GERIATRIC

NURSING
MA.ALICIA GRACE S. KAIMO, RN, MAN
INSTRUCTOR

Universidad de Manila, College of Health Sciences

Module Title Theoretical Foundation of Nursing

Module No. 7

Total study hours () Hrs. Lecture

Module writer: Ma. Alicia Grace S. Kaimo

Introduction Objectives and Terminologies

Module Aims This aims to impart to the learners how to properly manage older adult’s
disturb sleep pattern.
Module Learning Outcomes For the learners to understand the nursing management applicable to older
adult’s disturb sleep pattern.

Content older adult’s failure to Older Adult’s Disturb Sleep Pattern

rhive.
Teaching/Learning Activities Online, Synchronous, Asynchronous

Assessment methods
Program Bachelor of Science in Nursing

Level/Placement 3rd year, 1st semester

Course Title Geriatric Nursing

Course code NCM 114

No. of Units () units

Pre-requisite

Course Description

Rationale This course deals with the development of proper nursing care management on older client with
disturbed sleep pattern.

Focus
The nursing care plan for older adult with disturbed sleep pattern.

Outcome At the end of the course, the learners are expected to appreciate and utilize relevant nursing
management of older adult with disturbed sleep pattern.
LEARNING OBJECTIVES
By the end of this course, the learners will be able to:
Assess the needs of older adult experiencing
disturbed sleep pattern.
Implement nursing measures to alleviate problem on disturbed sleep
pattern.
11 Nursing Care Plans (NCP) and
Nursing Diagnosis for Geriatric
Nursing
6. Disturbed Sleep Pattern
Nursing Diagnosis
o Disturbed Sleep Pattern

Related Factors
Here are the common related factors for Disturbed Sleep Pattern
nursing diagnosis nursing:

o Unfamiliar surroundings and hospital routines/interruptions

Defining Characteristics
The following are the common subjective and objective data or
nursing assessment cues (signs and symptoms) that could serve as
your “as evidenced by” for this care plan:

o Verbal complaints of difficulty falling asleep

o Decreased ability to function
o Dissatisfaction with sleep
Desired Outcomes
Below are the commonly used expected outcomes or patient goals
for Disturbed Sleep Pattern nursing diagnosis:

Within 24 hours of interventions, the patient will reports attainment

of adequate rest. The mental status will remain intact for the patient
Nursing Interventions and Rationale
The following are sample nursing interventions and rationale (or
scientific explanation) for Disturbed Sleep Pattern that you can
use for our geriatric nursing or gerontological nursing care plans:
Nursing Intervention Rationale
Nursing Assessment
Assess and record the patient’s Elderly people usually sleep less
sleeping pattern, gathering than they did when they were
information from the patient’s younger and often awaken more
significant others or caregiver. frequently during at night.
 Nursing Assessment
Gather inquiries regarding activity
level and nap.
Monitor the patient’s activity level.
Identify the patient’s typical night
time routine and try to follow it.
Persons with a low level of activity
and who take naps frequently sleep
only 4 to 5 hours per night.
If the patient complains of being
tired after activities or displays
behavior such as irritability, yelling,
or shouting, encourage napping
after lunch or early in the afternoon.
Otherwise, discourage daytime
napping, especially in the later
afternoon, because it can interfere
with night time sleep.
Emulating the typical night time
rituals may promote sleep.
 Therapeutic Interventions
Try to arrange activities together
such as doing vital signs, taking
medication, and toileting.
Refrain the patient from drinking
caffeinated coffee, cola, and tea
after 6 pm.
Provide a calm and quiet
environment and lessen
interruptions during sleep hours.
This lessens the frequency of
interruptions and promotes rest and
sleep.
The effect of stimulants includes
increase alertness, insomnia and
frequent night time awakenings to
urinate.
Exposure to bright lights,
unnecessary noises, snoring
roommates, and loud talking can
result in sleep deprivation. Use of
low noise sound generators may
facilitate sleep.
 Therapeutic Interventions
Administer pain medications as
These interventions promote
ordered, provide back rub, and
comfort thus enhance the sleep.
pleasant conversation at sleep time.
 “Old age may have it’s limitations and challenges,
but in spite of them, our latter years can be some of
the most rewarding and fulfilling of our lives.”
Billy Graham
Thank you!!