is sleep pattern disturbance related to anxiety from his job promotion and fear of falling asleep on the job. The plan is to help reduce his anxiety through relaxation techniques and establishing a consistent sleep routine, as well as enhancing his sleep through addressing lifestyle and environmental factors contributing to his sleep issues.

Uploaded by

Kring kring
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

koz74686_ch45.

qxd 11/8/06 6:24 PM Page 1182

1182 UNIT X / Promoting Physiologic Health

CONCEPT MAP Sleep

• Police officer high-crime precinct. • Height: 185.4 cm (6' 2") • CBC normal
Bullet wound to arm 1 week ago • Weight: 85.7 kg (189 lb) • X-ray LA: evidence
Recently promoted to detective • Temperature: 37.0°C (98.6°F) of superficial soft
c/o increasing difficulty falling asleep • Pulse rate: 80 BPM tissue injury
JH and sometimes staying asleep. • Respirations: 18/minute
assess Concern over danger of his occupation • Blood pressure: 144/88 mm Hg
36 y.o. male
and desire to do well in new position. • Pale, drawn, with dark circles
c/o waking up feeling tired and irratable. under eyes

generate nursing diagnosis

Sleep Pattern Disturbance r/t anxiety (aeb difficulty falling and remaining asleep, fatigue, irritablility)

outcome Outcomes met:


• Acknowledges his insomnia is a somatic
expression of his anxiety regarding job
Sleep aeb promotion and fear of falling
• Sleep through the night consistently • States that talking with the police
Evaluation
• Feels rejunvenated after sleep department counselor has been helpful
• No dependence on sleep aids • Practicing relaxation techniques each night
and sleep an average of 7 hours a night
• Expresses a feeling of being rested upon
awakening
nursing intervention nursing intervention

Anxiety Reduction Sleep Enhancement


activity Monitor bedtime
food and beverage
activity
activity activity intake for items that
activity facilitate or interfere
activity with sleep
activity Determine the
Create client's sleep
an atmosphere activity
and activity Discuss with the client
to facilitate trust pattern and his family comfort
activity
activity measures, sleep-promoting
techniques, and lifesyle
Seek to understand Determine his Encourage to changes that can contribute
his perspective of decision-making establish a bedtime to optimal sleep
a stressful situation ability routine to facilitate
transition from
wakefulness to sleep Instruct the client
and significant others
Encourage verbalization about factors (e.g.,
of feelings, perceptions, Encourage to physiologic, psychologic,
and fears eliminate stressful lifestyle, frequent work
situations before shift changes, excessively
bedtime long work hours, and other
environmental factors)
that contribute to sleep
pattern disturbances

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