ASSESSMET DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTRIVE Disturbed sleep Short Term: >Establish rapport to the >To gain the trust of Goal was met
CUES: pattern related Within 1 hour of patient and to significant the patient and Short Term:
“Sobra na to Alzheimer’s adequate nursing others significant others Within 1 hour of
siyang Disease intervention the adequate nursing
makakalimutin Progression as patient/SO >Reorient to place, time intervention the
at naapektuhan evidenced by verbalized the and to person >inability to main the patient/SO verbalized the
ang kanyang sleep understanding and orientation it’s a sign of understanding and
panga-araw disturbance importance of sleep >scheduled activity and deterioration importance of sleep
araw na gawain became pattern and rest pattern pattern and relaxation
at trabaho” prominent relaxation technique >to provide stimulation technique
according to his >discourage the caffeine and reducing fatigue
wife intake and large meal 2
hours before sleep >the body slow down
OBJECTIVE its function at night to
CUES: > teach Relaxation prepare for sleep
-37 Years old Long Term: technique to patient and to Long Term:
-Frequently After 3-4 days of SO >Helps to relax the After 3-4 days of nursing
waking up nursing intervention patient before sleep intervention
middle of the The patient will >Approach client in a slow and not to aggreviate The patient will report
night self- report optimal calm manner and maintain stress and reducing the optimal balance of
talking balance of sleep quiet environment tension sleep
-Disorientation
to time and >to not respond to
person >Communicate simple aggressive behavior
-Medicine information
*Aricept
(Donepezil) >Encourage patient to >Aid to reduce the
+Namenda exercise confusion of the
(Memantine) patient.
-Cognitive test >Encourage patient to
*relatively participate in group activity >It promote sleep
preserved
language >Provide sleep apnea > To maximize the level
function apparatus of function
*displayed
serious >Health teaching to patient >To provide the
impairments in and to SO completion all of stage
free recall Collaborative of sleep
*20-minute
delayed recall >Refer to community >To address the do’s
and resources and dont
recccognition
Collaborative

>To promote wellness

of the client